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Molecular Pain logoLink to Molecular Pain
. 2019 Dec 30;15:1744806919892389. doi: 10.1177/1744806919892389

Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia

Yuqiang Li 1,2, Hiroki Iida 2, Koji Kimata 2,, Lisheng Zhuo 2, Akinobu Ota 3, Shinya Kimura 4, Xiaojian Yin 1, Masataka Deie 5, Takahiro Ushida 2
PMCID: PMC6997725  PMID: 31749400

Short abstract

Background

Surgery is often accompanied by scar formation, which results in a pathological state called fibrosis. Fibrosis is characterized by the excess deposition of extracellular matrix molecules in the connective tissue, leading to tissue contracture and chronic pain. To understand the molecular mechanisms underlying these processes and their causative relationships, we performed comprehensive analyses of gene expression changes in the hind paw tissue of a mouse model established by generating a scar in the sole.

Results

Subcutaneous tissue was extensively stripped from the sole of the operation group mice, while a needle was inserted in the sole of the sham group mice. Pain threshold, as evaluated by mechanical stimulation with von Frey fiber, decreased rapidly in the operated (ipsilateral) paw and a day later in the nonoperated (contralateral) paw. The reductions were maintained for more than three weeks, suggesting that chronic pain spread to the other tissues via the central nervous system. RNA from the paw and the dorsal root ganglion (L3–L5) tissues were subjected to microarray analyses one and two weeks following the operation. The expressions of a number of genes, especially those coding for extracellular matrix molecules and peripheral perceptive nerve receptors, were altered in the operation group mice paw tissues. The expression of few genes was altered in the dorsal root ganglion tissues; distinct upregulation of some nociceptive genes such as cholecystokinin B receptor was observed. Results of real-time polymerase chain reaction and immune and histochemical staining of some of the gene products confirmed the results of the microarray analysis.

Conclusion

Analyses using a novel mouse model revealed the extensive involvement of extracellular matrix-related genes and peripheral perceptive nerve receptor genes resulting in scar formation with chronic pain. Future bioinformatics analyses will explore the association between these relationships.

Keywords: Mouse model, scar formation, fibrosis, long-lasting pain, gene expression

Introduction

Epidemiological surveys indicate that most patients suffer from chronic pain, mainly in the lower back, shoulder, and lower extremities.1 Several etiologies underlie the development and continuation of these chronic pain conditions and surgery (operative intervention) chronic postoperative pain (CPOP) is one of most common complications of surgery. According to previous reports, the incidence of CPOP is anywhere between 5% and 85%, and this kind of chronic pain strongly diminishes the patient’s activities of daily life and quality of life.2 Currently, however, there is no effective cure, reflecting the poor understanding of the pathology of the symptoms.3

Surgery in muscles, fingers, shoulders, elbow joints, and peripheral tissues often results in scar formation.4,5 In this process, a reparative or reactive accumulation of fibrous connective tissue results in the pathological accumulation of extracellular matrix (ECM) proteins. The accumulation is termed fibrosis.6 A case study highlighted the persistence of fibrosis in the muscle of operated lumbar vertebra (25 years in the cited case).7 We have observed that in surgery involving locomotive tissues such as fingers, shoulders, and elbows, the occurrence of postoperative scar constraint is often associated with motion pain. Therefore, we hypothesized that postoperative fibrosis can obliterate the architecture and function of the underlying organ and the regeneration of nervous and circulatory systems in them,8 which contributes to the pathogenesis of chronic pain.

In normal tissues, fibrous connective tissue is defined on a tissue-dependent basis by the characteristic tissue architecture and functions. The tissue consists of a variety of ECM proteins that are characteristically different depending on the tissue type and function. Fibrosis, in a reactive, benign, or pathological state of connective tissue,6 is described as the process of excess deposition of fibrous connective tissue components9 and results in scarring and thickening of the affected tissue accompanied by tissue contracture, which interferes with normal organ function.8 Therefore, it is important to define the pathological accumulation of ECM proteins at the molecular and gene expression levels to understand the mechanisms underlying the pathogenesis of chronic pain in fibrotic tissues and explore potential cures.

Painful scar tissue formations in patients involve neuropeptide-containing nerve fibers. Similarly, regenerated nerve fibers in postoperative scars were reported to be positive for calcitonin gene-related peptide (Cgrp) and substance P in rats.10 These observations suggest that scar formation and accumulation of neuropeptide-containing nerve fibers are parts of the mechanism of chronic pain.11

We previously developed a rat model of chronic pain and scarring by stripping the subcutaneous tissue of the plantar in the hind paw, which caused hypersensitivity to mechanical stimuli that persisted for over 12 weeks.12 Histologically, the dermis and the epidermis were thickened and contained a large number of collagen fibers with migrating cells having round- or oval-shaped nuclei. In addition, the boundary between the dermis and the subcutaneous area was less defined. In this study, we used the mouse as the animal model of postsurgical scarring because many gene knockout mice models have already been established. The model was used to assess the gene expression changes during injury and scar formation from multidisciplinary viewpoints, which we believe might be important to understand “pain.” In particular, comprehensive microarray analyses of genes involved in the ECM and pain-associated molecules were performed.

Materials and methods

Mouse model

Ten-week-old male C57BL/6NCrSlc (C57b) mice were purchased from Japan SLC Co. (Shizuoka, Japan). The mice were given water and food ad libitum and were housed in conditions of constant temperature (23°C ± 1°C) and humidity (50% ± 15%) with a 12-h light and dark cycle. Experimental procedures were approved by the Experimental Animal Committee of Aichi Medical University.

Surgical operation

The surgical operation closely followed the protocol previously described.12 The sole of the left hind paw of mice was punctured using a 19 G needle, followed by insertion of a steel rod through the hole to reach the toe. The subcutaneous tissue of the entire left sole was stripped to generate an adhesive scar (operation group, n = 7). The sole of the left hind paw of mice was punctured without stripping any subcutaneous tissue to generate the control (sham group, n = 7). In all mice, the right hind paw was not altered. An outline of this procedure is depicted in Figure 1.

Figure 1.

Figure 1.

Surgery protocol. Mice were divided into two groups (n = 7 each). In the operation group mice, a pinhole was made in the sole of the left hind paw using a 19G needle and the subcutaneous tissue was stripped through the hole using a steel rod (Φ = 3 mm). In the sham group mice, the pinhole was made in the left heel using a 19G needle. In all mice, the right hind paw was not manipulated.

Measurement of changes in body weight and appearance

Body weight changes were measured to ensure that the surgery had no significant effect on the general health of the mice. The visual appearance of the body, such as the condition of the fur, was examined at the same time for the same purpose. All mice were weighed one and two days before the operation, and 2 h; one, two, and three days; and once a week until 10 weeks after the operation. No significant statistical differences in body weight were observed between the operation and sham group mice. We examined the body appearances at the same time but only in a descriptive manner.

Measurement of hind paw response to mechanical stimuli

Hind paw pain was evaluated by measuring the threshold of mechanical stimuli that induced withdrawal of hind limbs as previously described.12,13 This method has been frequently implemented and is known as the “up-down method.”14 Mice were allowed to acclimatize on the metal mesh for at least 15 min prior to testing. If necessary, they were gently stroked with a writing brush as a calming action. Mechanical stimuli were then applied to the proximal end of the toes of hind paws using von Frey filaments (0.008, 0.4, 0.6, 1, 1.35, 2, 2.12, 3.14, 4, 5.25, and 8.19 g; Bioseb-In Vivo Research Instruments, Vitrolles, France) from beneath the metal mesh; the lowest stimulus strength was used first and the strength was gradually increased. Enough force was applied in each case to generate a slight bend in the filament. When a filament was able to consecutively induce foot withdrawal or rapid kicking twice, its strength was recorded as the threshold of mechanical stimulus. The test was performed between 10:00 and 13:00 h one and two days before the operation and 2 h, one day, two days, three days, and once a week until 10 weeks after the operation. At each time point, the body weight of each mouse was measured,14 and any visible difference in body appearance was recorded. Recently, a new mechanosensitivity testing method, termed the simplified up-down (SUDO) method,15 is being used commonly. In this method, the values of the von Frey filaments are supposed to represent the number of the filament within a complete set of 20 von Frey filaments that span a range of force from 0.008 g to 300 g (Stoelting, Dale Wood, IL, USA). In the original mouse tests, filaments 2 to 9 were used. The test always starts with filament 5 for mice, and the sequence progresses following an up-down sequence where a positive response to a particular filament indicates that the next lower value filament be used in the subsequent test, while a negative response indicates the next higher value filament be used, as in the old method.14 The test is stopped if a positive response to the lowest possible filament or a negative response to the highest possible filament is observed. For the SUDO method, the paw withdrawal threshold (PWT) estimate was calculated by taking the value of the fifth filament used in each test and adding an adjustment value of ±0.5 stimulus intervals. The adjustment factor was positive if there was no response to the fifth filament of the sequence to generate a PWT slightly higher than the fifth filament value or negative if there was a withdrawal to generate a PWT slightly lower than the fifth filament value. In some cases, the PWT was converted from filament number to force and was expressed in grams using equation (1)

PWTforce=10(X×F+B) (1)

where F is the calculated PWT value in terms of filament number using either SUDO or the method described by Chaplan et al.14 X and B are determined from a linear regression of the logarithm of the empirically measured filament bending force plotted against the filament number using equation (2)

Log(bendingforce)=X×filamentnumber+B(X=0.240B=2.00) (2)

Statistical analyses

Statistical analysis of the difference of PWTs within the groups was performed by the nonparametric Freedman’s test. When the intergroup difference was determined to be significant, post hoc tests were conducted. The difference of PWTs between the operation and sham groups was determined by the Mann–Whitney test.

Tissue sampling for microarray analysis

Mice were euthanized with an overdose of isoflurane anesthesia (Forane; Abbott, Tokyo, Japan). The dorsal skin was incised, the muscles surrounding the spine were removed, and the spine was opened with Luer Bone Rongeurs. The dorsal root ganglion (DRG, L2–L5) was promptly excised under a microscope, immediately frozen in liquid nitrogen, and stored at −80°C until use. The scar tissues of the operated left hind paw were also excised, frozen, and preserved in the same manner. Frozen DRG and scar tissues were ground using the Beads Clasher µT-12 (Taitec, Saitama, Japan). The powders were mixed with 1 ml TRIzol (Invitrogen, Carlsbad, CA, USA) to isolate total RNA in separate 1.5 ml microcentrifuge tubes and homogenized using a hand homogenizer. Total RNA was isolated following the manufacturer’s instruction and quantified using the NanoDrop ND-1000 spectrophotometer (Thermo Fisher Scientific, Waltham, MA, USA). All the samples contained >120 ng/µl RNA for the DRG samples and >250 ng/µl for the hind paw tissue samples. RNA purity was evaluated by the ratio of the optical density at 260/280 nm and 260/230 nm, which were >1.8 and >1.9, respectively, for all samples. The values completely satisfied the conditions required for the microarray analysis of gene expression. In certain samples, changes in gene expression were further confirmed by quantitative real-time polymerase chain reaction (PCR) as described below.

Microarray analysis

Microarray analysis was performed by Oncomics Co. (Hangzhou, Japan) using RNA samples from the hind paw and DRG tissues collected from both operation and sham group mice one and two weeks after the operation (Ope-1w, Ope-2w, Sham-1w, and Sham-2w, respectively, for both hind paw and DRG tissues; a total of eight samples were analyzed). The purity and integrity of the samples were first checked using a model 2100 Bioanalyzer (Agilent Technologies, Tokyo, Japan). The complementary DNA (cDNA) was prepared from 100 ng of total RNA using the Low Input Quick Amp Labeling kit and the One Color and RNA Spike-in kit (Agilent Technologies) in which the poly dT primer was conjugated to a T7 promoter. The cDNA was then amplified with T7 RNA polymerase to generate Cy3-labeled RNA, which was purified using the RNeasy mini kit (Qiagen, Germantown, MD, USA) and used as the probe. The SurePrint G3 Mouse GE microarray kit 8 × 60k (Agilent Technologies), which contains approximately 50,000 sequences derived from roughly 25,000 genes, was hybridized with the RNA probes, and the results were analyzed using GeneSpring GX analyzing software (Agilent Technologies). The microarray slide was washed and scanned using a DNA microarray scanner (Agilent Technologies). The scanned data were quantified using the Feature Extraction software (version 11.0.1.1, Agilent Technologies), and the signal intensities were considered to be raw values. Significant gene expression was defined as a raw signal intensity value >50; genes with signal intensities <50 were generally excluded from the analysis, with some exceptions where the gene expressions increased significantly in tissue samples collected after the operation. Signal intensities were normalized as previously described,16 along with the background signals. The normalized data in samples of the sham and operation groups were compared at the same time points (one and two weeks). The comparison of expression levels among the four different samples (Ope-1w, Ope-2w, Sham-1w, and Sham-2w) was validated after normalizing the expression level of the representative constitutive gene, glyceraldehyde-3-phosphate dehydrogenase (GAPDH), in each sample (Table 1). Upregulated and downregulated genes were defined as an increase of >2-fold (or 1.5-fold in some cases) and a decrease of <0.5-fold in the operation samples as compared with the sham samples, respectively, although some exceptions were considered when the changes in values were not so high but significant in some tissues and genes (e.g., <0.66 or <0.75).

Real-time PCR

Forty-nine genes that displayed a significant change in their expression levels according to the microarray assay, especially those associated with the ECM and pain, were further analyzed by real-time PCR. The primers for real-time PCR were purchased from Takara Bio (Shiga, Japan). Primer sequences used are shown in Supplemental Materials, Table S1. The remaining portions of total RNA (2 µg) were used to generate cDNA with the High-Capacity cDNA Reverse Transcription kit (Applied Biosystems, Tokyo, Japan). The real-time PCR assay was carried out using SYBR Premix Ex Tag II (Takara Bio) using an ABI Prism 7000 apparatus (Applied Biosystems). The cycling conditions were as follows: denaturation at 95°C for 30 s, 40 cycles of denaturation at 95°C for 5 s, annealing and elongation at 55°C for 30 s, and a final extension at 72°C for 34 s. The mean expression level values determined by comparison to the GAPDH expression level were obtained from three independent PCR runs for each RNA sample (n = 3). The relative expression levels were compared with the expression level of the RNA collected from Sham-1w being designated as 1.

Preparation of tissues for histological survey and immunohistological analysis

One and two weeks after the surgery, three mice from both operation and sham groups were euthanized with an overdose of isoflurane anesthesia. The left hind paw entire tissues including bones, skin, and tendon, and the ipsilateral (operated) and contralateral (nonoperated) sides of L5 DRG were harvested under microscopic guidance as described above. The tissues were immediately dipped and fixed overnight in 4% paraformaldehyde in 0.1M phosphate buffer, pH 7.2. Tissue samples obtained from three different mice in each group were embedded in paraffin (Sakura Finetek Japan, Tokyo, Japan). At least two 5 to 10 µm thick sections from each tissue paraffin block were obtained (n = 6 in each group). Following deparaffinization with alcohol, the sections were incubated in blocking solution (4% Block Ace; DS Pharma Biomedical, Osaka, Japan) for 2 h at room temperature. They were then washed three times in washing buffer (0.4% Block Ace containing 0.1% Tween 20), followed by incubation with rabbit antibody against collagen I, collagen III, substance P, tumor necrosis factor-alpha (TNF-α), transforming growth factor-beta (TGF-β), or c-Fos (1:1000 dilution in phosphate-buffered saline (PBS)) for 24 h at 4°C. After washing the sections three times in washing buffer, they were incubated with goat antirabbit IgG antibody conjugated with horseradish peroxidase (1:500; Invitrogen) at room temperature for 2 h. The samples were then washed with PBS three times and were incubated with 0.05% 3′,3-diaminobenzidine and 0.00006% hydrogen peroxide for color development. Finally, they were washed five times in washing buffer and mounted on coverslips. The sections were observed to examine the stained areas under light microscope (Olympus BX51/52, Tokyo, Japan) for the assessment of target molecule staining. When the statistical comparison of stained areas was needed, the immunoreactive areas on the section were examined using Image J software (National Institutes of Health, Bethesda, MD, USA), and the significance was evaluated using the Mann–Whitney test.

Histochemical analysis

Paraffin sections with a thickness of 5 to 10 µm (n = 6 in each group) prepared as described above were deparaffinized and washed with PBS. All the sections were stained with hematoxylin–eosin (HE; Wako Laboratory Chemicals, Wako, Japan) and Sirius-red (Sigma-Aldrich, St. Louis, MO, USA) for histopathological examination of the collagenous scar formation in the left sole. Staining with Safranin O was also performed for the detection of cartilage, mucin, and mast cell granules on formalin-fixed, paraffin-embedded tissue sections, and Toluidine blue staining was used to identify nucleic acids (blue) and polysaccharides (purple).

Results and discussion

Effects of hind paw surgery on mouse appearance and body weight

Mice in both sham and operation groups demonstrate normal growth after the operation, with no significant change in body weight observed between the two groups (Figure 2). The only apparent visual effect is swelling of the left (operated side) hind paws of mice in the operation group, which continues for at least four weeks. As discussed below in the “Histochemical Analysis” section, this is probably due to inflammation and scar formation.

Figure 2.

Figure 2.

Body weight changes in the mice. Mice in the sham (n = 7) and operation (n = 7) groups were weighed one and two days before the operation, as well as 2 h, one, two, and three days after the treatments; they were also weighed at weeks 1 to 10 after the treatments. No significant differences in weight between the two groups are detected by the Mann–Whitney Test. PBS: phosphate-buffered saline.

Pain-associated responses to mechanical stimulation following surgery, and comparison between ipsilateral and contralateral hind paws

Pain is evaluated by measuring the PWT of mechanical stimulation with von Frey fibers until 10 weeks after the operation (Figure 3). The mean PWT values were observed to be 4 g before the operation was performed in the ipsilateral paws of both the operation and sham group mice. The values are compared before and after the operation within the same groups (Figure 3(a)) as well as between the two groups (Figure 3(b)) and are found to decrease rapidly after the operation. The PWT values in the operated group mice are maintained at significantly lower levels (1 g) compared with the values in the sham group mice for three weeks (P <0.05). The PWT values in the operation group mice increase and return to a comparable level with the withdrawal threshold values in the sham group mice seven weeks after the operation. Interestingly, in the operation group mice, sensitivity to mechanical stimulation is also detected in the contralateral hind paw one day after sensitivity is detected in the ipsilateral hind paw; three days later, the PWT values of the contralateral hind paw decrease to values similar to the values of the ipsilateral hind paw and remain comparable for a period of time (Figure 3). These data suggest a possible transmission of pain-associated response signals from the injured left paw to other tissues, possibly through the nervous system of the DRG. The same phenomenon has previously been reported in a rat pain model.12 Therefore, the DRGs, especially those in L3 to L5 areas, were analyzed for genes involved in the transmission of pain-related response signals.

Figure 3.

Figure 3.

Changes in response to mechanical stimulation. (a) Withdrawal threshold of the hind paw in response to mechanical stimuli was measured by the von Frey test at the time points indicated before and after the operation. Data are presented as mean values. Preoperation and postoperation values in each hind paw are compared between the operation (op) and sham groups at each indicated time point (*P < 0.05, **P < 0.01). (b) Withdrawal threshold of the treated hind paw is compared with the contralateral side at same time points in both the groups (P ≤ 0.05, ††P < 0.01).

