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Astrocyte-specific NRCAM deficiency promotes GABAergic synapse pruning to drive central sensitization in bone cancer pain - PubMed

5 hours ago
  • #astrocyte function
  • #neuropathic pain
  • #synaptic pruning
  • Downregulation of NRCAM in reactive astrocytes contributes to the phagocytosis of inhibitory GABAergic synapses, disrupting synaptic balance and leading to central sensitization in bone cancer pain.
  • Astrocytic activation and reduced NRCAM expression are linked to increased engulfment of GABAergic synapses, which worsens pain behaviors in a mouse model of bone cancer pain.
  • Restoration of astrocytic NRCAM expression via AAV-mediated gene delivery suppresses excessive phagocytosis of GABAergic synapses and alleviates bone cancer pain.
  • The study identifies astrocytic NRCAM-dependent synaptic pruning as a novel mechanism in bone cancer pain, highlighting it as a potential therapeutic target for treatment.