Gut microbiota is critical for the induction of chemotherapy-induced pain

S Shen, G Lim, Z You, W Ding, P Huang, C Ran… - Nature …, 2017 - nature.com
S Shen, G Lim, Z You, W Ding, P Huang, C Ran, J Doheny, P Caravan, S Tate, K Hu, H Kim…
Nature neuroscience, 2017nature.com
Chemotherapy-induced pain is a dose-limiting condition that affects 30% of patients
undergoing chemotherapy. We found that gut microbiota promotes the development of
chemotherapy-induced mechanical hyperalgesia. Oxaliplatin-induced mechanical
hyperalgesia was reduced in germ-free mice and in mice pretreated with antibiotics.
Restoring the microbiota of germ-free mice abrogated this protection. These effects appear
to be mediated, in part, by TLR4 expressed on hematopoietic cells, including macrophages.
Abstract
Chemotherapy-induced pain is a dose-limiting condition that affects 30% of patients undergoing chemotherapy. We found that gut microbiota promotes the development of chemotherapy-induced mechanical hyperalgesia. Oxaliplatin-induced mechanical hyperalgesia was reduced in germ-free mice and in mice pretreated with antibiotics. Restoring the microbiota of germ-free mice abrogated this protection. These effects appear to be mediated, in part, by TLR4 expressed on hematopoietic cells, including macrophages.
nature.com
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