Histopathological and immunohistological analyses of the injured tissue architecture

Histological analysis shows that the muscles and tendons of the left hind paw in the operation group mice are disordered with a lack of thick bundles and recruitment of fibroblasts and inflammatory cells among the collagen fibers (Figure 4). In addition, the collagen bundles vary in size; fibrous tissues are present under the dermis and the subcutaneous area, and numerous migrating cells with round- or oval-shaped nuclei are observed between the collagen fibers in HE-stained sections (Figure 4(a) to (c)). Furthermore, the tissue sections from the operation group mice exhibit a large number of collagen fibers that ran in random directions in Sirius-red-stained sections (Figure 4(d) to (f)) and show significantly more glycosaminoglycan depositions around fibroblasts in sections stained with Safranin O and Toluidine blue (data not shown) compared with the tissue sections from the sham group mice, suggesting the occurrence of fibrosis in the operation group mice. Immunohistological analysis also reveals the characteristics of fibrosis: the abundant accumulation of collagen type I and III fibers in the extracellular spaces in the operation group mice (Figure 5(a)). Furthermore, significant distribution of substance P (Figure 5(a)) and inflammation-stimulating factors (TNF-α and TGF-β1) are also found in samples from the operation group mice (Figure 5(b)). The paw tissue samples were also stained with anti-c-Fos antibody; no statistical difference was detected in the c-Fos immunoreactive neurons between the operation and sham groups (data not shown). Similar histologically different characteristics were observed in all six sections from three mice in each of the one-week and two-week operation and sham groups.

Figure 4.

Figure 4.

Histopathological comparisons of paw tissues in the operation and sham groups. Paraffin sections (5–10 µm thick) were deparaffinized and washed with phosphate-buffered saline. All serial sections are stained with hematoxylin–eosin and Sirius-red for the histopathological examination of collagenous scars (n = 6 in each group). Staining with Safranin O was also performed for the detection of cartilage, mucin, and mast cell granules in formalin-fixed paraffin-embedded tissue sections. Nucleic acids and polysaccharides are stained blue and purple, respectively, with Toluidine blue. A representative image is shown.

Figure 5.

Figure 5.

Immunohistological staining characteristics of paw tissues in the operation and sham groups. Two 5 to 10 µm thick tissue sections were obtained from three individuals of each group (n = 6). The sections were stained for (a) fibrotic and pain-associated molecules, which included collagen I, collagen III, and substance P (1:1000 diluted with phosphate-buffered saline (PBS)), and (b) growth and translational factors, which included TNF-α, TGF-β, and c-Fos (1:500 diluted with PBS). The staining patterns and their intensities in the sections from each group are very similar. As the sections consist of a variety of tissues (muscle, bone, tendon, connective tissue, skin, and other components), it is difficult to quantify staining intensities because the intensities are different in different tissues. Therefore, representative images for each group are shown here to illustrate the staining characteristics of the tissue architectures. TGF-β: transforming growth factor-beta; TNF-α: tumor necrosis factor-alpha.

DRG tissues were also analyzed by histopathological and immunohistological staining. No statistical difference was detected in the staining patterns in the ipsilateral and contralateral sides of DRG L5 level in either group (data not shown).

Microarray analyses of gene expression in hind paws and DRGs of sham and operation group mice after surgery

Samples that were extracted from the DRG and paw samples one and two weeks after surgery were examined by microarray analysis. To validate the microarray analysis, we examined the consistency of gene expressions obtained using microarray analysis by comparing the results with the results from real-time PCR examinations. We chose 49 molecules related with ECM, pain, and signaling for the analysis (Supplemental Materials, Table S1) and synthesized PCR primers for real-time PCR (the forward and backward sequences are shown in Supplemental Materials, Table S1). Using the RNA left after microarray analysis, three independent real-time PCR runs (n = 3) were performed for each RNA sample to determine the gene expression levels. The relative expression levels were compared with the expression level of the RNA collected from Sham-1w being designated as 1. Although only 49 genes were analyzed by real-time PCR, the changes in gene expression were similar between the two quantitative methods. Representative results for six genes are shown in Supplemental Materials, Figure S1. Therefore, only results from the microarray analyses are shown and discussed hereafter.

Genes with raw signal intensity values >50 are evaluated and genes with raw signal intensity values <50 are generally excluded, with the exception of the genes whose expression values increase significantly in tissue samples after the operation. Postoperative gene expressions (upregulation or downregulation) are normalized to the expressions in Sham-1w, the raw value of which is designated as 1.000. As summarized in Table 2, 1419 genes and 407 genes in paw samples are upregulated (fold change ≥2.0) one week and two weeks after the operation, respectively. We also found that 386 genes are continuously upregulated (fold change ≥2.0) for two weeks after the operation. In addition, 1299 genes and 461 genes are downregulated (fold change ≤0.5) one week and two weeks after the operation, respectively, and 219 genes are continuously downregulated (fold change ≤0.5) for two weeks after the operation. In contrast, in the DRG samples, the number of upregulated or downregulated genes is much smaller compared with the number of upregulated or downregulated genes in the paw samples; 104 and 94 genes are upregulated (fold change ≥2.0) one week and two weeks after the operation, respectively, and only 6 genes are continuously upregulated for two weeks after the operation. In addition, 99 genes and 213 genes are downregulated (fold change ≤0.5) one week and two weeks after the operation, respectively, and 82 genes are continuously downregulated for two weeks after the operation. Heatmaps of the upregulated and downregulated genes are constructed to obtain an overall view of gene expression changes using normalized values of each sample with Treeview software (Figure 6). The involved genes in DRG samples were distinct from the involved genes in paw samples.

Table 2.

Number of genes that the expression levels were changed one week, two weeks, and one to two weeks after the operation, respectively, in the foot paw samples and in the DRG samples.

Changes of expression levela Weeks after operation
Number of genes detected
Foot DRG
≥2-fold 1 week 1419 104
2 weeks 407 94
1 week and 2 weeks 386 6
≤0.5-fold 1 week 1299 99
2 weeks 461 213
1 week and 2 weeks 219 82

Note: DRG: dorsal root ganglion.

aFold change of the expression level in each sample was calculated relative to a sham expression level at the same time of 1.000.

Figure 6.

Figure 6.

Gene expression profiles in the paw and/or DRG after the operation. Heatmaps of the relative expression of upregulated and downregulated genes in the paw (left) and the DRG (right) in the operation and sham groups. Red indicates upregulated gene expression, and green indicates downregulated expression. The corresponding gene names are mentioned in the right side of the heatmaps. DRG: dorsal root ganglion; FC: fold change.

Table 1.

Comparison of expression level of the glyceraldehyde-3-phosphate dehydrogenase constitutive gene among the four samples.

Used primer sequence: GAGCCTAGGGAGCCCTACCTACTCTCTTGAATACCATCAATAAAGTTCGCTGCACCCACA
Paw samples
 Ope-1w versus Sham-1w: 1.098a
 Sham-2w versus Sham-1w: 1.114
 Ope-2w versus Sham-2w: 1.046
DRG samples
 Ope-1w versus Sham-1w: 1.089
 Sham-2w versus Sham-1w: 1.022
 Ope-2w versus Sham-2w: 1.007

Note: w: week; Ope: operation; DRG: dorsal root ganglion.

aFold change of expression level in each sample was calculated relative to the sham expression level at the same time of 1.000.

We investigated details of the expression level changes in genes involved in scar formation and the accompanying chronic pain. Extensive literature searches were done to identify molecules directly related to tissue fibrosis and chronic pain and potential molecules involved in signaling pathways and regulation of their gene expressions. Based on this information, we chose a number of upregulated and downregulated genes for detailed discussion (see Tables 3 to 11).

Table 3.

Selected ECM-related genes in the paw-ECM molecules.

UniGeneID Gene symbol Gene name Sham-1w Ope-1w Sham-2w Ope-2w Raw (Sham-1w)
Mm.257557 Adamts9 A disintegrin-like and metallopeptidase (reprolysin type) with thrombospondin type 1 motif, 9 1.000 1.957 0.913 2.024 96.519
Mm.71963 Adamts19 A disintegrin-like and metallopeptidase (reprolysin type) with thrombospondin type 1 motif, 19 1.000 2.762 0.930 2.530 44.570
Mm.65867 Adamts15 A disintegrin-like and metallopeptidase (reprolysin type) with thrombospondin type 1 motif, 15 1.000 2.817 0.700 2.974 370.324
Mm.358571 Acan Aggrecan 1.000 6.102 1.347 3.293 18.358
Mm.423621 Cd44 CD44 antigen 1.000 4.233 0.568 1.680 1390.600
Mm.1571 Cdh11 Cadherin 11 1.000 3.417 1.623 2.117 74.528
Mm.277735 Col1a1 Collagen, type I, alpha 1 1.000 2.856 0.663 1.748 32,888.895
Mm.7281 Col5a1 Collagen, type V, alpha 1 1.000 4.280 0.681 1.737 2729.255
Mm.249555 Col3a1 Collagen, type III, alpha 1 1.000 2.513 0.703 2.362 57,473.367
Mm.233547 Col15a1 Collagen, type XV, alpha 1 1.000 2.416 1.058 2.825 126.905
Mm.56769 Dcn Decorin 1.000 0.922 1.331 1.449 141,758.830
Mm.2608 Bgn Biglycan 1.000 2.622 0.902 1.167 974.425
Mm.18888 Lum 1.000 2.268 1.101 2.096 12,542.905
Mm.338790 Srgn Serglycin 1.000 2.121 1.142 1.523 1186.320
Mm.2580 Sdc1 Syndecan 1 1.000 3.899 0.820 1.403 181.435
Mm.158700 Vcan Versican 1.000 2.219 0.777 1.595 461.186
Mm.255701 Has1 Hyaluronan synthase1 1.000 2.190 0.856 1.416 125.691
Mm.5148 Has2 Hyaluronan synthase 2 1.000 1.133 1.279 1.482 198.298
Mm.87150 Itgb3 Integrin beta 3 1.000 2.970 0.735 1.416 654.601
Mm.482186 Itga1 Integrin alpha 1 1.000 2.632 0.654 4.163 424.992
Mm.217000 Itgb8 Integrin beta 8 1.000 3.437 1.164 9.239 50.116
Mm.172 Lox Lysyl oxidase 1.000 3.448 1.189 2.032 162.738
Mm.172674 Lamb1 Laminin B1 1.000 1.819 0.749 1.533 5641.006
Mm.3900 Ltbp2 Latent transforming growth factor-beta binding protein 2 1.000 6.487 0.567 1.577 917.148
Mm.193099 Fn1 Fibronectin 1 1.000 3.222 0.725 1.896 34,658.168
Mm.249146 Fbln2 Fibulin 2 1.000 1.871 1.006 1.527 10,101.423
Mm.4993 Mmp3 Matrix metallopeptidase 3 1.000 1.669 2.057 3.880 374.823
Mm.4561 Mmp11 Matrix metallopeptidase 11 1.000 1.738 1.177 1.626 722.731
Mm.280175 Mmp14 Matrix metallopeptidase 14 (membrane-inserted) 1.000 3.419 0.657 1.842 356.224
Mm.8245 Timp1 Tissue inhibitor of metalloproteinase 1 1.000 4.368 0.471 1.038 4433.954
Mm.206505 Timp2 Tissue inhibitor of metalloproteinase 2 1.000 1.949 1.261 1.196 2497.030
Mm.46221 Tnmd Tenomodulin 1.000 1.715 1.220 1.538 531.432
Mm.26688 Thbs2 Thrombospondin 2 1.000 3.498 1.031 1.826 1090.658
Mm.2114 Thbs3 Thrombospondin 3 1.000 1.995 0.918 1.601 7962.698
Mm.20865 Thbs4 Thrombospondin 4 1.000 1.536 1.130 1.337 29,962.049
Mm.90140 Tnn Tenascin N 1.000 34.325 0.910 3.045 12.036
Mm.454219 Tnc Tenascin C 1.000 11.232 0.811 2.423 31.712
Mm.454219 Tnc Tenascin C 1.000 7.765 0.622 2.176 127.965

Note: Blue number: expression fold more than 1.50. Red number: expression fold less than 0.66. Expression increased more than 1.50-fold only one week after the operation: Inline graphic. Expression increased more than 1.50-fold only two weeks after the operation: Inline graphic. Expression increased less than 0.66-fold only one week after the operation: Inline graphic. Expression increased less than 0.66-fold only two weeks after the operation: Inline graphic. w: week; Ope: operation.

Table 4.

Selected ECM-related genes in the paw—growth factors, chemokines, other molecules in ECM, and their receptors and signaling molecules.

UniGeneID Gene symbol Gene name Sham-1w Ope-1w Sham-2w Ope-2w Raw (sham 1w)
Mm.27757 Bmp1 Bone morphogenetic protein 1 1.000 4.375 0.791 1.969 767.535
Mm.271745 Nrp1 Neuropilin 1 1.000 1.118 0.790 0.544 160.368
Mm.248380 Tgfb1 Transforming growth factor, beta 1 1.000 1.623 1.528 0.671 235.068
Mm.18213 Tgfb2 Transforming growth factor, beta 2 1.000 0.485 0.888 0.948 2429.841
Mm.3992 Tgfb3 Transforming growth factor, beta 3 1.000 1.772 1.237 1.068 3597.482
Mm.172346 Tgfbr2 Transforming growth factor, beta receptor II 1.000 1.540 1.043 1.247 3279.329
Mm.14455 Tgfbi Transforming growth factor, beta induced 1.000 1.552 1.048 1.182 11,147.733
Mm.3248 Tgfb1i1 Transforming growth factor-beta 1-induced transcript 1 1.000 2.645 1.082 1.491 651.339
Mm.7320 Smad3 MAD homolog 3 (Drosophila) 1.000 0.550 0.547 0.568 1329.652
Mm.100399 Smad4 MAD homolog 4 (Drosophila) 1.000 0.904 1.207 1.040 3044.519
Mm.208152 Tnfsf15 Tumor necrosis factor (ligand) superfamily, member 15 1.000 1.916 1.335 2.693 32.910
Mm.41171 Tnfsf9 Tumor necrosis factor (ligand) superfamily, member 9 1.000 1.491 1.212 1.712 103.330
Mm.1258 Tnfrsf1a Tumor necrosis factor receptor superfamily, member 1a 1.000 1.717 1.206 1.173 3218.103
Mm.235328 Tnfrsf1b Tumor necrosis factor receptor superfamily, member 1b 1.000 1.955 0.521 1.175 184.165
Mm.28518 Tnfrsf12a Tumor necrosis factor receptor superfamily, member 12a 1.000 1.066 1.553 2.055 6715.547
Mm.265915 Tnfrsf13b Tumor necrosis factor receptor superfamily, member 13b 1.000 2.284 0.787 1.385 212.595
Mm.281356 Tnfrsf19 Tumor necrosis factor receptor superfamily, member 19 1.000 0.369 0.754 0.663 1816.735
Mm.290780 Tnfrsf23 Tumor necrosis factor receptor superfamily, member 23 1.000 3.464 0.449 0.735 361.337
Mm.386774 Tnfaip1 Tumor necrosis factor, alpha-induced protein 1 (endothelial) 1.000 1.069 1.089 1.081 5930.855
Mm.255332 Tnfaip2 Tumor necrosis factor, alpha-induced protein 2 1.000 1.800 1.010 1.430 598.973
Mm.3509 Tnfaip6 Tumor necrosis factor-alpha-induced protein 6 (TSG-6) 1.000 4.506 0.951 2.971 347.194
Mm.268521 Igf1 Insulin-like growth factor 1 1.000 2.802 0.988 1.742 1442.476
Mm.275742 Igf1r Insulin-like growth factor I receptor 1.000 0.874 0.838 0.988 1098.206
Mm.2675 Pdgfa Platelet-derived growth factor, alpha 1.000 0.714 1.003 0.845 7725.119
Mm.4146 Pdgfrb Platelet-derived growth factor receptor, beta polypeptide 1.000 1.757 1.081 1.771 1541.038
Mm.877 Cxcl10 Chemokine (C–X–C motif) ligand 10 1.000 0.901 0.267 0.404 282.380
Mm.131723 Cxcl11 Chemokine (C–X–C motif) ligand 11 1.000 1.039 0.996 1.228 219,852.690
Mm.303231 Cxcl12 Chemokine (C–X–C motif) ligand 12 1.000 2.912 1.166 2.302 1035.064
Mm.30211 Cxcl14 Chemokine (C–X–C motif) ligand 14 1.000 0.796 1.539 1.215 6983.855
Mm.425692 Cxcl16 Chemokine (C–X–C motif) ligand 16 1.000 1.500 0.347 0.778 331.724
Mm.337035 Cxcr1 Chemokine (C–X–C motif) receptor 1 1.000 1.013 1.024 1.295 353.875
Mm.12876 Cxcr3 Chemokine (C–X–C motif) receptor 3 1.000 3.162 0.584 1.404 38.475
Mm.1401 Cxcr4 Chemokine (C–X–C motif) receptor 4 1.000 1.535 0.421 0.755 38.702
Mm.6522 Cxcr7 Chemokine (C–X–C motif) receptor 7 1.000 1.185 1.013 1.111 2275.335
Mm.290320 Ccl2 Chemokine (C–C motif) ligand 2 1.000 4.718 1.491 2.004 282.129
Mm.1282 Ccl3 Chemokine (C–C motif) ligand 3 1.000 5.460 0.316 1.744 48.880
Mm.244263 Ccl4 Chemokine (C–C motif) ligand 4 1.000 10.210 1.202 4.799 19.851
Mm.284248 Ccl5 Chemokine (C–C motif) ligand 5 1.000 1.910 0.227 0.645 309.851
Mm.137 Ccl6 Chemokine (C–C motif) ligand 6 1.000 3.776 0.941 2.103 2549.211
Mm.341574 Ccl7 Chemokine (C–C motif) ligand 7 1.000 5.718 0.918 3.053 148.973
Mm.42029 Ccl8 Chemokine (C–C motif) ligand 8 1.000 7.473 0.929 4.375 687.353
Mm.416125 Ccl9 Chemokine (C–C motif) ligand 9 1.000 2.421 1.003 1.497 1884.263
Mm.4686 Ccl11 Chemokine (C–C motif) ligand 11 1.000 0.499 1.866 1.141 1918.918
Mm.41988 Ccl17 Chemokine (C–C motif) ligand 17 1.000 0.634 1.138 1.013 205.774
Mm.31505 Ccl24 Chemokine (C–C motif) ligand 24 1.000 1.330 1.050 1.529 341.442
Mm.425176 Ccl27a Chemokine (C–C motif) ligand 27A 1.000 0.650 1.368 1.059 1266.784
Mm.274927 Ccr1 Chemokine (C–C motif) receptor 1 1.000 0.565 0.579 0.717 14,643.228
Mm.6272 Ccr2 Chemokine (C–C motif) receptor 2 1.000 1.261 0.541 0.842 371.863
Mm.8007 Ccr6 Chemokine (C–C motif) receptor 6 1.000 1.306 1.677 1.926 15,443.569
Mm.222830 Il1b Interleukin 1 beta 1.000 1.542 0.296 0.592 18.554
Mm.1019 Il6 Interleukin 6 1.000 1.077 0.610 0.561 41.772
Mm.35814 Il11 Interleukin 11 1.000 2.373 0.819 0.870 508.559
Mm.10137 Il16 Interleukin 16 1.000 1.130 0.959 0.953 328.685
Mm.222808 Il17c Interleukin 17C 1.000 1.068 1.099 1.350 43,705.300
Mm.390726 Il17d Interleukin 17D 1.000 0.953 1.338 1.204 2996.427
Mm.131480 Il19 Interleukin 19 1.000 0.952 1.957 1.212 1625.052
Mm.103794 Il20 Interleukin 20 1.000 0.499 0.715 0.640 89.625
Mm.77697 Il34 Interleukin 34 1.000 1.694 0.823 1.330 4521.061
Mm.2565 Il4i1 Interleukin 4-induced 1 1.000 2.416 0.873 1.225 103.005
Mm.896 Il1r1 Interleukin 1 receptor, type I 1.000 1.858 1.177 1.376 363.214
Mm.289824 Il1rl1 Interleukin 1 receptor-like 1 1.000 1.347 1.085 1.441 195.029
Mm.253424 Il1rap Interleukin 1 receptor accessory protein 1.000 0.491 0.498 1.518 40.000
Mm.426143 Il1rapl1 Interleukin 1 receptor accessory protein-like 1 1.000 1.051 1.046 1.285 618.773
Mm.915 Il2ra Interleukin 2 receptor, alpha chain 1.000 0.756 0.777 0.676 2086.175
Mm.35287 Il2rb Interleukin 2 receptor, beta chain 1.000 3.135 0.455 0.852 188.629
Mm.2923 Il2rg Interleukin 2 receptor, gamma chain 1.000 4.880 0.293 0.465 157.499
Mm.425857 Il3ra Interleukin 3 receptor, alpha chain 1.000 2.234 0.789 1.060 1443.059
Mm.2856 Il6ra Interleukin 6 receptor, alpha 1.000 1.183 0.779 1.087 2950.859
Mm.4364 Il6st Interleukin 6 signal transducer 1.000 0.894 1.099 0.815 2719.444
Mm.389 Il7r Interleukin 7 receptor 1.000 2.111 0.105 0.971 1352.508
Mm.379327 Il10ra Interleukin 10 receptor, alpha 1.000 1.604 0.516 0.923 122.370
Mm.4154 Il10rb Interleukin 10 receptor, beta 1.000 1.912 0.822 1.216 302.925
Mm.368330 Il13ra2 Interleukin 13 receptor, alpha 2 1.000 1.259 1.609 1.596 20,876.816
Mm.253664 Il18r1 Interleukin 18 receptor 1 1.000 1.294 0.941 2.088 577.273
Mm.155643 Il21r Interleukin 21 receptor 1.000 2.252 0.411 0.928 1570.504
Mm.38386 Il27ra Interleukin 27 receptor, alpha 1.000 1.793 1.264 1.294 340.354

Note: Blue number: expression fold more than 1.50. Red number: expression fold less than 0.66. Expression increased more than 1.50-fold only one week after the operation: Inline graphic. Expression increased more than 1.50-fold only two weeks after the operation: Inline graphic. Expression increased less than 0.66-fold only one week after the operation: Inline graphic. Expression increased less than 0.66-fold only two weeks after the operation: Inline graphic. w: week; Ope: operation; MAD: mothers against decapentaplegic; TSG-6, TNF-stimulated gene 6.

