Article

DHX9/DNA-tandem repeat-dependent downregulation of ciRNA-Fmn1 in the dorsal horn is required for neuropathic pain

Xiao-dan Liu1,2, Tong Jin3, Yang Tao1, Ming Zhang1, Hong-li Zheng3, Qiao-qiao Liu1, Ke-hui Yang1, Ru-na Wei1, Si-yuan Li1, Yue Huang1, Zhou-ya Xue4, Ling-yun Hao1, Qi-hui Wang1, Li Yang1, Fu-qing Lin3, Wen Shen5, Yuan-xiang Tao6, Hong-jun Wang1, Jun-li Cao1, Zhi-qiang Pan1
1 Jiangsu Province Key Laboratory of Anesthesiology, Jiangsu Province Key Laboratory of Anesthesia and Analgesia Application Technology, NMPA Key Laboratory for Research and Evaluation of Narcotic and Psychotropic Drugs, Xuzhou Medical University, Xuzhou 221004, China
2 Department of Anesthesiology, The Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People’s Hospital, Qingyuan 511518, China
3 Department of Pain, Shanghai Tenth People’s Hospital, Tongji University, Shanghai 200072, China
4 Department of Anesthesiology, Yancheng Affiliated Hospital of Xuzhou Medical University, Yancheng 224001, China
5 Department of Pain, The Affiliated Hospital of Xuzhou Medical University, Xuzhou 221006, China
6 Department of Anesthesiology, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ, USA
Correspondence to: Hong-jun Wang: wanghon0490@sina.com, Jun-li Cao: caojl0310@aliyun.com, Zhi-qiang Pan: zhiqiangp2002@aliyun.com,
DOI: 10.1038/s41401-023-01082-x
Received: 15 December 2022
Accepted: 22 March 2023
Advance online: 24 April 2023

Abstract

Circular RNAs (ciRNAs) are emerging as new players in the regulation of gene expression. However, how ciRNAs are involved in neuropathic pain is poorly understood. Here, we identify the nervous-tissue-specific ciRNA-Fmn1 and report that changes in ciRNA-Fmn1 expression in spinal cord dorsal horn neurons play a key role in neuropathic pain after nerve injury. ciRNA-Fmn1 was significantly downregulated in ipsilateral dorsal horn neurons after peripheral nerve injury, at least in part because of a decrease in DNA helicase 9 (DHX9), which regulates production of ciRNA-Fmn1 by binding to DNA-tandem repeats. Blocking ciRNA-Fmn1 downregulation reversed nerve-injury-induced reductions in both the binding of ciRNA-Fmn1 to the ubiquitin ligase UBR5 and the level of ubiquitination of albumin (ALB), thereby abrogating the nerve-injury-induced increase of ALB expression in the dorsal horn and attenuating the associated pain hypersensitivities. Conversely, mimicking downregulation of ciRNA-Fmn1 in naïve mice reduced the UBR5-controlled ubiquitination of ALB, leading to increased expression of ALB in the dorsal horn and induction of neuropathic-pain-like behaviors in naïve mice. Thus, ciRNA-Fmn1 downregulation caused by changes in binding of DHX9 to DNA-tandem repeats contributes to the genesis of neuropathic pain by negatively modulating UBR5-controlled ALB expression in the dorsal horn.

Keywords: ciRNA-Fmn1; DHX9; albumin; UBR5; neuropathic pain

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