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Metabolic-epigenetic regulation of TRPM3 via H3K18 lactylation in dorsal root ganglia mediates bone cancer pain and its attenuation by microwave ablation - PubMed

4 hours ago
  • #bone cancer pain
  • #histone lactylation
  • #microwave ablation
  • Bone metastatic pain in lung cancer is linked to a tumor metabolism-neural epigenetic-ion-channel axis.
  • Patients with higher pain showed glycolysis enrichment in tumor cells and increased lactylation in dorsal root ganglia (DRG).
  • Lactate signaling in mice induces DRG lactylation and hypersensitivity, while its inhibition reduces pain.
  • H3K18 lactylation at the Trpm3 promoter in DRG upregulates TRPM3, which mediates thermal and mechanical pain behaviors.
  • Microwave ablation (MWA) of tumors provides analgesia, reduces DRG H3K18 lactylation and TRPM3, and suppresses tumor glycolytic proteins.