Table 5.

Selected ECM-related genes in the paw—changes in glycosyltransferases and sulfotransferases for the synthesis of glycosaminoglycans and sugar chains.

UniGeneID Gene symbol Gene name Sham-1w Ope-1w Sham-2w Ope-2w Raw (Sham-1w)
Mm.100638 Xylt2 Xylosyltransferase II 1.000 1.710 0.941 1.330 1053.633
Mm.139825 B4galt7 Xylosylprotein beta1,4-galactosyltransferase, polypeptide 7 (galactosyltransferase I) 1.000 1.512 0.904 1.050 1047.007
Mm.393827 B4galt6 UDP-Gal:betaGlcNAc beta 1,4-galactosyltransferase, polypeptide 6 1.000 1.548 0.682 1.353 135.098
Mm.11132 B3galt4 UDP-Gal:betaGlcNAc beta 1,3-galactosyltransferase, polypeptide 4 1.000 1.701 1.315 0.939 196.260
Mm.334569 Csgalnact1 Chondroitin sulfate N-acetylgalactosaminyltransferase 1 1.000 4.262 0.860 1.984 393.823
Mm.300317 Csgalnact2 Chondroitin sulfate N-acetylgalactosaminyltransferase 2 1.000 0.562 1.087 0.898 2526.246
Mm.333916 Chsy1 Chondroitin sulfate synthase 1 1.000 2.292 0.909 1.327 705.601
Mm.482404 Chst14 Carbohydrate (N-acetylgalactosamine 4-0) sulfotransferase 14 1.000 2.025 0.975 1.160 220.386
Mm.34557 Dse Dermatan sulfate epimerase 1.000 1.820 0.881 1.533 160.641
Mm.103468 Dsel Dermatan sulfate epimerase-like 1.000 1.780 1.418 1.527 662.678
Mm.360747 Chst11 Carbohydrate sulfotransferase 11 1.000 2.606 1.026 0.974 25.935
Mm.28934 Chst12 Carbohydrate sulfotransferase 12 1.000 1.631 1.205 1.056 217.488
Mm.213582 Chst15 Carbohydrate (N-acetylgalactosamine 4-sulfate 6-O) sulfotransferase 15 1.000 1.460 0.887 0.828 78.566
Mm.12866 Chst3 Carbohydrate (chondroitin 6/keratan) sulfotransferase 3 1.000 0.691 0.989 0.841 215.931
Mm.44827 Chst7 Carbohydrate (N-acetylglucosamino) sulfotransferase 7 1.000 2.111 1.294 1.290 167.148
Mm.309395 Ext1 Exostoses (multiple) 1 1.000 1.749 1.237 1.221 430.741
Mm.4336 Ext2 Exostoses (multiple) 2 1.000 2.490 0.992 1.228 32.854
Mm.30978 Extl1 Exostoses (multiple)-like 1 1.000 0.660 1.109 0.977 528.590
Mm.103748 Extl3 Exostoses (multiple)-like 3 1.000 1.026 0.962 0.914 4554.838
Mm.12863 Hs2st1 Heparan sulfate 2-O-sulfotransferase 1 1.000 0.629 0.892 0.767 543.519
Mm.24411 Glce Glucuronyl C5-epimerase 1.000 0.832 0.771 0.796 1153.899
Mm.213566 Hs6st1 Heparan sulfate 6-O-sulfotransferase 1 1.000 0.664 1.433 0.707 159.164
Mm.252561 Hs6st2 Heparan sulfate 6-O-sulfotransferase 2 1.000 0.543 0.995 0.713 398.640
Mm.328848 Hs3st6 Heparan sulfate (glucosamine) 3-O-sulfotransferase 6 1.000 1.112 1.055 1.591 59.114
Mm.181862 Ndst1 N-deacetylase/N-sulfotransferase (heparan glucosaminyl) 1 1.000 0.711 0.947 0.696 730.496
Mm.485574 B3galt1 UDP-Gal:betaGlcNAc beta 1,3-galactosyltransferase, polypeptide 1 1.000 0.472 1.042 0.752 168.534
Mm.285580 B3galt2 UDP-Gal:betaGlcNAc beta 1,3-galactosyltransferase, polypeptide 2 1.000 0.255 0.995 0.907 349.793
Mm.15622 B4galt1 UDP-Gal:betaGlcNAc beta 1,4- galactosyltransferase, polypeptide 1 1.000 1.550 0.873 1.278 3906.908
Mm.182377 B4galt4 UDP-Gal:betaGlcNAc beta 1,4-galactosyltransferase, polypeptide 4 1.000 1.510 1.033 1.183 341.531
Mm.21686 B3galnt2 UDP-GalNAc:betaGlcNAc beta 1,3-galactosaminyltransferase, polypeptide 2 1.000 0.758 1.302 1.017 956.080
Mm.153710 B3galnt1 UDP-GalNAc:betaGlcNAc beta 1,3-galactosaminyltransferase, polypeptide 1 1.000 3.028 1.113 1.495 363.838
Mm.386762 B4galnt1 Beta-1,4-N-acetyl-galactosaminyl transferase 1 1.000 2.597 0.588 0.898 750.477
Mm.334477 Fut10 Fucosyltransferase 10 1.000 1.173 0.834 0.804 399.024
Mm.440185 B3galt6 UDP-Gal:betaGal beta 1,3-galactosyltransferase, polypeptide 6 1.000 1.608 1.279 1.002 70.286
Mm.154783 B3galt5 UDP-Gal:betaGlcNAc beta 1,3-galactosyltransferase, polypeptide 5 1.000 0.602 0.132 0.193 40.415
Mm.285580 B3galt2 UDP-Gal:betaGlcNAc beta 1,3-galactosyltransferase, polypeptide 2 1.000 0.255 0.995 0.907 349.793
Mm.1203 Fut7 Fucosyltransferase 7 1.000 2.002 0.794 1.491 52.599
Mm.306228 St8sia4 ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 4 1.000 1.668 0.931 1.324 547.713
Mm.4954 St8sia2 ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 2 1.000 1.093 0.971 0.561 38.444
Mm.393827 B4galt6 UDP-Gal:betaGlcNAc beta 1,4-galactosyltransferase, polypeptide 6 (should be B3galt6) 1.000 2.121 0.861 0.838 73.732

Note: Blue number: expression fold more than 1.50. Red number: expression fold less than 0.66. Expression increased more than 1.50-fold only one week after the operation: Inline graphic. Expression increased more than 1.50-fold only two weeks after the operation: Inline graphic. Expression increased less than 0.66-fold only one week after the operation: Inline graphic. Expression increased less than 0.66-fold only two weeks after the operation: Inline graphic. w: week; Ope: operation.

Table 6.

Selected ECM-related genes in the DRG-ECM molecules.

UniGeneID Gene symbol Gene name Sham-1w Ope-1w Sham-2w Ope-2w Raw (Sham-1w)
Mm.358571 Acan Aggrecan 1.000 1.875 1.059 1.022 59.171
Mm.4598 Bcan Brevican 1.000 1.255 1.373 1.353 14,562.961
Mm.423621 Cd44 CD44 antigen 1.000 1.194 1.248 1.118 5197.634
Mm.277735 Col1a1 Collagen, type I, alpha 1 1.000 1.162 0.906 0.854 11,919.386
Mm.249555 Col3a1 Collagen, type III, alpha 1 1.000 0.768 0.779 0.761 9851.486
Mm.7281 Col5a1 Collagen, type V, alpha 1 1.000 0.858 0.956 1.002 852.757
Mm.233547 Col15a1 Collagen, type XV, alpha 1 1.000 0.810 0.755 0.650 138.265
Mm.56769 Dcn Decorin 1.000 0.831 0.830 0.810 172,673.360
Mm.2608 Bgn Biglycan 1.000 1.049 0.938 1.158 680.136
Mm.18888 Lum Lumican 1.000 0.956 0.790 0.768 13,765.940
Mm.268079 Ncan Neurocan 1.000 1.193 1.242 1.255 331.374
Mm.338790 Srgn Serglycin 1.000 0.889 0.800 0.822 4331.386
Mm.273098 Agrn Agrin 1.000 0.886 0.818 0.918 8834.358
Mm.2580 Sdc1 Syndecan 1 1.000 1.911 1.140 1.266 1152.383
Mm.234266 Sdc2 Syndecan 2 1.000 0.951 0.986 1.064 2480.722
Mm.206536 Sdc3 Syndecan 3 1.000 1.144 1.142 1.149 3853.221
Mm.3815 Sdc4 Syndecan 4 1.000 1.068 1.151 1.230 233.354
Mm.158700 Vcan Versican 1.000 0.977 0.913 1.000 285.012
Mm.182043 Itih2 Interalpha trypsin inhibitor, heavy chain 2 1.000 0.736 0.629 0.742 517.973
Mm.4517 Itih3 Interalpha trypsin inhibitor, heavy chain 3 1.000 0.912 0.849 0.940 171.878
Mm.313876 Itih5 Interalpha (globulin) inhibitor H5 1.000 1.035 1.062 1.056 2302.226
Mm.266790 Hapln1 Hyaluronan and proteoglycan link protein 1 1.000 0.789 0.842 0.903 1387.906
Mm.178759 Hapln3 Hyaluronan and proteoglycan link protein 3 1.000 1.207 1.139 1.330 714.373
Mm.152048 Hapln4 Hyaluronan and proteoglycan link protein 4 1.000 0.940 1.234 1.007 440.505
Mm.87150 Itgb3 Integrin beta 3 1.000 1.045 0.952 0.740 2803.320
Mm.482186 Itga1 Integrin alpha 1 1.000 0.995 0.982 1.020 162.884
Mm.217000 Itgb8 Integrin beta 8 1.000 1.020 0.859 0.805 249.617
Mm.303386 Lama1 Laminin, alpha 1 1.000 1.374 1.304 1.432 511.484
Mm.172674 Lamb1 Laminin B1 1.000 0.978 1.000 1.012 12,456.387
Mm.1249 Lamc1 Laminin, gamma 1 1.000 0.949 0.958 0.982 5748.124
Mm.193099 Fn1 Fibronectin 1 1.000 0.856 0.879 0.992 9890.401
Mm.297992 Fbln1 Fibulin 1 1.000 0.852 0.739 0.877 855.236
Mm.249146 Fbln2 Fibulin 2 1.000 1.206 1.230 1.226 5243.587
Mm.288381 Fbln5 Fibulin 5 1.000 1.013 1.044 1.039 9095.349
Mm.5107 Fbln7 Fibulin 7 1.000 0.765 0.888 0.848 1080.418
Mm.29564 Mmp2 Matrix metallopeptidase 2 1.000 0.877 0.781 0.796 1145.888
Mm.16415 Mmp8 Matrix metallopeptidase 8 1.000 0.521 0.351 0.321 778.120
Mm.4406 Mmp9 Matrix metallopeptidase 9 1.000 0.702 0.429 0.346 208.902
Mm.4561 Mmp11 Matrix metallopeptidase 11 1.000 1.040 1.144 1.225 212.527
Mm.5022 Mmp13 Matrix metallopeptidase 13 1.000 0.653 0.148 0.308 192.473
Mm.217116 Mmp15 Matrix metallopeptidase 15 1.000 1.287 1.267 1.256 1312.885
Mm.42047 Mmp17 Matrix metallopeptidase 17 1.000 1.014 1.091 1.120 738.841
Mm.8245 Timp1 Tissue inhibitor of metalloproteinase 1 1.000 1.507 0.681 0.783 980.763
Mm.206505 Timp2 Tissue inhibitor of metalloproteinase 2 1.000 1.119 1.344 1.261 145,578.690
Mm.4871 Timp3 Tissue inhibitor of metalloproteinase 3 1.000 0.979 0.912 0.991 16,308.405
Mm.4159 Thbs1 Thrombospondin 1 1.000 1.038 1.128 1.123 821.780
Mm.26688 Thbs2 Thrombospondin 2 1.000 1.522 1.603 1.565 154.773
Mm.2114 Thbs3 Thrombospondin 3 1.000 0.909 0.806 0.889 1222.697
Mm.20865 Thbs4 Thrombospondin 4 1.000 0.862 0.829 0.845 2849.937
Mm.290527 Tnxb Tenascin XB 1.000 0.852 0.870 0.912 2335.082

Note: No apparent changes in glycosyltransferases and sulfotransferases for the syntheses of glycosaminoglycans and sugar chains although their expressions were significant. Although there are high expressions (>500 raw values) in Adamts1, 2, 4, 5, 8, 14, and 15 (especially high in Adamts2 and 15), no significant change was observed among Sham-1w, Ope-1w, Sham 2-w, and Ope-2w groups. Blue number: expression fold more than 1.50. Red number: expression fold less than 0.66. Expression increased more than 1.50-fold only one week after the operation: Inline graphic. Expression increased less than 0.66-fold only two weeks after the operation: Inline graphic. w: week; Ope: operation.

Table 7.

Selected ECM-related genes in the DRG—growth factors, chemokines, other molecules in ECM, and their receptors and signaling molecules.

