Evidence map›Paper›PMID 40772122›Full record

ArticleJournal of pain research2025

GPER Enhances Chronic Burn Pain via PKC-Mediated Mu-Opioid Receptor Phosphorylation in the Rostral Ventromedial Medulla.

Xunxi Zhu, Yajun Zhang, Qiqi Zhang, Zhongjun Zhang

Abstract read
In one paragraph

Article in Journal of pain research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Xunxi ZhuDepartment of Anesthesiology, Affiliated Hospital of Jiangnan University, Wuxi, People's Republic of China.ORCID 0009-0000-1276-8920
Yajun ZhangDepartment of Anesthesiology, Affiliated Hospital of Jiangnan University, Wuxi, People's Republic of China.
Qiqi ZhangDepartment of Anesthesiology, Affiliated Hospital of Jiangnan University, Wuxi, People's Republic of China.
Zhongjun ZhangDepartment of Anesthesiology, Affiliated Hospital of Jiangnan University, Wuxi, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Chronic pain following burn injury represents a formidable challenge in analgesic management, as the complex interplay and dynamic nature of multiple neural mechanisms underlying abnormal hyperalgesia renders its resolution exceptionally problematic. The G protein-coupled estrogen receptor (GPER) located within the rostral ventromedial medulla (RVM) has been recognized as a critical element in regulating descending pain signal transmission throughout the brain. Nevertheless, the precise underlying mechanisms remain insufficiently elucidated. This investigation examined GPER function in chronic pain modulation and its role in pain rehabilitation. Methods and Results: A murine model of burn injury-induced chronic pain was employed, wherein nociceptive paw withdrawal reflexes to both thermal and mechanical stimuli were evaluated. In contrast to mice exhibiting pain resolution, a subset displaying sustained or stimulus-evoked reductions in pain threshold developed a persistent pain phenotype. Notably, prolonged hyperalgesia post-burn injury was associated with GPER activation. GPER-immunoreactive neurons were found to be co-localized with activated protein kinase C (PKC) and μ-opioid receptor (MOR) in murine tissues. Moreover, in mice with persistent pain, phosphorylation of MOR-facilitated by activated PKC rather than GRK 2/3-was implicated in GPER-dependent nociceptive allodynia, a process effectively reversed by selective PKC inhibition. In these animals, attenuation of PKC activation significantly elevated the pain threshold by inhibiting MOR phosphorylation. Conclusion: These findings highlight the involvement of GPER-dependent PKC-mediated MOR phosphorylation in RVM during postoperative chronic pain development. These insights may contribute to an enhanced understanding of chronic pain's fundamental mechanisms and suggest potential preventive approaches for analgesic interventions.

Indexed as

chronic painG protein-coupled estrogen receptormu-opioid receptorprotein kinase C

Identifiers

PMID40772122
PMCPMC12327422

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.