UniGeneID Gene symbol Gene name Sham-1w Ope-1w Sham-2w Ope-2w Raw (Sham-1w)
Mm.27757 Bmp1 Bone morphogenetic protein 1 1.000 1.353 1.101 1.161 638.950
Mm.1442 Bdnf Brain-derived neurotrophic factor 1.000 1.279 1.033 0.961 1299.840
Mm.906 Mdk Midkine 1.000 1.126 1.048 0.929 1428.512
Mm.248380 Tgfb1 Transforming growth factor, beta 1 1.000 1.344 0.899 0.928 286.958
Mm.18213 Tgfb2 Transforming growth factor, beta 2 1.000 1.199 1.169 1.262 848.305
Mm.3992 Tgfb3 Transforming growth factor, beta 3 1.000 1.092 1.211 1.212 2943.462
Mm.197552 Tgfbr1 Transforming growth factor, beta receptor I 1.000 1.052 0.946 0.984 886.366
Mm.172346 Tgfbr2 Transforming growth factor, beta receptor II 1.000 0.980 0.993 1.003 3636.591
Mm.200775 Tgfbr3 Transforming growth factor, beta receptor III 1.000 1.067 1.142 1.182 2556.895
Mm.271745 Nrp1 Neuropilin 1 1.000 1.070 0.907 0.951 547.147
Mm.246069 Tgfbrap1 Transforming growth factor, beta receptor associated protein 1 1.000 1.128 1.313 1.234 286.382
Mm.14455 Tgfbi Transforming growth factor, beta induced 1.000 0.877 0.878 0.935 21,443.662
Mm.223717 Smad1 MAD homolog 1 (Drosophila) 1.000 1.362 1.306 1.221 608.409
Mm.391091 Smad2 MAD homolog 2 (Drosophila) 1.000 1.035 0.982 1.001 1306.672
Mm.7320 Smad3 MAD homolog 3 (Drosophila) 1.000 0.831 1.114 0.899 708.494
Mm.100399 Smad4 MAD homolog 4 (Drosophila) 1.000 1.172 1.263 1.247 4616.912
Mm.272920 Smad5 MAD homolog 5 (Drosophila) 1.000 1.020 1.063 0.994 3949.937
Mm.325757 Smad6 MAD homolog 6 (Drosophila) 1.000 0.923 1.145 1.207 174.597
Mm.34407 Smad7 MAD homolog 7 (Drosophila) 1.000 1.068 1.088 1.302 198.854
Smad9 MAD homolog 9 (Drosophila) 1.000 1.091 1.042 1.294 1288.767
Mm.37801 Shcbp1 Shc SH2-domain binding protein 1 1.000 0.805 0.667 0.873 211.611
Mm.480460 Shc1 Src homology 2 domain-containing transforming protein C1 1.000 1.135 1.045 1.147 6871.065
Mm.39424 Shc2 SHC (Src homology 2 domain containing) transforming protein 2 1.000 1.175 1.281 1.218 5061.852
Mm.131870 Shc3 Src homology 2 domain-containing transforming protein C3 1.000 1.504 1.109 0.979 80.982
Mm.472964 Shc4 SHC (Src homology 2 domain containing) family, member 4 1.000 1.373 0.976 1.064 6915.565
Mm.27735 Smurf1 SMAD-specific E3 ubiquitin protein ligase 1 1.000 0.985 1.109 1.046 510.965
Mm.340955 Smurf2 SMAD-specific E3 ubiquitin protein ligase 2 1.000 0.779 0.843 0.742 1056.188
Mm.1062 Tnfsf10 Tumor necrosis factor (ligand) superfamily, member 10 1.000 0.756 0.985 1.133 188.933
Mm.8983 Tnfsf12 Tumor necrosis factor (ligand) superfamily, member 12 1.000 1.145 1.057 1.064 922.328
Mm.386774 Tnfaip1 Tumor necrosis factor, alpha-induced protein 1 (endothelial) 1.000 1.173 1.191 1.206 9439.455
Mm.255332 Tnfaip2 Tumor necrosis factor, alpha-induced protein 2 1.000 0.643 0.707 0.653 277.883
Mm.3509 Tnfaip6 Tumor necrosis factor-alpha-induced protein 6 (TSG-6) 1.000 1.000 0.877 0.919 241.719
Mm.1258 Tnfrsf1a Tumor necrosis factor receptor superfamily, member 1a 1.000 1.044 0.989 1.021 1992.850
Mm.6251 Tnfrsf11a Tumor necrosis factor receptor superfamily, member 11a 1.000 1.096 1.292 1.404 2352.915
Mm.28518 Tnfrsf12a Tumor necrosis factor receptor superfamily, member 12a 1.000 1.521 0.678 0.766 2161.853
Mm.290780 Tnfrsf23 Tumor necrosis factor receptor superfamily, member 23 1.000 0.960 0.933 0.843 196.858
Mm.101198 Tnfrsf25 Tumor necrosis factor receptor superfamily, member 25 1.000 0.624 0.417 0.520 709.815
Mm.766 Cxcl9 Chemokine (C–X–C motif) ligand 9 1.000 1.175 0.831 0.937 97.213
Mm.131723 Cxcl11 Chemokine (C–X–C motif) ligand 11 1.000 1.050 0.919 1.019 243,571.170
Mm.30211 Cxcl14 Chemokine (C–X–C motif) ligand 14 1.000 1.111 0.788 0.606 209.169
Mm.1401 Cxcr4 Chemokine (C–X–C motif) receptor 4 1.000 0.890 0.831 1.097 315.310
Mm.124289 Cxcr6 Chemokine (C–X–C motif) receptor 6 1.000 1.290 0.851 0.930 124.976
Mm.6522 Cxcr7 Chemokine (C–X–C motif) receptor 7 1.000 0.769 0.676 0.677 1358.595
Mm.1283 Ccl1 Chemokine (C–C motif) ligand 1 1.000 0.818 0.919 0.970 473.782
Mm.290320 Ccl2 Chemokine (C–C motif) ligand 2 1.000 1.182 0.806 0.876 758.840
Mm.137 Ccl6 Chemokine (C–C motif) ligand 6 1.000 0.627 0.526 0.518 1653.252
Mm.42029 Ccl8 Chemokine (C–C motif) ligand 8 1.000 1.997 0.716 0.714 391.056
Mm.41988 Ccl17 Chemokine (C–C motif) ligand 17 1.000 2.474 1.283 1.451 58.584
Mm.425176 Ccl27a Chemokine (C–C motif) ligand 27A 1.000 0.773 0.865 0.903 6250.515
Mm.6272 Ccr2 Chemokine (C–C motif) receptor 2 1.000 0.742 0.767 0.813 261.003
Mm.8021 Ccr10 Chemokine (C–C motif) receptor 10 1.000 0.867 1.093 1.187 253.073
Mm.222830 Il1b Interleukin 1 beta 1.000 1.179 0.623 0.532 43.916
Mm.1019 Il6 Interleukin 6 1.000 2.176 0.761 0.841 88.520
Mm.3825 Il7 Interleukin 7 1.000 1.540 0.870 0.963 92.573
Mm.35814 Il11 Interleukin 11 1.000 0.902 0.877 0.769 71.788
Mm.10137 Il16 Interleukin 16 1.000 0.744 0.738 0.768 1393.593
Mm.390726 Il17d Interleukin 17D 1.000 0.916 0.970 0.917 2316.509
Mm.1410 Il18 Interleukin 18 1.000 0.964 0.892 1.095 921.322
Mm.90154 Il25 Interleukin 25 1.000 1.057 1.042 1.163 137.154
Mm.222632 Il27 Interleukin 27 1.000 1.099 1.067 1.147 262.909
Mm.182359 Il33 Interleukin 33 1.000 0.742 0.663 0.722 985.900
Mm.77697 Il34 Interleukin 34 1.000 0.907 0.891 0.839 4333.002
Mm.896 Il1r1 Interleukin 1 receptor, type I 1.000 1.183 0.961 1.052 503.944
Mm.289824 Il1rl1 Interleukin 1 receptor-like 1 1.000 0.748 0.738 0.667 315.875
Mm.2856 Il6ra Interleukin 6 receptor, alpha 1.000 0.727 0.586 0.550 2044.217
Mm.379327 Il10ra Interleukin 10 receptor, alpha 1.000 0.885 0.888 0.907 449.424
Mm.4154 Il10rb Interleukin 10 receptor, beta 1.000 1.139 0.908 0.956 2480.624
Mm.193451 Il11ra1 Interleukin 11 receptor, alpha chain 1 1.000 0.861 0.917 0.887 14,409.509
Mm.213397 Il17rc Interleukin 17 receptor C 1.000 0.920 1.087 1.081 2449.070
Mm.269363 Il17rb Interleukin 17 receptor B 1.000 0.676 0.710 0.816 155.249
Mm.206726 Il17rd Interleukin 17 receptor D 1.000 0.983 1.024 1.129 529.300
Mm.380801 Il31ra Interleukin 31 receptor A 1.000 1.202 1.490 1.342 981.582
Mm.439649 Grb2 Growth factor receptor bound protein 2 1.000 1.168 1.318 1.337 10,112.787
Mm.464229 Grb10 Growth factor receptor bound protein 10 1.000 1.106 0.968 1.000 263.521
Mm.214554 Grb14 Growth factor receptor bound protein 14 1.000 1.101 1.116 1.152 2708.602

Note: No apparent changes in glycosyltransferases and sulfotransferases for the syntheses of glycosaminoglycans and sugar chains although their expressions were significant. Although there are high expressions (>500 raw values) in Adamts1, 2, 4, 5, 8, 14, and 15 (especially high in Adamts2 and 15), no significant change was observed among Sham-1w, Ope-1w, Sham-2w, and Ope-2w groups. Blue number: expression fold more than 1.50. Red number: expression fold less than 0.66. Expression increased more than 1.50-fold only one week after the operation: Inline graphic. Expression increased less than 0.66-fold only two weeks after the operation: Inline graphic. w: week; Ope: operation; MAD: mothers against decapentaplegic; SMAD: the fusion of Caenorhabditis elegans Sma genes and the Drosophila Mad, Mothers against decapentaplegic.

Table 8.

Selected genes of pain-related molecules in the paw (≥1.50).

UniGeneID Gene symbol Gene name Sham 1w Ope 1w Sham 2w Ope 2w Raw (Sham 1w)
Neuropeptides and receptors
 Mm.1440 Tac1 Tachykinin 1 substance P is one of the proteolytic products 1.000 2.097 1.419 1.823 144.417
 Mm.8054 Tacr2 Tachykinin receptor 2 1.000 1.206 1.180 1.456 5510.782
 Mm.2619 Cck Cholecystokinin 1.000 1.883 0.513 1.525 147.387
 Mm.3521 Cckar Cholecystokinin A receptor 1.000 1.013 1.022 1.265 3.593
 Mm.44513 Cckbr Cholecystokinin B receptor 1.000 1.889 1.053 2.459 1018.039
 Mm.154796 Npy Neuropeptide Y 36AA peptide acts as neurotransmitter in brain and in autonomic nerve system 1.000 5.612 0.549 1.219 555.866
 Mm.64201 Nts Neurotensin 13AA neuropeptide implictd in reg. of LH and PL release and intact with dopaminergic system. Analgesia. Increase of locomotor activity. 1.000 9.109 2.416 6.677 67.692
 Mm.281715 Ntsr2 Neurotensin receptor 2 1.000 0.760 1.292 0.743 154.835
 Mm.57149 Galr2 Galanin receptor 2 1.000 1.561 0.815 1.348 24.054
 Mm.6219 Galr1 Galanin receptor 1 1.000 1.065 1.090 1.343 8.771
 Mm.4655 Gal Galanin 1.000 0.951 0.638 0.674 699.462
Membrane protein, a cell adhesion protein or ligand-receptor, enzyme
 Mm.19283 Cd163l1 CD163 molecule-like 1 1.000 1.622 1.454 2.233 45.136
 Mm.167781 Dbh Dopamine beta-hydroxylase 1.000 0.425 0.090 0.098 190.104
 Mm.244393 Tank TRAF family member-associated Nf-kappa B activator 1.000 1.010 1.129 1.270 164.076
 Mm.222329 Camk4 Calcium/calmodulin-dependent protein kinase IV 1.000 4.865 1.110 2.324 31.646
Receptors on cell surfaces, channels, peptides, neurotransmitters
 Mm.4679 Gdnf Glial cell line-derived neurotrophic factor 1.000 1.276 0.767 0.740 282.092
 Mm.159842 Cacna2d1 Calcium channel, voltage-dependent, alpha2/delta subunit 1 1.000 0.422 0.931 0.896 12,415.046
 Mm.439747 Htr2b 5-Hydroxytryptamine (serotonin) receptor 2B 1.000 2.131 0.616 0.616 79.605
 Mm.254266 Htr7 5-Hydroxytryptamine (serotonin) receptor 7 1.000 1.132 1.533 1.660 52.034
 Mm.214351 Htr2a 5-Hydroxytryptamine (serotonin) receptor 2A 1.000 1.124 0.428 1.393 58.023
 Mm.151293 Nlgn2 Neuroligin 2 1.000 1.686 0.888 1.282 1830.992
 Mm.250418 Ogfr Opioid growth factor receptor 1.000 0.951 1.054 1.071 1499.651
 Mm.250418 Ogfr Opioid growth factor receptor 1.000 1.038 1.061 1.098 10,795.503
 Mm.28013 Ogfrl1 Opioid growth factor receptor-like 1 1.000 1.134 1.023 1.143 178.986
 Mm.365444 Olfr1500 Olfactory receptor 1500 1.000 0.266 0.798 0.369 252.488
 Mm.37324 Piezo1, Fam38a Family with sequence similarity 38, member A 1.000 1.973 1.042 1.613 3446.311
 Mm.158720 Piezo2, Fam38b Family with sequence similarity 38, member B 1.000 2.372 1.004 2.283 67.722
 Mm.1418 Scn1b Sodium channel, voltage-gated, type I, beta 1.000 0.580 1.431 1.033 5115.720
 Mm.477575 Scn2b Sodium channel, voltage-gated, type II, beta 1.000 1.316 1.475 0.939 60.461
 Mm.330256 Scn3a Sodium channel, voltage-gated, type III, alpha 1.000 0.827 0.722 0.707 81.520
 Mm.290083 Scn3b Sodium channel, voltage-gated, type III, beta 1.000 2.074 0.736 3.338 4424.105
 Mm.432528 Scn4a Sodium channel, voltage-gated, type IV, alpha 1.000 0.556 1.106 0.689 289.822
 Mm.335112 Scn4b Sodium channel, type IV, beta 1.000 0.258 1.031 0.790 14,749.829
 Mm.103584 Scn5a Sodium channel, voltage-gated, type V, alpha 1.000 1.212 0.915 1.234 238.286
 Mm.38127 Scn7a Sodium channel, voltage-gated, type VII, alpha 1.000 1.839 0.950 1.462 68.586
 Mm.385012 Scn8a Sodium channel, voltage-gated, type VIII, alpha 1.000 0.844 0.903 0.948 2484.323
 Mm.35247 Scnn1g Sodium channel, nonvoltage-gated 1 gamma 1.000 1.053 1.073 1.336 238.286
 Mm.217171 Slc24a3 Solute carrier family 24 (sodium/potassium/calcium exchanger), member 3 1.000 1.823 1.055 1.504 426.994
 Mm.291070 Slc24a6 Solute carrier family 24 (sodium/potassium/calcium exchanger), member 6 1.000 1.288 1.132 1.875 129.100
 Mm.288064 Trpv2 Transient receptor potential cation channel, subfamily V, member 2 1.000 2.157 0.724 1.260 569.669
 Mm.266450 Trpv4 Transient receptor potential cation channel, subfamily V, member 4 1.000 1.735 0.869 1.751 495.302
 Mm.38875 Trpm1 Transient receptor potential cation channel, subfamily M, member 1 1.000 1.055 0.649 1.540 746.703
 Mm.215171 Trpm6 Transient receptor potential cation channel, subfamily M, member 6 1.000 2.474 0.808 1.734 69.567
 Mm.244705 Trpm7 Transient receptor potential cation channel, subfamily M, member 7 1.000 0.816 0.962 1.046 1776.056
 Mm.333327 Hrh1 Histamine receptor H1 1.000 0.993 1.179 1.176 80.855
 Mm.207073 Hrh4 Histamine receptor H4 1.000 1.139 1.155 1.037 51.096
 Mm.41665 Grina Glutamate receptor, ionotropic, NMDA-associated protein 1 (glutamate binding) 1.000 0.817 1.353 0.671 1832.325
 Mm.21094 Grinl1a Glutamate receptor, ionotropic, NMDA-like 1A 1.000 0.737 1.328 1.064 12,537.344
 Mm.209263 Gria4 Glutamate receptor, ionotropic, AMPA4 (alpha 4) 1.000 1.107 1.048 1.427 995.962
 Mm.18072 Crcp Calcitonin gene-related peptide-receptor component protein 1.000 1.002 1.138 0.746 1363.275
 Mm.209312 Rxfp3 Relaxin family peptide receptor 3 1.000 2.260 1.144 3.915 32.794
 Mm.3770 Sos2 Son of sevenless homolog 2 (Drosophila) 1.000 0.587 1.051 0.754 1126.500
 Mm.464229 Grb10 Growth factor receptor bound protein 10 1.000 2.501 0.501 1.353 839.430
 Mm.439649 Grb2 Growth factor receptor bound protein 2 1.000 0.816 1.366 0.724 153.220
 Mm.214554 Grb14 Growth factor receptor bound protein 14 1.000 0.281 1.380 1.066 3399.423
 Mm.3272 Ramp1 Receptor (calcitonin) activity modifying protein 1 1.000 0.352 1.460 1.250 8204.198
 Mm.260698 Ramp2 Receptor (calcitonin) activity modifying protein 2 1.000 1.397 0.884 1.105 6642.900
 Mm.39884 Ramp3 Receptor (calcitonin) activity modifying protein 3 1.000 0.712 1.339 1.548 161.895

Note: Blue number: expression fold more than 1.50. Red number: expression fold less than 0.66. Expression increased more than 1.50-fold only one week after the operation: Inline graphic. Expression increased more than 1.50-fold only two weeks after the operation: Inline graphic. Expression increased less than 0.66-fold only one week after the operation: Inline graphic. Expression increased less than 0.66-fold only two weeks after the operation: Inline graphic. w: week; Ope: operation; TRAF: TNF receptor (TNFR) associated factor.

Table 9.

Selected genes of pain-related molecules in the DRG (≥1.50).

UniGeneID Gene symbol Gene name Sham-1w Ope-1w Sham-2w Ope-2w Raw (Sham-1w)
Neuropeptides and receptors
 Mm.1440 Tac1 Tachykinin 1 substance P is one of the proteolytic products 1.000 0.973 0.980 1.009 111,882.410
 Mm.8054 Tacr2 Tachykinin receptor 2 1.000 1.149 1.107 1.285 9114.199
 Mm.2619 Cck Cholecystokinin 1.000 1.445 1.043 1.082 327.288
 Mm.3521 Cckar Cholecystokinin A receptor 1.000 1.396 1.141 1.150 1270.071
 Mm.44513 Cckbr Cholecystokinin B receptor 1.000 7.198 0.531 1.914 184.889
 Mm.154796 Npy Neuropeptide Y 36 AA peptide acts as neurotransmitter in brain and in autonomic nerve system 1.000 8.080 0.735 2.635 747.400
 Mm.64201 Nts Neurotensin 13AA neuropeptide Reg. of LH and PL release and intact with dopaminergic system. Increase of locomotive activity 1.000 2.572 0.628 1.034 3897.031
 Mm.281715 Ntsr2 Neurotensin receptor 2 1.000 1.078 1.146 1.240 419.464
 Mm.57149 Galr2 Galanin receptor 2 1.000 2.542 0.687 0.488 13.785
 Mm.6219 Galr1 Galanin receptor 1 1.000 1.194 1.135 1.031 150.854
 Mm.4655 Gal Galanin 1.000 3.166 0.889 1.073 13,176.159
Membrane protein, a cell adhesion protein or ligand-receptor, enzyme
 Mm.19283 Cd163l1 CD163 molecule-like 1 1.000 2.366 1.222 1.920 30.448
 Mm.167781 Dbh Dopamine beta-hydroxylase 1.000 5.898 2.457 2.495 48.550
 Mm.4926 Pacsin1 Protein kinase C and casein kinase substrate in neurons 1 1.000 1.169 1.428 1.372 9746.880
 Mm.244393 Tank TRAF family member-associated Nf-kappa B activator 1.000 0.953 0.891 0.933 282.948
 Mm.222329 Camk4 Calcium/calmodulin-dependent protein kinase IV 1.000 1.318 1.080 0.877 136.030
Receptors on cell surfaces, channels, peptides, neurotransmitters
 Mm.4679 Gdnf Glial cell line-derived neurotrophic factor Not significant 32.218
 Mm.159842 Cacna2d1 Calcium channel, voltage-dependent, alpha2/delta subunit 1 1.000 1.591 1.250 1.192 5412.147
 Mm.217000 Itgb8 Integrin beta 8 1.000 1.020 0.859 0.805 249.617
 Mm.5040 Htr1f 5-Hydroxytryptamine (serotonin) receptor 1F 1.000 1.101 1.188 1.079 347.892
 Mm.40573 Htr1d 5-Hydroxytryptamine (serotonin) receptor 1D 1.000 1.019 1.228 1.336 380.441
 Mm.214351 Htr2a 5-Hydroxytryptamine (serotonin) receptor 2A 1.000 0.915 0.768 0.830 347.106
 Mm.4831 Htr3a 5-Hydroxytryptamine (serotonin) receptor 3A 1.000 0.811 1.076 0.975 7244.666
 Mm.20440 Htr4 5-Hydroxytryptamine (serotonin) receptor 4 1.000 0.804 0.927 0.920 1107.711
 Mm.4833 Htr5b 5-Hydroxytryptamine (serotonin) receptor 5B 1.000 0.973 1.360 1.171 439.514
 Mm.254266 Htr7 5-Hydroxytryptamine (serotonin) receptor 7 1.000 0.842 0.962 0.958 2502.003
 Mm.248684 Tph1 Tryptophan hydroxylase 1(serotonin synthetic enzyme) 1.000 0.857 0.784 0.785 53.494
 Mm.316080 Nlgn1 Neuroligin 1 1.000 1.014 0.957 1.040 282.700
 Mm.151293 Nlgn2 Neuroligin 2 1.000 1.365 1.309 1.348 18,788.574
 Mm.121508 Nlgn3 Neuroligin 3 1.000 0.994 1.447 1.118 577.787
 Mm.457998 Oprm1 Opioid receptor, mu 1 1.000 1.124 1.073 1.230 18,262.445
 Mm.250418 Ogfr Opioid growth factor receptor 1.000 0.985 0.980 0.994 13,026.637
 Mm.28013 Ogfrl1 Opioid growth factor receptor-like 1 1.000 0.831 0.987 0.872 3097.117
 Mm.377575 Olfr1026 Olfactory receptor 1026 1.000 29.141 0.847 0.812 7.808
 Mm.329753 Olfr1463 Olfactory receptor 1463 1.000 15.826 0.850 0.814 7.688
 Mm.377652 Olfr429 Olfactory receptor 429 1.000 5.471 0.117 0.113 55.140
 Mm.37324 Piezo1,Fam38a Family with sequence similarity 38, member A 1.000 0.981 0.933 0.979 1780.688
 Mm.158720 Piezo2,Fam38b Family with sequence similarity 38, member B 1.000 1.010 1.372 1.369 7164.400
 Mm.439704 Scn1a Sodium channel, voltage-gated, type I, alpha 1.000 0.876 0.947 1.071 7637.490
 Mm.1418 Scn1b Sodium channel, voltage-gated, type I, beta 1.000 1.023 1.140 1.050 7432.533
 Mm.477575 Scn2b Sodium channel, voltage-gated, type II, beta 1.000 1.074 1.449 1.330 4954.048
 Mm.290083 Scn3b Sodium channel, voltage-gated, type III, beta 1.000 1.070 1.119 1.137 3625.366
 Mm.335112 Scn4b Sodium channel, type IV, beta 1.000 1.049 1.232 1.154 25,317.773
 Mm.38127 Scn7a Sodium channel, voltage-gated, type VII, alpha 1.000 0.865 0.902 1.022 1468.625
 Mm.385012 Scn8a Sodium channel, voltage-gated, type VIII, alpha 1.000 1.030 1.105 1.098 3056.059
 Mm.440889 Scn9a Sodium channel, voltage-gated, type IX, alpha 1.000 1.138 1.025 1.226 795.757
 Mm.247042 Scn10a Sodium channel, voltage-gated, type X, alpha 1.000 1.116 1.240 1.248 75,487.940
 Mm.89981 Scn11a Sodium channel, voltage-gated, type XI, alpha 1.000 1.078 1.392 1.231 59,342.344
 Mm.281691 Sfrp1 Secreted frizzled-related protein 1 1.000 1.045 1.172 1.129 695.010
 Mm.42095 Sfrp4 Secreted frizzled-related protein 4 1.000 0.964 0.857 0.890 9175.229
 Mm.470071 Sfrp5 Secreted frizzled-related sequence protein 5 1.000 0.925 0.990 0.994 26,854.572
 Mm.217171 Slc24a3 Solute carrier family 24 (sodium/potassium/calcium exchanger), member 3 1.000 1.176 1.271 1.358 5476.262
 Mm.485915 Slc24a2 Solute carrier family 24 (sodium/potassium/calcium exchanger), member 2 1.000 1.143 1.257 1.423 18,983.328
 Mm.330538 Slc24a5 Solute carrier family 24, member 5 1.000 0.925 0.843 0.943 387.274
 Mm.447485 Trpv1 Transient receptor potential cation channel, subfamily V, member 1 1.000 1.218 1.344 1.292 5064.208
 Mm.288064 Trpv2 Transient receptor potential cation channel, subfamily V, member 2 1.000 1.139 1.157 1.168 10,565.155
 Mm.266450 Trpv4 Transient receptor potential cation channel, subfamily V, member 4 1.000 0.894 0.974 1.069 481.735
 Mm.296889 Trpv6 Transient receptor potential cation channel, subfamily V, member 6 1.000 1.898 1.154 1.244 108.708
 Mm.186329 Trpa1 Transient receptor potential cation channel, subfamily A, member 1 1.000 1.042 1.066 1.308 5115.754
 Mm.38875 Trpm1 Transient receptor potential cation channel, subfamily M, member 1 1.000 1.689 1.014 1.146 553.997
 Mm.440339 Trpm3 Transient receptor potential cation channel, subfamily M, member 3 1.000 0.867 0.795 0.877 169.541
 Mm.439890 Trpm4 Transient receptor potential cation channel, subfamily M, member 4 1.000 1.012 1.286 1.174 488.978
 Mm.244705 Trpm7 Transient receptor potential cation channel, subfamily M, member 7 1.000 0.860 0.889 0.854 2461.384
 Mm.218753 Trpm8 Transient receptor potential cation channel, subfamily M, member 8 1.000 0.799 1.046 0.976 216.932
 Mm.333327 Hrh1 Histamine receptor H1 1.000 0.993 1.014 1.059 435.679
 Mm.285360 Hrh3 Histamine receptor H3 1.000 1.009 1.402 1.144 696.883
 Mm.207073 Hrh4 Histamine receptor H4 1.000 1.202 1.281 1.291 126.832
 Mm.41665 Grina Glutamate receptor, ionotropic, NMDA-associated protein 1 (glutamate binding) 1.000 1.168 1.252 1.254 20,735.664
 Mm.278672 Grin1 Glutamate receptor, ionotropic, NMDA1 (zeta 1) 1.000 1.161 1.424 1.369 1540.792
 Mm.21094 Grinl1a Glutamate receptor, ionotropic, NMDA-like 1A 1.000 1.059 1.213 1.168 19,679.764
 Mm.440095 Grin3a Glutamate receptor ionotropic, NMDA3A 1.000 1.092 1.214 1.235 958.367
 Mm.4920 Gria1 Glutamate receptor, ionotropic, AMPA1 (alpha 1) 1.000 1.469 1.616 2.002 248.100
 Mm.327681 Gria3 Glutamate receptor, ionotropic, AMPA3 (alpha 3) 1.000 0.905 0.924 0.941 416.481
 Mm.209263 Gria4 Glutamate receptor, ionotropic, AMPA4 (alpha 4) 1.000 1.003 0.949 1.012 3849.313
 Mm.322667 Gabrg3 Gamma-aminobutyric acid A receptor, subunit gamma 3 1.000 1.496 1.707 1.632 171.226
 Mm.275639 Glrb Glycine receptor, beta subunit 1.000 0.804 0.806 0.748 4215.388
 Mm.18072 Crcp Calcitonin gene-related peptide-receptor component protein 1.000 1.100 0.960 1.060 7440.255
 Mm.4361 Calca Calcitonin/calcitonin-related polypeptide, alpha 1.000 1.026 0.866 0.909 301,215.720
 Mm.3272 Ramp1 Receptor (calcitonin) activity modifying protein 1 1.000 0.837 0.966 0.990 411.499
 Mm.260698 Ramp2 Receptor (calcitonin) activity modifying protein 2 1.000 0.769 0.796 0.779 11,089.589
 Mm.39884 Ramp3 Receptor (calcitonin) activity modifying protein 3 1.000 1.174 1.118 1.162 671.492

Note: Blue number: expression fold more than 1.50. Red number: expression fold less than 0.66. Expression increased more than 1.50-fold only one week after the operation: Inline graphic. Expression increased less than 0.66-fold only two weeks after the operation: Inline graphic. w: week; Ope: operation; TRAF: TNF receptor (TNFR) associated factor; AMPA: α-amino-3-hydroxy-5-methoxazole-4-propionate; NMDA: N-methyl-D-aspartate.

Table 10.

Selected genes of signaling molecules and differentiation-involved molecules in the paw (≥1.50).

UniGeneID Gene symbol Gene name Sham-1w Ope-1w Sham-2w Ope-2w Raw (Sham-1w)
Molecules for muscle components
 Mm.121878 Tpm1 Tropomyosin 1, alpha 1.000 2.979 1.060 1.102 388.843
 Mm.121878 Tpm1 Tropomyosin 1, alpha 1.000 0.900 1.100 1.233 422,258.530
 Mm.646 Tpm2 Tropomyosin 2, beta 1.000 0.694 1.535 1.057 51,336.640
 Mm.240839 Tpm3 Tropomyosin 3, gamma 1.000 1.351 0.842 0.854 14,139.394
 Mm.295124 Tpm4 Tropomyosin 4 1.000 2.252 0.839 1.137 6352.871
 Mm.477065 Myh1 Myosin, heavy polypeptide 1, skeletal muscle, adult 1.000 0.611 0.938 1.047 257,901.640
 Mm.422801 Myh2 Myosin, heavy polypeptide 2, skeletal muscle, adult 1.000 0.650 1.030 0.898 301,862.340
 Mm.340090 Myh3 Myosin, heavy polypeptide 3, skeletal muscle, embryonic 1.000 0.633 0.142 0.177 32,171.072
 Mm.297382 Myh4 Myosin, heavy polypeptide 4, skeletal muscle 1.000 0.250 0.390 0.379 54,374.130
 Mm.250705 Myh11 Myosin, heavy polypeptide 11, smooth muscle 1.000 0.720 0.669 0.837 223.819
 Mm.1000 Myl1 Myosin, light polypeptide 1 1.000 0.963 1.105 1.237 313,707.380
 Mm.7353 Myl3 Myosin, light polypeptide 3 1.000 0.430 1.531 1.412 53,880.582
 Mm.390355 Myl4 Myosin, light polypeptide 4 1.000 1.470 0.194 0.265 51,167.040
 Mm.238285 Myo1h Myosin 1H 1.000 2.863 2.287 2.068 24.891
Myogenic genes
 Mm.29798 Cd34 CD34 antigen 1.000 1.196 0.988 1.412 30,536.896
 Mm.218760 Pax7 Paired box gene 7 1.000 0.616 0.677 0.546 100.252
 Mm.4984 Myf5 Myogenic factor 5 1.000 0.787 0.992 0.990 6.244
 Mm.1526 Myod1 Myogenic differentiation 1 1.000 1.165 1.334 0.916 381.228
 Mm.329100 Mdfi MyoD family inhibitor 1.000 3.891 1.468 2.010 160.600
 Mm.16528 Myog Myogenin 1.000 1.155 0.276 0.249 3330.099
 Mm.253067 Myt1l Myelin transcription factor 1-like 1.000 1.047 1.065 3.830 15.528
 Mm.136217 Ascl1 Achaete-scute complex homolog 1 (Drosophila) 1.000 2.207 0.715 2.123 61.411
 Mm.389520 Pou3f2 POU domain, class 3, transcription factor 2 (Brn2) 1.000 1.028 1.374 3.594 3.817
Myogenic signalings—Wnt and Hedgehog signaling pathways
 Mm.1123 Wnt1 Wingless-related MMTV integration site 1 1.000 2.310 1.051 3.336 3.876
 Mm.57202 Shh Sonic hedgehog 1.000 1.038 1.052 1.313 4.054
 Mm.228798 Ptch1 Patched homolog 1 1.000 0.539 0.993 1.066 86.766
 Mm.287037 Ptch2 Patched homolog 2 1.000 0.870 1.155 0.850 6417.877
 Mm.29279 Smo Smoothened homolog (Drosophila) 1.000 1.794 1.000 1.433 2134.633
 Mm.391450 Gli1 GLI-Kruppel family member GLI1 1.000 0.811 1.113 1.272 735.725
 Mm.273292 Gli2 GLI-Kruppel family member GLI2 1.000 1.695 1.126 1.510 20.242
 Mm.5098 Gli3 GLI-Kruppel family member GLI3 1.000 1.328 0.658 0.802 469.799
 Mm.246003 Fzd1 Frizzled homolog 1 (Drosophila) 1.000 1.452 0.917 1.264 655.057
 Mm.86755 Fzd4 Frizzled homolog 4 (Drosophila) 1.000 0.415 0.780 0.739 7417.048
 Mm.4769 Fzd6 Frizzled homolog 6 (Drosophila) 1.000 1.920 1.179 1.601 44.355
 Mm.297906 Fzd7 Frizzled homolog 7 (Drosophila) 1.000 0.506 1.176 0.859 522.855
 Mm.281691 Sfrp1 Secreted frizzled-related protein 1 1.000 3.741 0.903 1.868 74.011
 Mm.19155 Sfrp2 Secreted frizzled-related protein 2 1.000 25.619 0.979 6.823 73.564
 Mm.42095 Sfrp4 Secreted frizzled-related protein 4 1.000 1.261 0.929 2.275 1293.556
 Mm.470071 Sfrp5 Secreted frizzled-related sequence protein 5 1.000 0.429 0.977 0.988 4119.221
 Mm.294664 Gsk3a Glycogen synthase kinase 3 alpha 1.000 0.801 1.382 0.924 5055.916
 Mm.394930 Gsk3b Glycogen synthase kinase 3 beta 1.000 0.679 0.757 0.840 6365.856
 Mm.3406 Tcf3 Transcription factor 3 1.000 2.013 1.030 0.978 29.362
 Mm.4269 Tcf4 Transcription factor 4 1.000 1.078 1.056 1.102 3623.097
 Mm.31630 Tcf7 Transcription factor 7, T-cell specific 1.000 1.819 0.589 1.063 32.497
 Mm.171615 Tcf12 Transcription factor 12 1.000 1.368 0.845 1.303 501.344
 Mm.3881 Tcf15 Transcription factor 15 1.000 0.664 1.608 1.806 616.577
 Mm.11434 Tcf19 Transcription factor 19 1.000 2.139 0.855 0.917 168.466
 Mm.252156 Tcf20 Transcription factor 20 1.000 0.646 0.758 0.818 128.112
 Mm.178818 Tcf25 Transcription factor 25 (basic helix-loop-helix) 1.000 1.239 1.290 0.988 3559.424
Myogenic signalings—AKT/mTOR pathway
 Mm.6645 Akt1 Thymoma viral proto-oncogene 1 1.000 1.173 1.391 1.041 7800.907
 Mm.177194 Akt2 Thymoma viral proto-oncogene 2 1.000 0.951 1.083 1.063 10,858.169
 Mm.235194 Akt3 Thymoma viral proto-oncogene 3 1.000 1.096 1.037 0.886 707.138
 Mm.245395 Pten Phosphatase and tensin homolog 1.000 1.436 1.149 1.414 1191.963
 Mm.30435 Tsc2 Tuberous sclerosis 2 1.000 0.845 0.930 0.983 46.584
 Mm.319175 Rheb Ras homolog enriched in brain 1.000 0.794 1.264 1.018 1578.323
 Mm.21158 Mtor Mechanistic target of rapamycin (serine/threonine kinase) 1.000 0.988 1.071 1.488 233.903
Myogenic signalings —Notch pathway
 Mm.290610 Notch1 Notch gene homolog 1 (Drosophila) (require for the stem cell commitment to its differentiation) 1.000 1.374 0.700 1.722 224.574
 Mm.485843 Notch2 Notch gene homolog 2 (Drosophila) 1.000 1.190 0.900 1.148 1208.306
 Mm.439741 Notch3 Notch gene homolog 3 (Drosophila) 1.000 1.029 0.848 1.016 1578.507
 Mm.173813 Notch4 Notch gene homolog 4 (Drosophila) 1.000 1.823 1.160 1.120 225.537
 Mm.4875 Dll1 Delta-like 1 (Drosophila) 1.000 1.060 0.781 0.619 122.125
 Mm.1371 Pax3 Paired box gene 3 1.000 0.861 1.013 0.805 37.007
 Mm.12926 Med1 Mediator complex subunit 1 (require for the stem cell commitment to its differentiation) 1.000 1.122 0.969 1.044 2164.906
 Mm.485382 Med10 Mediator of RNA polymerase II transcription, subunit 10 homolog (NUT2, S. cerevisiae) 1.000 1.425 1.008 0.947 2103.597
 Mm.46424 Med11 Mediator of RNA polymerase II transcription, subunit 11 homolog (S. cerevisiae) 1.000 2.271 0.950 1.089 598.854
 Mm.20873 Med12 Mediator of RNA polymerase II transcription, subunit 12 homolog (yeast) 1.000 0.692 0.756 1.057 107.439
 Mm.260089 Med16 Mediator complex subunit 16 1.000 1.249 1.182 1.348 1956.158
 Mm.44151 Med17 Mediator complex subunit 17 1.000 0.936 1.040 1.074 299.416
 Mm.219643 Med19 Mediator of RNA polymerase II transcription, subunit 19 homolog (yeast) 1.000 0.976 1.010 1.068 558.516
 Mm.246493 Med24 Mediator complex subunit 24 1.000 0.598 1.148 0.683 381.934
 Mm.235885 Med26 Mediator complex subunit 26 1.000 0.811 0.972 0.865 899.050
 Mm.4645 Six1 Sine oculis-related homeobox 1 homolog (Drosophila) 1.000 0.573 1.125 0.979 4749.476
 Mm.5039 Six2 Sine oculis-related homeobox 2 homolog (Drosophila) 1.000 0.623 1.208 0.721 830.434
 Mm.249575 Six4 Sine oculis-related homeobox 4 homolog (Drosophila) 1.000 0.612 1.023 0.670 657.696
 Mm.3410 Six5 Sine oculis-related homeobox 5 homolog (Drosophila) 1.000 1.587 1.108 1.099 212.273
 Mm.485537 Nanog Nanog homeobox 1.000 1.009 1.008 1.330 679.405
 Mm.4325 Klf4 Kruppel-like factor 4 (gut) 1.000 0.880 0.890 1.333 2640.308
 Mm.65396 Sox2 SRY-box containing gene 2 1.000 3.409 0.904 1.985 3.758
 Mm.455819 Sox4 SRY-box containing gene 4 1.000 2.849 0.919 2.475 974.457
 Mm.355478 Sox5 SRY-box containing gene 5 1.000 0.910 0.773 1.369 42,600.816
 Mm.42162 Sox7 SRY-box containing gene 7 1.000 1.402 1.377 1.543 97.708
 Mm.276739 Sox10 SRY-box containing gene 10 1.000 1.299 1.156 1.438 565.574
 Mm.41702 Sox11 SRY-box containing gene 11 1.000 2.716 0.228 0.813 37.905
 Mm.8575 Sox13 SRY-box containing gene 13 1.000 0.905 1.174 0.932 400.782
 Mm.279103 Sox17 SRY-box containing gene 17 1.000 1.161 1.139 1.209 327.911
 Mm.264904 Sox18 SRY-box containing gene 18 1.000 2.337 1.711 1.757 155.475
 Mm.436572 Dock1 Dedicator of cytokinesis 1 1.000 1.410 0.986 1.297 658.575
 Mm.380679 Dock2 Dedicator of cytokinesis 2 1.000 2.086 0.291 0.720 45.605
 Mm.341423 Dock4 Dedicator of cytokinesis 4 1.000 0.886 0.745 1.064 80.490
 Mm.258155 Dock5 Dedicator of cytokinesis 5 1.000 1.793 0.844 1.319 211.272
 Mm.133473 Dock10 Dedicator of cytokinesis 10 1.000 1.925 0.647 1.412 195.548
 Mm.32873 Dock11 Dedicator of cytokinesis 11 1.000 1.444 1.202 1.339 658.214
 Mm.2444 Myc c-Myc, myelocytomatosis oncogene 1.000 1.099 1.081 1.062 168.038
 Mm.446553 Mycbp c-myc binding protein 1.000 1.009 0.825 1.000 128.580
 Mm.6478 Mycbp2 MYC binding protein 2 1.000 0.730 1.039 1.047 4.685
Neuronal signaling molecules, protein kinases, transcription factors
 Mm.2706 Atf3 Activating transcription factor 3 1.000 1.290 1.619 4.815 7651.993
 Mm.143737 Ankrd2 Ankyrin repeat domain 2 (stretch responsive muscle) 1.000 1.197 1.662 1.210 19,016.723
 Mm.218760 Pax7 Paired box gene 7 1.000 0.616 0.677 0.546 100.252
 Mm.5035 Pax9 Paired box gene 9 1.000 1.827 1.330 1.326 34.343
 Mm.24614 Prkce Protein kinase C, epsilon 1.000 1.071 0.651 1.102 62.933
 Mm.244393 Tank TRAF family member-associated Nf-kappa B activator 1.000 1.010 1.129 1.270 164.076
 Mm.196581 Mapk1 Mitogen-activated protein kinase 1 1.000 0.972 1.121 1.061 5022.614
 Mm.8385 Mapk3 Mitogen-activated protein kinase 3 1.000 1.399 1.101 0.935 1891.409
 Mm.480076 Mapk6 Mitogen-activated protein kinase 6 1.000 0.868 0.969 0.968 2009.583
 Mm.38172 Mapk7 Mitogen-activated protein kinase 7 1.000 1.790 1.018 1.189 886.235
 Mm.68933 Mapk9 Mitogen-activated protein kinase 9 1.000 0.763 1.060 1.081 1315.982
 Mm.91969 Mapk11 Mitogen-activated protein kinase 11 1.000 1.033 0.961 0.996 180.155
 Mm.38343 Mapk12 Mitogen-activated protein kinase 12 1.000 0.502 1.243 0.867 17,691.670
 Mm.311337 Mapk14 Mitogen-activated protein kinase 14 1.000 0.946 1.041 1.128 5010.004
 Mm.270866 Mapkap1 Mitogen-activated protein kinase associated protein 1 1.000 0.871 1.132 0.763 480.334
 Mm.221235 Mapkapk2 MAP kinase-activated protein kinase 2 1.000 0.579 1.178 0.851 3768.003
 Mm.272206 Mapkapk5 MAP kinase-activated protein kinase 5 1.000 0.698 1.297 1.161 8372.942
 Mm.22413 Arhgap1 Rho GTPase-activating protein 1 1.000 1.463 1.006 1.186 1481.943
 Mm.482337 Arhgap4 Rho GTPase-activating protein 4 1.000 2.000 0.822 1.506 137.316
 Mm.128411 Arhgap8 Rho GTPase-activating protein 8 1.000 1.887 1.048 2.166 40.598
 Mm.227198 Arhgap9 Rho GTPase-activating protein 9 1.000 2.305 0.507 1.307 674.657
 Mm.217350 Arhgap15 Rho GTPase-activating protein 15 1.000 1.626 0.971 1.387 120.174
 Mm.443529 Arhgap20 Rho GTPase-activating protein 20 1.000 0.424 1.130 1.059 1712.559
 Mm.318350 Arhgap22 Rho GTPase-activating protein 22 1.000 1.687 1.037 1.269 742.576
 Mm.119564 Arhgap25 Rho GTPase-activating protein 25 1.000 2.166 0.651 1.473 261.168
 Mm.9935 Arhgap28 Rho GTPase-activating protein 28 1.000 0.552 1.465 0.952 189.197
 Mm.46683 Arhgap32 Rho GTPase-activating protein 32 1.000 1.555 0.895 2.661 81.867
 Mm.4081 Runx1 Runt-related transcription factor 1 1.000 2.163 0.853 1.228 623.365
 Mm.322821 Scx Scleraxis 1.000 0.858 0.936 0.966 6062.514
 Mm.6645 Akt1 Thymoma viral proto-oncogene 1 1.000 1.173 1.391 1.041 7800.907
 Mm.177194 Akt2 Thymoma viral proto-oncogene 2 1.000 1.082 1.494 1.053 387.451
 Mm.235194 Akt3 Thymoma viral proto-oncogene 3 1.000 1.096 1.037 0.886 707.138
 Mm.294664 Gsk3a Glycogen synthase kinase 3 alpha 1.000 0.801 1.382 0.924 5055.916
 Mm.394930 Gsk3b Glycogen synthase kinase 3 beta 1.000 0.679 0.757 0.840 6365.856
 Mm.21158 Mtor Mechanistic target of rapamycin (serine/threonine kinase) 1.000 0.913 1.277 0.808 252.065
 Mm.30963 Itpkc Inositol 1,4,5-trisphosphate 3-kinase C 1.000 1.094 1.258 1.234 435.645
 Mm.400954 Nras Neuroblastoma ras oncogene 1.000 1.776 0.899 1.077 492.165
 Mm.334313 Hras1 Harvey rat sarcoma virus oncogene 1 1.000 1.052 1.632 1.189 2335.527
 Mm.400954 Nras Neuroblastoma ras oncogene 1.000 0.852 0.766 0.776 688.566
 Mm.383182 Kras v-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog 1.000 0.689 1.229 1.061 396.962
 Mm.375031 Sykb Spleen tyrosine kinase 1.000 1.611 0.597 0.840 491.071
 Mm.293120 Stat2 Signal transducer and activator of transcription 2 1.000 1.397 0.717 1.323 692.397
 Mm.249934 Stat3 Signal transducer and activator of transcription 3 1.000 1.374 0.843 1.061 5557.969
 Mm.121721 Stat6 Signal transducer and activator of transcription 6 1.000 1.186 1.223 0.884 51.195
 Mm.277403 Stat5a Signal transducer and activator of transcription 5A 1.000 1.090 1.059 1.069 806.367
 Mm.34064 Stat5b Signal transducer and activator of transcription 5B 1.000 0.526 1.149 0.823 6529.135
 Mm.246513 Fos FBJ osteosarcoma oncogene 1.000 0.990 0.831 1.167 409.651
 Mm.6215 Fosl1 Fos-like antigen 1 1.000 3.227 1.337 2.505 8.218
 Mm.24684 Fosl2 Fos-like antigen 2 1.000 1.517 0.895 1.193 50.453
 Mm.248335 Fosb FBJ osteosarcoma oncogene B 1.000 1.159 0.939 1.434 4.432
Apoptosis signaling proteins 
 Mm.257460 Bcl2 B-cell leukemia/lymphoma 2 1.000 1.094 1.126 0.839 131.776
 Mm.4387 Bad BCL2-associated agonist of cell death 1.000 1.628 1.074 1.139 4572.613
 Mm.1051 Casp1 Caspase 1 1.000 1.615 0.712 1.194 514.638
 Mm.3921 Casp2 Caspase 2 1.000 1.245 0.953 1.097 1550.184
 Mm.34405 Casp3 Caspase 3 1.000 3.672 0.720 1.508 50.852
 Mm.1569 Casp4 Caspase 4, apoptosis-related cysteine peptidase 1.000 1.877 1.197 1.788 832.388
 Mm.281379 Casp6 Caspase 6 1.000 2.366 1.088 1.236 286.846
 Mm.35687 Casp7 Caspase 7 1.000 1.221 0.932 1.011 182.985
 Mm.336851 Casp8 Caspase 8 1.000 2.524 0.947 1.353 280.373
 Mm.88829 Casp9 Caspase 9 1.000 1.456 0.819 0.994 756.757
 Mm.20940 Casp14 Caspase 14 1.000 0.955 1.129 0.941 84.916
 Mm.184163 Raf1 v-raf-leukemia viral oncogene 1 1.000 0.640 1.017 0.970 11,143.813
 Mm.292510 Rac1 RAS-related C3 botulinum substrate 1 1.000 1.189 1.081 0.983 6019.936
 Mm.1972 Rac2 RAS-related C3 botulinum substrate 2 1.000 2.562 0.413 0.818 238.192
 Mm.34008 Rac3 RAS-related C3 botulinum substrate 3 1.000 2.965 1.033 1.487 191.182
 Mm.287052 Tbx2 T-box 2 1.000 0.826 0.984 1.288 263.099
 Mm.219139 Tbx3 T-box 3 1.000 0.653 1.029 0.982 2303.188
 Mm.275336 Tbx4 T-box 4 1.000 0.843 0.901 0.768 588.571
 Mm.727 Tbx6 T-box 6 1.000 1.008 1.079 1.188 215.448
 Mm.246555 Tbx10 T-box 10 1.000 0.854 1.123 1.023 79.598
 Mm.158789 Tbx18 T-box18 1.000 2.952 1.191 2.167 69.861
 Mm.137011 Tbx22 T-box 22 1.000 1.670 0.708 2.709 3506.660
Gene expressions involved in mirror-image pain and other noted molecules
 Mm.23253 Lpar2 LPA receptor 2 1.000 1.298 0.785 1.161 54.037
 Mm.155520 Lpar3 LPA receptor 3 1.000 0.511 0.566 0.259 86.608
 Mm.90147 Lpar4 LPA receptor 4 1.000 1.210 0.887 0.974 155.610
 Mm.390681 Lpar6 LPA receptor 6 1.000 2.559 1.317 2.106 973.757
 Mm.250256 Enpp2 Ectonucleotide pyrophosphatase/phosphodiesterase 2, LPA synthase (from LPC) 1.000 0.453 1.287 1.129 4.303
 Mm.211047 Lrrc16a Leucine-rich repeat-containing 16A 1.000 1.686 0.765 1.264 362.520
 Mm.302602 Gpnmb Glycoprotein (transmembrane) nmb 1.000 3.180 0.559 1.462 637.196
 Mm.220853 Gm1987 Predicted gene 1987 1.000 2.882 0.707 4.081 17.006
 Mm.378888 Bcl2a1d B-cell leukemia/lymphoma 2-related protein A1d 1.000 5.211 0.562 1.608 517.158
 Mm.46301 Tyrobp TYRO protein tyrosine kinase binding protein 1.000 4.840 0.625 1.364 3582.910
 Mm.28520 Ski Ski sarcoma viral oncogene homolog (avian) 1.000 1.139 0.862 0.716 4.305

Note: Blue number: expression fold more than 1.50. Red number: expression fold less than 0.66. Expression increased more than 1.50-fold only one week after the operation: Inline graphic. Expression increased more than 1.50-fold only two weeks after the operation: Inline graphic. Expression increased less than 0.66-fold only one week after the operation: Inline graphic. Expression increased less than 0.66-fold only two weeks after the operation: Inline graphic. Raw data, too low to be trusted: Inline graphic. w: week; Ope: operation; TRAF: TNF receptor (TNFR) associated factor; TYRO: tyrosine kinase; LPA: lysophosphatidic acid; LPC: lysophophatidyl choline; BCL: B-cell lymphoma; MAP: Mitogen-activated protein; MYC: Myelocytomatosis; SRY: sex-determining region Y; Nut 2: negative regulation of upstream regulatory sequence (NRS) 2; AKT: protein kinase B; mTOR: mammalian target of rapamycin; GLI: glioma-associated oncogene; MMTV: mouse mammary tumor virus; POU: the Pituitary-specific Pit-1, the Octamer transcription factor proteins Oct-1 and Oct-2, the neural Unc-86 transcription factor from Caenorhabditis elegans.

Table 11.

Selected genes of signaling molecules and differentiation-involved molecules in the DRG (≥1.50).

UniGeneID Gene symbol Gene name Sham-1w Ope-1w Sham-2w Ope-2w Raw (Sham-1w)
Molecules for muscle components
 Mm.121878 Tpm1 Tropomyosin 1, alpha 1.000 1.075 1.107 1.058 4204.390
 Mm.646 Tpm2 Tropomyosin 2, beta 1.000 0.933 1.566 1.043 632.308
 Mm.240839 Tpm3 Tropomyosin 3, gamma 1.000 1.000 0.978 0.966 27,377.762
 Mm.295124 Tpm4 Tropomyosin 4 1.000 1.039 0.776 0.849 14,834.851
 Mm.158289 Myh14 Myosin, heavy polypeptide 14 1.000 1.084 1.407 1.303 14,108.714
 Mm.7353 Myl3 Myosin, light polypeptide 3 1.000 0.854 3.412 0.946 294.642
 Mm.390355 Myl4 Myosin, light polypeptide 4 1.000 0.898 1.047 0.980 1875.792
 Mm.238285 Myo1h Myosin 1H 1.000 1.108 1.028 0.960 5697.960
Myogenic genes
 Mm.4984 Myf5 Myogenic factor 5 1.000 0.845 0.823 0.824 8.129
 Mm.329100 Mdfi MyoD family inhibitor 1.000 1.051 0.754 0.733 310.810
 Mm.16528 Myog Myogenin 1.000 0.878 1.059 0.856 7.578
Myogenic signalings—Wnt and hedgehog signaling pathways
 Mm.1123 Wnt1 Wingless-related MMTV integration site 1 1.000 1.132 1.057 0.968 709.310
 Mm.57202 Shh Sonic hedgehog 1.000 1.060 1.149 1.074 319.358
 Mm.228798 Ptch1 Patched homolog 1 1.000 1.075 1.304 1.471 250.940
 Mm.287037 Ptch2 Patched homolog 2 1.000 1.523 1.262 1.425 37.753
 Mm.29279 Smo Smoothened homolog (Drosophila) 1.000 0.907 0.960 0.918 3966.727
 Mm.391450 Gli1 GLI-Kruppel family member GLI1 1.000 0.959 0.805 0.868 1942.966
 Mm.273292 Gli2 GLI-Kruppel family member GLI2 1.000 1.275 4.071 1.616 17.227
 Mm.5098 Gli3 GLI-Kruppel family member GLI3 1.000 0.856 0.800 1.004 159.735
 Mm.246003 Fzd1 Frizzled homolog 1 (Drosophila) 1.000 1.082 1.312 1.294 1431.651
 Mm.297906 Fzd7 Frizzled homolog 7 (Drosophila) 1.000 0.752 1.078 1.237 38.671
 Mm.6256 Fzd9 Frizzled homolog 9 (Drosophila) 1.000 1.314 1.319 1.214 143.483
 Mm.281691 Sfrp1 Secreted frizzled-related protein 1 1.000 1.045 1.172 1.129 695.010
 Mm.42095 Sfrp4 Secreted frizzled-related protein 4 1.000 0.964 0.857 0.890 9175.229
 Mm.470071 Sfrp5 Secreted frizzled-related sequence protein 5 1.000 0.925 0.990 0.994 26,854.572
 Mm.294664 Gsk3a Glycogen synthase kinase 3 alpha 1.000 1.096 1.248 1.171 14,844.347
 Mm.394930 Gsk3b Glycogen synthase kinase 3 beta 1.000 1.265 1.216 1.333 24,899.932
 Mm.3406 Tcf3 Transcription factor 3 1.000 1.156 1.198 1.330 76.983
 Mm.4269 Tcf4 Transcription factor 4 1.000 0.964 1.012 1.039 1891.414
 Mm.31630 Tcf7 Transcription factor 7, T-cell specific 1.000 1.121 1.118 1.216 32.440
 Mm.171615 Tcf12 Transcription factor 12 1.000 1.038 1.020 0.899 757.978
 Mm.3881 Tcf15 Transcription factor 15 1.000 1.190 1.178 0.807 45.012
 Mm.11434 Tcf19 Transcription factor 19 1.000 1.106 0.971 0.803 513.015
 Mm.252156 Tcf20 Transcription factor 20 1.000 1.053 1.173 1.181 4627.177
 Mm.178818 Tcf25 Transcription factor 25 (basic helix-loop-helix) 1.000 1.179 1.089 1.130 12,271.728
Myogenic signalings—AKT/mTOR pathway
 Mm.6645 Akt1 Thymoma viral proto-oncogene 1 1.000 1.134 1.222 1.198 26,537.600
 Mm.177194 Akt2 Thymoma viral proto-oncogene 2 1.000 1.037 1.134 1.206 7255.185
 Mm.235194 Akt3 Thymoma viral proto-oncogene 3 1.000 1.141 0.943 1.061 275.333
 Mm.177194 Akt2 Thymoma viral proto-oncogene 2 1.000 0.989 1.067 1.079 6844.500
 Mm.245395 Pten Phosphatase and tensin homolog 1.000 1.072 1.142 1.130 9874.612
 Mm.30435 Tsc2 Tuberous sclerosis 2 1.000 1.175 1.553 1.146 64.975
 Mm.319175 Rheb Ras homolog enriched in brain 1.000 0.910 0.900 0.909 5776.891
 Mm.21158 Mtor Mechanistic target of rapamycin (serine/threonine kinase) 1.000 1.103 1.380 1.221 1016.137
Myogenic signalings—Notch pathway
 Mm.290610 Notch1 Notch gene homolog 1 (Drosophila) (require for the stem cell commitment to its differentiation) 1.000 1.651 0.792 0.952 239.918
 Mm.485843 Notch2 Notch gene homolog 2 (Drosophila) 1.000 0.907 1.044 1.098 1563.774
 Mm.439741 Notch3 Notch gene homolog 3 (Drosophila) 1.000 1.113 1.264 1.215 616.700
 Mm.173813 Notch4 Notch gene homolog 4 (Drosophila) 1.000 0.921 1.003 1.042 348.427
 Mm.4875 Dll1 Delta-like 1 (Drosophila) 1.000 0.961 0.761 0.856 38.766
 Mm.12926 Med1 Mediator complex subunit 1 1.000 1.050 1.021 0.961 2055.559
 Mm.24159 Med7 Mediator complex subunit 7 1.000 0.958 0.857 0.903 3072.517
 Mm.46424 Med11 Mediator of RNA polymerase II transcription, subunit 11 homolog (S. cerevisiae) 1.000 0.937 0.848 0.808 4209.490
 Mm.20873 Med12 Mediator of RNA polymerase II transcription, subunit 12 homolog (yeast) 1.000 1.301 1.174 1.487 144.602
 Mm.208970 Med15 Mediator complex subunit 15 1.000 1.307 1.508 1.555 3634.469
 Mm.44151 Med17 Mediator complex subunit 17 1.000 0.874 0.967 0.885 779.204
 Mm.219643 Med19 Mediator of RNA polymerase II transcription, subunit 19 homolog (yeast) 1.000 1.054 1.012 0.965 2496.371
 Mm.283045 Med28 Mediator of RNA polymerase II transcription, subunit 28 homolog (yeast) 1.000 1.096 1.223 1.161 314.683
 Mm.4645 Six1 Sine oculis-related homeobox 1 homolog (Drosophila) 1.000 1.086 1.247 1.319 4771.977
 Mm.249575 Six4 Sine oculis-related homeobox 4 homolog (Drosophila) 1.000 0.897 1.203 1.143 2073.919
 Mm.3410 Six5 Sine oculis-related homeobox 5 homolog (Drosophila) 1.000 0.763 0.770 0.814 443.102
 Mm.485537 Nanog Nanog homeobox 1.000 0.991 1.368 1.395 173.754
 Mm.4325 Klf4 Kruppel-like factor 4 (gut) 1.000 0.823 0.805 0.806 859.743
 Mm.65396 Sox2 SRY-box containing gene 2 1.000 1.045 1.157 1.020 306.970
 Mm.35784 Sox3 SRY-box containing gene 3 1.000 1.441 1.717 1.362 199.971
 Mm.455819 Sox4 SRY-box containing gene 4 1.000 1.108 1.250 1.171 2418.596
 Mm.355478 Sox5 SRY-box containing gene 5 1.000 1.119 0.971 1.053 43,109.082
 Mm.42162 Sox7 SRY-box containing gene 7 1.000 1.970 1.236 1.083 53.506
 Mm.258220 Sox8 SRY-box containing gene 8 1.000 0.899 0.961 0.907 172.529
 Mm.276739 Sox10 SRY-box containing gene 10 1.000 0.920 1.046 1.024 5970.493
 Mm.41702 Sox11 SRY-box containing gene 11 1.000 2.915 1.005 1.407 266.525
 Mm.8575 Sox13 SRY-box containing gene 13 1.000 1.192 0.919 0.909 535.987
 Mm.279103 Sox17 SRY-box containing gene 17 1.000 0.841 0.828 0.944 423.220
 Mm.264904 Sox18 SRY-box containing gene 18 1.000 0.963 0.849 0.931 181.857
 Mm.70950 Sox21 SRY-box containing gene 21 1.000 1.407 1.060 1.230 96.658
 Mm.436572 Dock1 Dedicator of cytokinesis 1 1.000 0.972 1.102 1.096 1152.460
 Mm.258155 Dock5 Dedicator of cytokinesis 5 1.000 1.129 1.115 1.153 3850.394
 Mm.128153 Dock6 Dedicator of cytokinesis 6 1.000 0.894 0.959 1.065 2867.670
 Mm.260623 Dock7 Dedicator of cytokinesis 7 1.000 1.150 1.175 1.073 208.271
 Mm.133473 Dock10 Dedicator of cytokinesis 10 1.000 0.808 0.877 0.859 1910.556
 Mm.32873 Dock11 Dedicator of cytokinesis 11 1.000 0.983 1.091 1.044 9900.318
 Mm.360004 Sos1 Son of sevenless homolog 1 (Drosophila) 1.000 1.346 1.412 0.921 297.030
 Mm.3770 Sos2 Son of sevenless homolog 2 (Drosophila) 1.000 0.587 1.051 0.754 1545.853
 Mm.16469 Mycn v-myc myelocytomatosis viral-related oncogene, neuroblastoma derived (avian) 1.000 1.312 1.330 1.306 530.555
 Mm.2444 Myc c-Mic. myelocytomatosis oncogene 1.000 1.099 1.081 1.062 508.955
 Mm.6478 Mycbp2 MYC binding protein 2 1.000 1.040 1.166 1.256 3799.196
 Mm.446553 Mycbp c-myc binding protein 1.000 0.643 0.608 0.647 650.678
Neuronal signaling molecules, protein kinases, transcription factors
 Mm.2706 Atf3 Activating transcription factor 3 1.000 4.188 0.514 1.190 2502.960
 Mm.143737 Ankrd2 Ankyrin repeat domain 2 (stretch responsive muscle) 1.000 0.458 0.720 0.385 173.506
 Mm.16469 Mycn v-myc myelocytomatosis viral-related oncogene, neuroblastoma derived (avian) 1.000 1.312 1.330 1.306 530.555
 Mm.2444 Myc Myelocytomatosis oncogene 1.000 1.099 1.081 1.062 508.955
 Mm.6478 Mycbp2 MYC binding protein 2 1.000 1.040 1.166 1.256 3799.196
 Mm.446553 Mycbp c-myc binding protein 1.000 0.643 0.608 0.647 650.678
 Mm.480076 Mapk6 Mitogen-activated protein kinase 6 1.000 1.339 0.968 1.164 113.328
 Mm.480076 Mapk6 Mitogen-activated protein kinase 6 1.000 1.284 1.111 1.198 1847.275
 Mm.311337 Mapk14 Mitogen-activated protein kinase 14 1.000 1.197 1.168 1.223 5830.189
 Mm.196581 Mapk1 Mitogen-activated protein kinase 1 1.000 1.016 1.039 1.055 19,639.100
 Mm.8385 Mapk3 Mitogen-activated protein kinase 3 1.000 1.053 1.190 1.140 73,230.850
 Mm.254517 Mapk4 Mitogen-activated protein kinase 4 1.000 0.956 1.217 1.054 377.634
 Mm.480076 Mapk6 Mitogen-activated protein kinase 6 1.000 1.284 1.111 1.198 1847.275
 Mm.38172 Mapk7 Mitogen-activated protein kinase 7 1.000 1.094 1.071 1.075 4541.513
 Mm.21495 Mapk8 Mitogen-activated protein kinase 8 1.000 0.841 0.898 0.977 372.046
 Mm.68933 Mapk9 Mitogen-activated protein kinase 9 1.000 1.050 1.143 1.152 12,266.253
 Mm.39253 Mapk10 Mitogen-activated protein kinase 10 1.000 0.961 0.992 0.940 50,159.950
 Mm.91969 Mapk11 Mitogen-activated protein kinase 11 1.000 1.070 1.268 1.215 5136.187
 Mm.38343 Mapk12 Mitogen-activated protein kinase 12 1.000 0.895 0.972 1.019 7628.115
 Mm.27970 Mapk13 Mitogen-activated protein kinase 13 1.000 1.104 0.950 0.974 403.822
 Mm.311337 Mapk14 Mitogen-activated protein kinase 14 1.000 1.197 1.168 1.223 5830.189
 Mm.43081 Mapk8ip3 Mitogen-activated protein kinase 8 interacting protein 3 1.000 1.182 1.282 1.229 85,576.766
 Mm.270866 Mapkap1 Mitogen-activated protein kinase associated protein 1 1.000 0.988 1.013 0.965 1321.612
 Mm.221235 Mapkapk2 MAP kinase-activated protein kinase 2 1.000 1.109 1.041 1.031 1171.873
 Mm.272206 Mapkapk5 MAP kinase-activated protein kinase 5 1.000 0.975 0.958 0.970 4600.907
 Mm.22413 Arhgap1 Rho GTPase-activating protein 1 1.000 1.265 1.225 1.194 4766.664
 Mm.443529 Arhgap20 Rho GTPase-activating protein 20 1.000 1.052 1.271 1.284 1365.274
 Mm.46683 Arhgap32 Rho GTPase-activating protein 32 1.000 1.131 1.218 1.174 368.116
 Mm.480450 Arhgap36 Rho GTPase-activating protein 36 1.000 1.147 1.396 1.329 3983.115
 Mm.322931 Arhgap39 Rho GTPase-activating protein 39 1.000 1.053 1.150 1.125 14,519.543
 Mm.134338 Arhgap44 Rho GTPase-activating protein 44 1.000 1.129 1.293 1.208 8469.994
 Mm.322821 Scx Scleraxis 1.000 0.858 0.936 0.966 4856.714
 Mm.391013 Runx2 Runt-related transcription factor 2 1.000 2.078 1.665 1.781 66.117
 Mm.378894 Runx3 Runt-related transcription factor 3 1.000 1.474 1.907 1.585 90.270
 Mm.6645 Akt1 Thymoma viral proto-oncogene 1 1.000 1.134 1.222 1.198 26,537.600
 Mm.177194 Akt2 Thymoma viral proto-oncogene 2 1.000 1.037 1.134 1.206 7255.185
 Mm.235194 Akt3 Thymoma viral proto-oncogene 3 1.000 1.141 0.943 1.061 275.333
 Mm.294664 Gsk3a Glycogen synthase kinase 3 alpha 1.000 1.096 1.248 1.171 14,844.347
 Mm.394930 Gsk3b Glycogen synthase kinase 3 beta 1.000 1.265 1.216 1.333 24,899.932
 Mm.21158 Mtor Mechanistic target of rapamycin (serine/threonine kinase) 1.000 1.103 1.380 1.221 1016.137
 Mm.30963 Itpkc Inositol 1,4,5-trisphosphate 3-kinase C 1.000 1.148 1.079 1.014 574.319
 Mm.257460 Bcl2 B-cell leukemia/lymphoma 2 1.000 1.081 1.063 0.961 1319.177
 Mm.2045 Mras Muscle and microspikes RAS 1.000 1.123 1.138 1.039 696.835
 Mm.291120 Fras1 Fraser syndrome 1 homolog (human) 1.000 1.238 1.281 1.490 116.569
 Mm.400954 Nras Neuroblastoma ras oncogene 1.000 1.108 0.987 0.981 1961.214
 Mm.334313 Hras1 Harvey rat sarcoma virus oncogene 1 1.000 1.064 1.081 0.979 16,036.868
 Mm.389894 Rras Harvey rat sarcoma oncogene, subgroup R 1.000 1.084 1.024 1.024 8248.441
 Mm.383182 Kras v-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog 1.000 0.930 0.917 0.928 3219.141
 Mm.375031 Sykb Spleen tyrosine kinase 1.000 0.720 0.623 0.581 693.808
 Mm.277406 Stat1 Signal transducer and activator of transcription 1 1.000 1.107 1.109 1.013 266.162
 Mm.293120 Stat2 Signal transducer and activator of transcription 2 1.000 1.134 1.251 1.315 4399.081
 Mm.249934 Stat3 Signal transducer and activator of transcription 3 1.000 1.344 1.347 1.272 19,239.986
 Mm.277403 Stat5a Signal transducer and activator of transcription 5A 1.000 1.316 1.119 1.179 471.345
 Mm.34064 Stat5b Signal transducer and activator of transcription 5B 1.000 1.141 1.254 1.196 3602.220
 Mm.121721 Stat6 Signal transducer and activator of transcription 6 1.000 0.986 1.055 0.982 2848.014
 Mm.6215 Fosl1 Fos-like antigen 1 1.000 1.927 0.518 0.922 15.472
 Mm.24684 Fosl2 Fos-like antigen 2 1.000 1.152 0.861 0.918 924.243
 Mm.248335 Fosb FBJ osteosarcoma oncogene B 1.000 1.088 1.302 1.112 118.685
Apoptosis signaling proteins
 Mm.257460 Bcl2 B-cell leukemia/lymphoma 2 1.000 1.081 1.063 0.961 1319.177
 Mm.474472 Bcl2l14 BCL2-like 14 (apoptosis facilitator) 1.000 0.719 0.934 1.084 262.856
 Mm.4387 Bad BCL2-associated agonist of cell death 1.000 0.967 0.941 0.889 15,246.985
 Mm.1051 Casp1 Caspase 1 1.000 0.978 0.713 0.733 3164.117
 Mm.3921 Casp2 Caspase 2 1.000 0.777 0.772 0.747 2703.238
 Mm.34405 Casp3 Caspase 3 1.000 1.691 1.018 1.007 92.956
 Mm.1569 Casp4 Caspase 4 1.000 0.892 0.787 0.941 875.289
 Mm.35687 Casp7 Caspase 7 1.000 1.083 1.106 1.191 133.239
 Mm.336851 Casp8 Caspase 8 1.000 0.810 0.858 0.806 306.155
 Mm.88829 Casp9 Caspase 9 1.000 1.053 1.145 1.130 7396.020
 Mm.42163 Casp12 Caspase 12 1.000 0.783 0.901 0.768 242.640
 Mm.184163 Raf1 v-raf-leukemia viral oncogene 1 1.000 1.029 1.066 1.134 13,304.687
 Mm.292510 Rac1 RAS-related C3 botulinum substrate 1 1.000 1.134 1.217 1.202 16,666.912
 Mm.1972 Rac2 RAS-related C3 botulinum substrate 2 1.000 0.648 0.525 0.484 793.589
 Mm.34008 Rac3 RAS-related C3 botulinum substrate 3 1.000 1.169 1.089 1.026 5387.126
 Mm.295194 Tbx1 T-box 1 1.000 0.636 0.764 0.928 195.369
 Mm.287052 Tbx2 T-box 2 1.000 1.340 1.366 1.520 1617.514
 Mm.219139 Tbx3 T-box 3 1.000 1.181 1.538 1.465 2199.175
 Mm.727 Tbx6 Rac2, T-box 1.000 0.776 0.488 0.747 262.328
 Mm.88761 Tbx15 T-box 15 1.000 0.753 1.281 1.015 165.204
 Mm.137011 Tbx22 T-box 22 1.000 1.331 0.629 1.054 579.177
Gene expressions involved in mirror-image pain and other noted molecules
 Mm.4772 Lpar1 Lysophosphatidic acid receptor 1 1.000 1.036 0.837 0.959 415.523
 Mm.155520 Lpar3 Lysophosphatidic acid receptor 3 1.000 0.935 1.253 1.223 2374.570
 Mm.90147 Lpar4 Lysophosphatidic acid receptor 4 1.000 1.095 1.032 1.050 210.419
 Mm.333386 Lpar5 Lysophosphatidic acid receptor 5 1.000 1.052 1.251 1.379 70.810
 Mm.390681 Lpar6 Lysophosphatidic acid receptor 6 1.000 0.837 0.796 0.876 2500.294
 Mm.250256 Enpp2 Ectonucleotide pyrophosphatase/phosphodiesterase 2 1.000 0.829 0.877 0.889 4597.964
 Mm.290677 Lrrc15 Leucine-rich repeat-containing 15 1.000 2.604 0.879 1.118 53.711
 Mm.428639 Lrrc57 Leucine-rich repeat-containing 57 1.000 0.897 0.970 0.891 1492.573
 Mm.33498 Lrrc33 Leucine-rich repeat-containing 33 1.000 0.789 0.831 0.815 1226.373
 Mm.151577 Lrrc16b Leucine-rich repeat-containing 16B 1.000 1.035 1.189 1.149 1137.193
 Mm.211047 Lrrc16a Leucine-rich repeat-containing 16A 1.000 0.527 0.425 0.566 169.810
 Mm.46301 Tyrobp TYRO protein tyrosine kinase binding protein 1.000 0.876 0.614 0.615 3863.647
 Mm.28520 Ski Ski sarcoma viral oncogene homolog (avian) 1.000 0.688 0.786 0.653 211.132

Note: Blue number: expression fold more than 1.50. Red number: expression fold less than 0.66. Expression increased more than 1.50-fold only one week after the operation: Inline graphic. Expression increased more than 1.50-fold only two weeks after the operation: Inline graphic. Expression increased less than 0.66-fold only one week after the operation: Inline graphic. Expression increased less than 0.66-fold only two weeks after the operation: Inline graphic. Raw data, too low to be trusted: Inline graphic. w: week; Ope: operation; AKT: protein kinase B; mTOR: mammalian target of rapamycin; TYRO: tyrosine kinase; BCL: B-cell lymphoma; MAP: Mitogen-activated protein; Myc: myelocytomatosis; SRY: sex-determining region Y; RAS: Rat sarcoma; MMTV: mouse mammary tumor virus; GLI: glioma-associated oncogene.

Expression of genes encoding ECM and other related proteins

The expression of genes encoding ECM and other associated proteins differ significantly between the paw (Table 3) and DRG samples (Table 6). Molecules expressed at significant levels (>50 in raw values) in both paw (30%, 14/47) and DRG (48%, 32/66) samples are specific to each tissue. Interestingly, molecules commonly expressed in both tissues, such as decorin, lumican, collagen type I alpha 1, and fibronectin, show high expressions with raw values >5000, which may correspond to the level of intrinsic and predominant ECM proteins in both types of tissues. In the paw, upregulation (fold change ≥2.0) of 23 ECM-related genes is detected continuously for two weeks, that of 18 genes is detected one week, and that of 1 gene is detected two weeks after the operation. On the other hand, none of the genes show reduced expressions (fold change <0.66) one week and two weeks after the operation. Notably, expression of Tnn, which encodes Tenascin N protein and is weakly expressed only in the paw samples, is increased significantly continuously for two weeks after the operation. The elevated expression of genes for ECM proteins and the enhanced staining and irregular arrangements of ECM components (Figure 5, Table 3) support the suggestion that molecular processes underlying tissue fibrosis initiate at an early time point within one week after the operation. In the DRG samples, genes encoding many neuronal ECM proteins, such as brevican, neurocan, agrin, haplans, laminin, and fibulin, are significantly expressed (raw values >50), while expression of these genes is very low in the paw samples. In the DRG samples, genes encoding some ECM-modified proteins (enzymes), including genes for matrix metalloproteinase 2, 8, 15, and 17 (Mmp2, 8, 15, and 17), and the tissue inhibitor of metalloproteinase 3 gene (Timp3) are significantly expressed (raw values >50). Interestingly, paw samples exhibit specific expression of Mmp3 and 14. In addition, both Timp1 and 2 genes are highly expressed in both paw and DRG samples, and their expressions are significantly increased in the paw samples one week after the operation. In the DRG samples, only the expression of thrombospondin 2 gene (Tsp2) increases more than 1.5-fold continuously for two weeks after the operation. In addition, expression of three genes encoding aggrecan (Acan), syndecan 1 (Sdc1), and tissue inhibitor of metalloproteinase 1 (Timp1) increases one week after the operation. The increased expressions are not evident two weeks after the operation. On the other hand, expression of four genes encoding inter-α-trypsin inhibitor heavy chain 2 (Itih2), Mmp8, Mmp9, and Mmp13 decreases <0.75-fold continuously for two weeks after the operation. There is no decrease in the expression of any of the genes encoding cell surface receptors for ECM molecules one week after the operation; however, the expression of one gene encoding integrin β3 decreases after two weeks (Table 6). Expression of Timp1 and 2 gene is higher than the expression of other Timp family genes in both paw and DRG samples, and their upregulation is detected only in the paw samples one week after the operation (Tables 3 and 6).

We also examined the expressions of genes encoding growth factors, cytokines, and their receptors (Tables 4 and 7) because these molecules are closely associated with the upregulated and downregulated expressions of the genes encoding the aforementioned ECM molecules. Upregulated expression of inflammation-related genes including bone morphogenetic protein 1 (Bmp1), TNF (ligand) superfamily member 15 (Tnfsf15), TNF-α-induced protein 6 (Tnfaip6), insulin-like growth factor 1 (Igf1), platelet-derived growth factor receptor-beta protein (Pdgfrb), chemokine (C–X–C motif) ligand 12 (Cxcl12), and chemokine (C–C motif) ligands 2, 3, 4, 6, 7, and 8 (Ccl2, Ccl3, Ccl4, Ccl6, Ccl7, and Ccl8) is evident. Genes including mothers against decapentaplegic homolog 3 (Smad3) and TNF (ligand) superfamily member 9 (Tnfsf19) are downregulated in the paw samples continuously for two weeks after the operation (Table 4). In addition, 29 and 6 genes are upregulated one week and two weeks after the operation, respectively, and 6 and 5 genes are downregulated one week and two weeks after the operation, respectively (Table 4). In contrast, none of the genes upregulated in the paw samples are upregulated in the DRG samples one week and two weeks after the operation; however, two genes, Tnfaip2 and Tnfsf25, are continuously downregulated for two weeks after the operation (Table 7). We also found that six genes encoding ECM-related molecules including Src homology 2 domain-containing transforming protein C3 (Shc3), TNF receptor superfamily member 12a (Tnfrsf12a), chemokine (C–C motif) ligands 8 and 17 (Ccl8 and Ccl17), interleulin 6 (Il6), and interleukin 7 (Il7) are upregulated one week after the operation but not after two weeks. Four genes (Cxcl14, Il1b, Il1rl1, and Il6ra) are downregulated two weeks after the operation (Table 7).

Since the paw was the site of the surgery, operation-derived necrosis may have caused the secretion of a high concentration of proteases from the necrotic cells, inducing higher expression of inflammation-related genes than that in the DRG samples. It would be of interest to investigate whether prevention of necrosis-induced inflammation-related gene expression in the paw is related to chronic pain in the mouse model.

Enzymes implicated in ECM saccharide chain synthesis

All ECM molecules bear saccharide chains. Some of the chains are long saccharide chains recognized as glycosaminoglycans, such as chondroitin sulfate (CS). The synthesis of glycosaminoglycans, especially CS, negatively or positively controls plasticity and regeneration of the neuronal network after injury and neurodegenerative diseases.1719 Therefore, it was of interest to investigate the changes in the expression of genes encoding sugar chain synthases after the injury. In the paw samples, the expression of genes involved in CS synthesis increases by >1.5-fold one week after the operation, which was similar to previous reports. In contrast, the expression of most genes involved in heparan sulfate (HS) synthesis decreases by <0.75-fold, although the expression of two genes involved in HS synthesis, Ext1 and Ext2, increases (Table 5). Changes in the expression of genes involved in other sugar chain synthases are also observed in the paw samples. Interestingly, the expression of genes involved in sugar chain synthases in the DRG samples is very low (raw values <50) and also shows no significant changes after the operation (data not shown), which suggests that changes in the expression of these genes occur only in injured nerve tissues at least during the study period.

Expression of genes for pain-associated molecules; neuropeptides, neurotransmitters, and receptors

Details of molecules involved in nociceptive and neurogenic pain, and effects of the operation on their gene expression levels are described and discussed below.

Genes expressing pain-related neuropeptides, including Tac1 (which encodes tachynin 1, a precursor protein of substance P and neurokinin A) are upregulated in the DRG samples (Table 9). It should be noted that Tac1 expression in the DRG samples is >700-fold higher than that in the paw. However, the operation group mice display a nearly two-fold increase in Tac1 expression in the paw. Cck, a gene encoding a peptide hormone cholecystokinin, is found both in the brain and in the intestine where it acts as a neurotransmitter and a regulator of gastrointestinal functions, respectively.20 This hormone induces various biological effects such as pathological thermal hyperalgesia, which is mediated by cholecystokinin A and B receptors encoded by Cckbr and Cckar genes, respectively. Mostly, cholecystokinin B receptors are found in the brain and the spinal cord,20 and cholecystokinin A receptors are found in the peripheral nervous systems.2023 Cckar is highly expressed in the DRG which is the center of the peripheral neurons; interestingly, Cckbr is also highly expressed in the paw tissues having the peripheral nervous systems (Tables 8 and 9). This observation suggests that Cckbr may also be expressed to function in the peripheral tissues. Cckbr expression increases one week after the operation in the DRG samples, which is almost comparable to that in the paw samples; this change appears to be associated with the operation-induced increase in Cck.

Expression of Npy (which encodes neuropeptide Y) is significantly increased one week after the operation in both paw and DRG samples (Tables 8 and 9). This peptide acts as a neurotransmitter in the brain and the autonomic nervous system24 and is thought to have several functions, including reduction of pain perception.25

Neurotensin is a peptide distributed throughout the central nervous system (CNS). It is involved in the regulation of dopamine pathways and induces various effects, including analgesia, hypothermia, and increased locomotor activity.26 Interestingly, the Nts gene encoding this peptide is also upregulated in both paw and DRG samples after the operation (Tables 8 and 9).

Gal encodes galanin, which is also a neuropeptide widely expressed in the brain, spinal cord, and gut, and signals through three G protein-coupled receptors (Galr1, 2, and 3). It is predominantly involved in the modulation and inhibition of action potentials in neurons and has been implicated in many biologically diverse functions including nociception, cognition, and blood pressure regulation.27 In addition, it has been reported that the biosynthesis of galanin is increased upon axotomy in the peripheral nervous system.28 Consistent with these findings, the expression of Gal increases three-fold in the DRG one week after the operation, which seems to correspond to its neuroprotective activity during the acute phase, as reported previously.28 However, Galr which encodes the Gal receptor is not significantly expressed before and after the operation in both DRG and paw samples (raw values <50), with the exception of Galr1 in the DRG (Tables 8 and 9).

Cd163 encodes the macrophage scavenger receptor, which is a marker of the monocyte/macrophage lineage.29 Macrophages are critical to injury and repair. Two types of macrophages are found in cells: M1, which secretes inflammatory cytokines that activate nociceptors and promote pain, and M2, which secretes anti-inflammatory cytokines that inhibit nociceptors and promote analgesia. Thus, they may regulate both chronic musculoskeletal pain and analgesia during regular physical activity.30,31 The expression of Cd163 increases approximately two-fold on week 1 and continues two weeks after the operation in both paw and DRG samples. Thus, the elevated expression might play some roles to suppress the scar formation in the paw and the associated pain.

Dbh encodes dopamine beta-hydroxylase, an enzyme involved in the synthesis of norepinephrine. Its expression is significantly increased in the DRG samples but reduced in the paw samples, which may be a neuronal response to the shock of the operation.

The expressions of Ogfr gene encoding the opioid growth factor receptor and Htr gene encoding the serotonin receptor do not show a marked change as a result of the operation in both paw and DRG samples, although their expressions in the DRG samples are higher than the expressions in the paw samples.

Piezo1 and its close homolog piezo2 are genes encoding mechanosensitive ion channel proteins. These genes are expressed in the lungs, bladder, and skin, where mechanosensation has important biological roles, and piezo2 is highly expressed in the sensory neurons.32 In our study, piezo1 is highly expressed in the paw samples and it increases two-fold continuously for two weeks after the operation, which is similar to previous reports. In contrast, piezo2 is highly expressed in the DRG samples but weakly in the paw samples, although the expression increases after the operation.

Scns encode integral membrane proteins that form ion channels, which facilitate the transport of sodium ions (Na+) through the cell membrane. In excitable cells such as neurons, myocytes, and certain types of glia, the channels are responsible for the rising phase in the action potentials.33 Scns are highly expressed in the DRG samples but mostly unaffected by the operation. In contrast, their expressions in the paw samples change after the operation albeit their expression levels being less than those in the DRG samples (Tables 8 and 9).

TRP (transient receptor potential) channels are ion channels comprising six protein families. Based on their structural similarities, they are grouped into two broad groups. Group 1 includes TRPC (“C” for canonical), TRPV (“V” for vanilloid), TRPM (“M” for melastatin), TRPN (“N” for no mechanoreceptor potential C), and TRPA (“A” for ankyrin), and group 2 includes TRPP (“P” for polycystic) and TRPML (“ML” for mucolipin). TRPV1/TRPV2/TRPV3 and TRPV4 have recently been found to be clinically significant in their roles as thermoreceptors and mechanoreceptors, respectively. Reduction in chronic pain might be achieved by targeting ion channels involved in thermal, chemical, and mechanical sensations to reduce their sensitivity to stimuli.34 The present microarray analysis shows that almost all genes for TRPVs and TRPMs are highly expressed in the DRG samples compared with the expressions in the paw samples. Interestingly, expressions of TrpV6 and Trpm1 in the DRG are increased by approximately two-fold one week after the operation. In the paw samples, expressions of Trpv2, Trpv4, and Trmp6 are increased two-fold one week after the operation, and the expressions of Trpv4 and Trpm6 remain elevated two weeks after the operation (although they decrease from the levels at one week). Considering these results and their known functions described above, TRPV4 may be an important factor involved in algesia after the operation.

Grin and Gria, genes for glutamate receptors of ionotropic NMDA (N-methyl-D-aspartate) and AMPA (α-amino-3-hydroxy-5-methoxazole-4-propionate), respectively, are, as expected, highly expressed in the DRG samples compared with the expressions in the paw samples. However, only Gria1 expression in the DRG and Grina expression in the paw samples change significantly after the operation (Tables 8 and 9), suggesting that these receptors do not play significant roles in pain perception. Glutamate receptors are present in CNS glial cells as well as neurons and play a role in modulating the expression of genes involved in glial cell differentiation and brain development.35 Spinal NMDA receptors are reportedly involved in hyperalgesia and link the pain sensory region to the thalamus, the pain-processing center of the brain.35 However, we observed the unaltered expression of Grin after the operation and the upregulated expression of Gria1 at one week and two weeks after the operation in the DRG samples (Table 9).

GABA (γ-aminobutyric acid) is the main inhibitory neurotransmitter of the mammalian CNS. It is synthesized from glutamate in the brain. GABA regulates neuronal excitability throughout the nervous system and is directly responsible for regulation of muscle tone via the GABA receptor, which is encoded by Gabr.36 The Gabr expression is significantly increased in the DRG samples after the operation, as expected from its function (Table 9).

The expression of genes for other neurotransmitter receptors is not significantly changed in the DRG samples by the operation. Altered expressions are observed for only a few neurotransmitter receptor genes (e.g., Ramp1 and Ramp3) in the paw samples.

Expression of genes associated with signaling pathways and molecules involved in muscle fibrosis and associated hyperalgesia

It is important to investigate how the changes in gene expression result in muscle fibrosis and associated hyperalgesia. We first examined changes in the gene expressions of muscle constituents (Table 10). As expected, higher expression of genes involved in muscle components is observed in the paw samples, but expressions of myosin heavy polypeptides (Myhs) are reduced after the operation, which may reflect the loss of muscle differentiation by the operation. Contrary to this, as also expected, there are almost no gene expression changes in the DRG samples (Table 11). Interestingly, the gene encoding myosin 1H (Myo1h, nonskeletal muscle type), which functions in vesicle transport, is highly expressed in the DRG samples.

Similarly, the expression of genes related to myogenesis is highly expressed in the paw samples, and a few of these genes are expressed in the DRG samples (Tables 10 and 11). For example, gene expression of Pax7, a transcription factor that plays a role in myogenesis through regulation of muscle precursor cell proliferation,37 is detected in the paw samples. Interestingly, the expression decreases continuously following the operation.

Wnt and Shh (Sonic hedgehog) signaling pathways function during embryogenesis in processes that include not only cell fate specification, cell proliferation, and cell migration but also control tissue regeneration.38,39 Thus, we expected some involvement of these signaling molecules in fibrosis and associated hyperalgesia. Many genes associated with the Wnt and Shh pathways are expressed in both paw and DRG samples but at distinct expression levels. Wnt1 and Shh expressions significantly increase in the paw samples, after the operation, although their expressions are mostly unaffected by the operation in the DRG samples (Tables 10 and 11). The expressions of Sfrp2 and Sfrp1, which encode secreted frizzled-related protein 2 and protein 1, respectively, increase significantly in the paw samples after the operation. Thus, the Wnt and Shh signaling pathways may play important roles in fibrosis and associated hyperalgesia.

The AKT/mTOR pathway regulates the cell cycle.39 In many cancers, this pathway is overactive, which reduces apoptosis and allows cell proliferation.40 However, this pathway is important to promote growth and proliferation over differentiation of adult stem cells, specifically neural stem cells.41 Consistent with these observations, we observed that the genes encoding the molecules involved in this pathway are significantly expressed in both paw and DRG samples but are largely unaltered by the operation (Tables 10 and 11).

The Notch signaling network regulates interactions between physically adjacent cells and development of neurons and somites.42 Genes encoding the molecules involved in this pathway are highly expressed in both paw and DRG samples, but there are no significant changes in their expressions after the operation (Tables 10 and 11), suggesting no significant involvement in the observed events.

Expression of genes encoding neuronal signaling molecules, protein kinases, and transcription factors

Activating transcription factor 3, encoded by Atf3, is a member of the mammalian activation transcription factor/cAMP responsive element-binding protein family of transcription factors that are specifically expressed in a variety of stressed tissues.43 The observed four-fold increase in Atf3 expression one week after the operation is consistent with the above report, and this expression in the DRG samples provides confirmation of regenerative response being one of neuronal signaling molecules following injury in DRG neurons.44 Since the Atf3 protein interacts with several signaling molecules such as c-Jun and Smad3,45,46 knowledge of their interactions can provide a better understanding of the present results.

Significantly high expressions of genes for a variety of mitogen-activated protein kinases (Mapks), MAPK-activated protein kinases (Mapkapk), and Rho GTPase-activating proteins (Arhgap) are observed in both DRG and paw tissues. Interestingly, while the expressions of these genes, especially Arhgap, are significantly affected even two weeks after the operation in the paw samples, they remain constant in the DRG samples. This suggest the frequent occurrence of membrane-involved biological processes, such as endocytic recycling,47 and their involvement in the fibrotic events in the paw tissues.

Runx1, the gene for a transcription factor that regulates the differentiation of hematopoietic stem cells into mature blood cells, has recently been demonstrated to play a major role in the development of the neurons that transmit pain.48 However, we observed that Runx1 expression increases only in the paw samples after the operation, while Runx2 and Runx3 expressions increase in the DRG samples (Tables 10 and 11).

The Fos gene family consisting of four members (Fos, Fosb, Fosl1, and Fosl2) that encode leucine zipper proteins can dimerize with proteins of the JUN family, thereby forming the transcription factor complex AP-1 and being implicated in the regulation of cell proliferation, differentiation, and transformation.49 Fosl1 expression in the DRG samples and Fosl1 and Fosl2 expressions in the paw samples are significantly elevated after the operation. However, their expression values are low (Tables 10 and 11), suggesting less significant involvement in the observed events.

Expression of genes for apoptosis signaling protein

A process of programmed cell death50 should be stimulated in our mouse model. Expressions of genes encoding apoptosis signaling molecules are at adequate levels to induce signaling in both DRG and paw samples. However, some tissue-specific differences are evident. Significant changes in the expressions of more genes for apoptosis signaling molecules (Casp1, 3, 4, 6, and 8, and Bad, Raf1, Rac2, 3, Tbx3, 18, and 22) are observed in the paw samples, while the expressions of fewer genes (Casp3, Rac2, Tbx1, Tbx2, and Tbx3) significantly change in the DRG samples after the operation (Tables 10 and 11). The results suggest the close involvement of apoptosis in both injury-induced fibrosis and the associated chronic pain, but the processes differ between paw tissues and the DRG.

Expression of genes involved in mirror-image pain

The data (Figure 3(a) and (b)) suggest that chronic pain could spread from the primary somatosensory cortex to other regions. It has been reported that nerve damage induces the production of lysophosphatidic acid (LPA) via the autotaxin (ATX)-mediated conversion of lysophophatidyl choline and LPA signals through six cognate G protein-coupled receptors (LPAR1-6). These receptors are expressed on most cells within the central and peripheral nervous tissues and are linked to many neural processes and pathways. LPA stimulates LPAR3 on activated microglia, resulting in a feed-forward LPA release that can activate LPAR1 on Schwann cells, which leads to the downregulation of myelin proteins, progressive demyelination, and the initiation of neuropathic pain.51,52 Consistent with these reports, Lpar1-6 and Enpp2 (a gene encoding for ectonucleotide pyrophosphatase/phosphodiesterase family member 2, known as ATX) are highly expressed in the DRG samples and their levels remained constant following the operation. On the other hand, the expressions of these genes are low at onset in the paw samples and significantly change, with the expressions of Lpar3 and Enpp2 decreasing, after the operation (Tables 10 and 11).

Ohmichi et al.,13 using the rat chronic postcast pain models, reported that activation of lumbar cord astrocytes is an important factor in widespread mechanical hyperalgesia and that Atf3 may be involved in this activation. Consistent with this suggestion, a >4-fold increase in Atf3 expression, in addition to its high expression levels, is observed one week and two weeks after the operation in DRG and paw samples, respectively. This suggests that Atf3 may also be an important signaling molecule involved in the observed spreading of chronic pain.

Other genes with large changes in expression one and two weeks after the operation

Lrrc16a is a member of the leucine-rich repeat-containing family of proteins that have functions in diverse biological pathways.53 The expression of Lrrc16a is reduced by half in the DRG samples but is increased 1.7-fold in the paw samples after the surgery (Tables 10 and 11), suggesting some involvement in the present events. Gpnmb which encodes the non-metastatic gene B (NMB) transmembrane glycoprotein has been characterized as osteoactivin in mice.54 Significant and increased expression of Gpnmb after the operation is detected only in the paw samples (Tables 10 and 11), which is consistent with previous studies demonstrating high Gpnmb expression during chondrogenesis and osteogenesis.55 Tyrobp which encodes the TYRO protein tyrosine kinase (SYK)-binding protein is a transmembrane signaling polypeptide that contains an immune-receptor tyrosine-based activation motif in its cytoplasmic domain and may bind zeta-chain-associated protein kinase 70 kDa (ZAP-70) and SYK to facilitate signal transduction in bone modeling, brain myelination, and inflammation.56 It is notable that the expression of Tyrobp is increased almost five-fold one week after the operation in the paw samples (Tables 10 and 11).

General discussion

Our findings using a mouse model confirm that persistent postoperative pain can be established through extensive injury of peripheral tissues. Microarray analyses have revealed that hundreds of genes were involved in the operation-induced fibrosis and the accompanying chronic pain, which lead to muscle fibrosis and associated hyperalgesia. Based on an extensive literature search for molecules implicated in tissue fibrosis and chronic pain, we initially focused on gene expressions related to molecules involved in the syntheses, degradation, and regulation of tissue ECM and pain-associated molecules. Our focus subsequently broadened to include molecules involved in the related signaling pathways and molecules related to transcriptional and translational regulation.

The extent of the gene expression changes and the raw gene expression values can provide an estimate of their involvement in these phenomena. Thus, this report could be the first study to semiquantitatively and comprehensively examine the actual molecules and signal transduction pathways that are implicated in injury of peripheral tissues, subsequently inducing scar formation and chronic pain.

The present study might help elucidate the mechanism of DRG participation in the processes by which the injury of the peripheral tissues sensitizes the CNS to perceive pain. We originally expected that the expression of many genes in the DRG would change, accompanied by a change in the gene expression in the injured tissues. Interestingly, although the expression levels of many genes had not changed, the expression levels of some of the genes in the DRG samples did change (see ECM-related genes in Tables 6 and 7, and see pain-related molecule genes in Table 9). However, it should be noted that there were many cases where significant changes in gene expression occurred in the one-week DRG samples. It should be also noted that higher gene expression levels of pain-related molecules were detected in DRGs, although there were no remarkable changes in the gene expression levels of DRGs after the injury. These data suggest that DRGs can function to mediate neuronal pulse and signals between the peripheral nerve system in the injured tissues and the brain CNS without long-term gene expression changes.

The results obtained in this study indicate that hundreds of genes are involved in and interacted with to result in chronic pain and hyperalgesia, which are caused by tissue fibrosis. Recently developed computer-based comprehensive analyses, such as bioinformatics,57,58 may delineate possible signaling pathways and functional molecules implicated in the above phenomena. In addition, the information gathered may be used to conduct further studies using genetically modified mice, including gene-targeting mice.

Before concluding, it should be noted that we observed similar behavioral and molecular changes in some samples after the sham operations. These changes were significant, albeit less than the changes observed in the operation group, and suggest that the insertion of a 19G needle may itself cause scar formation and chronic pain. Thus, the comparison of the expression levels between the sham and operation groups should be made with prudent consideration. In addition, the gene expression data presented here do not necessarily reflect the protein expression levels. Therefore, protein expressions of the potential genes involved should be confirmed prior to final conclusions.

Supplemental Material

MPX892389 Supplemental Material1 - Supplemental material for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia

Supplemental material, MPX892389 Supplemental Material1 for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia by Yuqiang Li, Hiroki Iida, Koji Kimata, Lisheng Zhuo, Akinobu Ota, Shinya Kimura, Xiaojian Yin, Masataka Deie and Takahiro Ushida in Molecular Pain

MPX892389 Supplemental Material2 - Supplemental material for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia

Supplemental material, MPX892389 Supplemental Material2 for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia by Yuqiang Li, Hiroki Iida, Koji Kimata, Lisheng Zhuo, Akinobu Ota, Shinya Kimura, Xiaojian Yin, Masataka Deie and Takahiro Ushida in Molecular Pain

MPX892389 Supplemental Material3 - Supplemental material for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia

Supplemental material, MPX892389 Supplemental Material3 for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia by Yuqiang Li, Hiroki Iida, Koji Kimata, Lisheng Zhuo, Akinobu Ota, Shinya Kimura, Xiaojian Yin, Masataka Deie and Takahiro Ushida in Molecular Pain

Acknowledgments

The authors thank Yusuke Ohmichi and Mika Ohmichi, Department of Anatomy, Aichi Medical University for helping them obtain the information necessary to perform this study. The authors appreciate the financial support by Nippon Zoki Company.. The authors would also like to thank Editage (www.editage.com) for English language editing.

Authors’ Contributions

YL and HI contributed to the experiments equally and are listed as cofirst authors, and YL is taking this study forward. TU and KK conceived and coordinated the study and directed the experiments. KK, AO, and LZ wrote and edited the paper. KK and LZ provided technical support for the immunohistochemical and biochemical experiments. AO provided technical information and support for the microarray and contributed to the analysis of the microarray results. MD, XY, and SK evaluated the experiments and the clinical information. All authors reviewed the results and approved the final version of the manuscript.

Declaration of Conflicting Interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by a Grant-in-Aid for Scientific Research from Ministry of Education, Culture, Sports, Science and Technology of Japan (No. 15K15557 to T.U., No. 23570148 to K.K.).

ORCID iDs

Koji Kimata https://orcid.org/0000-0001-5304-3803

Akinobu Ota https://orcid.org/0000-0002-6296-2921

Supplemental Material

Supplemental material for this article is available online.

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Supplementary Materials

MPX892389 Supplemental Material1 - Supplemental material for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia

Supplemental material, MPX892389 Supplemental Material1 for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia by Yuqiang Li, Hiroki Iida, Koji Kimata, Lisheng Zhuo, Akinobu Ota, Shinya Kimura, Xiaojian Yin, Masataka Deie and Takahiro Ushida in Molecular Pain

MPX892389 Supplemental Material2 - Supplemental material for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia

Supplemental material, MPX892389 Supplemental Material2 for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia by Yuqiang Li, Hiroki Iida, Koji Kimata, Lisheng Zhuo, Akinobu Ota, Shinya Kimura, Xiaojian Yin, Masataka Deie and Takahiro Ushida in Molecular Pain

MPX892389 Supplemental Material3 - Supplemental material for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia

Supplemental material, MPX892389 Supplemental Material3 for Establishment of a mouse model for injury-induced scar formation and the accompanying chronic pain: Comprehensive microarray analysis of molecular expressions in fibrosis and hyperalgesia by Yuqiang Li, Hiroki Iida, Koji Kimata, Lisheng Zhuo, Akinobu Ota, Shinya Kimura, Xiaojian Yin, Masataka Deie and Takahiro Ushida in Molecular Pain


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