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. 2020 Sep 2;8(9):324. doi: 10.3390/biomedicines8090324

Table 1.

Summary table of studies on glia and oxaliplatin-induced neuropathic pain.

Authors/
Years
Animal Type (Investigated Site) Oxaliplatin Dosing Schedule/Cumulative Dose Glial Type Findings: Behavioral Assessments
Findings: Glial Activation
Zheng et al. (2011) [21] SD rat (spinal cord) D0–4 (5 times)/10 mg/kg (i.p.) Mic. Oxaliplatin-induced mechanical hypersensitivity (von Frey test): D35; p < 0.05 (4 g); p < 0.01 (15 g) versus control
No significant change in Iba1 expression after oxaliplatin treatment: D35; DH: 76.3 ± 4.2 (control) versus 67.9 ± 4.9; VH: 59.7 ± 5.3 (control) versus 55.3 ± 6.1
Warwick et al. (2012) [22] Balb/c mice (DRG) D0, D3 (twice)/8 mg/kg (i.p.) SGCs Oxaliplatin lowered the pain threshold by 70% (von Frey test): D7, p < 0.05 versus control
Carbenoxolone (50 mg/kg, i.p.) increased the lowered pain threshold: p < 0.05 versus oxaliplatin
Oxaliplatin increased the number of DRG neurons surrounded by SGCs (more than 50% of their circumference): 15% (control); 35% (oxaliplatin, p < 0.05 versus control)
Carbenoxolone (i.p.) lowered the increased incidence of coupling rate after oxaliplatin injection: 5/60 (control), 23/56 (oxaliplatin, p < 0.05 versus control), 10/40 (50 mg/kg, NS versus oxaliplatin), 6/53 (100 mg/kg, p < 0.05 versus oxaliplatin)
Yoon et al. (2012) [25] SD rat (spinal cord) D1, D3, D5, D7 (4 times)/8 mg/kg (i.p.) Ast. Oxaliplatin decreased the pain threshold (von Frey test): D10, p < 0.05; D12 and D14, p < 0.01 versus control
D0–7 carbenoxolone injection (25 μg, i.t.) prevented mechanical hypersensitivity
D14–21 carbenoxolone injection (25 μg, i.t.) did not attenuate mechanical hypersensitivity
Increased GFAP expression in the spinal cord after oxaliplatin injection: D7, p < 0.05 versus control (Hypertrophied cell bodies with thickened and elongated processes); D14, NS versus control
Increased expression of Cx43 in the spinal dorsal horn: D7 and 14, p < 0.05 versus control
D0–7 carbenoxolone injection (25 μg, i.t.) prevented the increase of GFAP expression
Mannelli et al. (2013) [23] SD rat (brain, DRG, spinal cord) D0–4, D7–11, D14–18 (15 times)/36 mg/kg (i.p.) Ast. Mic. SGCs Oxaliplatin induced cold hyperalgesia (cold plate test): 25.4 ± 0.9 s (control); 18.5 ± 0.8 s (D7, p < 0.05 versus control); 14 s (D14 and 21, p < 0.05 versus control)
Oxaliplatin induced mechanical allodynia (von Frey test): 28.3 ± 1.2 g (control); 19.3 ± 1.3 g (D14, p < 0.05 versus control); 14.7 ± 1.5 g (D21, p < 0.05 versus control)
Oxaliplatin induced mechanical hyperalgesia (paw-pressure test): 73.4 ± 2.1 g (control); 37.5 ± 2.8 g (D21, p < 0.05 versus control)
The number of SGCs increased in the DRG: D21, 31.4 ± 5.4 (control); 92.1 ± 7.9 (oxaliplatin, p < 0.01 versus control)
Iba1 cell density increased in the dorsal horn of the spinal cord: D7, 73% higher versus control, p < 0.05 (cell body increased, and branches of the processes shortened); D14, NS versus control; D21, NS versus control
GFAP cell density in spinal superficial laminae increased after oxaliplatin injection: D7, D14, and D21, p < 0.05 versus control, highest on D7; 54% higher versus control. No altered morphology
Iba1 positive cells increased after oxaliplatin injection: thalamus, neostriatum, S1, DL-PAG, NRM: D7, D14 and D21, p < 0.05 versus control; ACC and VL-PAG: D14, p < 0.05 versus control; mfb: D7 and D14, p < 0.05 versus control
GFAP expressing cells increased after oxaliplatin injection: neostriatum, ACC, S1: D7, D14, and D21, p < 0.05 versus control; thalamus: D7 and D14, p < 0.05 versus control; VL-PAG: D21, p < 0.05 versus control; NRM: D14 and D21, p < 0.05 versus control; DL-PAG and mfb: NS versus control
Ahn et al. (2014) [18] SD rat (spinal cord) D0 (single)/6 mg/kg (i.p.) Ast. Mic. Oxaliplatin induced cold allodynia (TWL, 4 °C): D3 and D5, p < 0.001 versus control)
Oxaliplatin induced mechanical hypersensitivity (von Frey test): D3, p < 0.05 versus control; D5, p < 0.001 versus control
GBT (400 and 600 mg/kg, p.o.) attenuated the cold allodynia and mechanical hypersensitivity: D5, p < 0.001 and p < 0.01 versus oxaliplatin, respectively
Oxaliplatin increased GFAP and OX-42 expression in the spinal cord: D5, 135.0 ± 13.5 (control); 216.3 ± 2.8 (oxaliplatin, p < 0.001 versus control); and 106.7 ± 11.9 (control); 204.0 ± 2.2 (oxaliplatin, p < 0.001 versus control)
Hypertrophic with thick processes (astrocytes) and hypertrophic amoeboid shape with short processes (microglia)
GBT (400 mg/kg, p.o.) suppressed the increase in the number of spinal GFAP and OX-42-positive cells: D5, p < 0.001 versus oxaliplatin
Mannelli et al. (2014) [26] SD rat (brain, spinal cord) D0–4, D7–11, D14–18 (15 times)/36 mg/kg (i.p.) Ast. Mic. Oxaliplatin induced cold hyperalgesia (cold plate test): 23.8 ± 1.2 s (control); 14.1 ± 0.8 s (D21, p < 0.01 versus control)
Oxaliplatin induced mechanical allodynia (von Frey test): 21.0 ± 0.5 g (control); 13.8 ± 0.3 g (D21, p < 0.01 versus control)
Oxaliplatin induced mechanical hyperalgesia (paw-pressure test): 68.3 ± 1.6 g (control); 41.7 ± 2.1 g (D21, p < 0.01 versus control)
D0-20 α7 nAChR agonists (PNU-282987 and (R)-ICH3, 30 mg/kg, p.o.) injection prevented the pain behavior evoked by oxaliplatin (p < 0.01 versus oxaliplatin)
No change in Iba1 positive cell number in the spinal cord after oxaliplatin treatment: D21
Iba1 expression increased in the brain after oxaliplatin: thalamus, S1, and DL-PAG (p < 0.05 versus control)
PNU or (R)-ICH3 per se enhanced Iba1 cell density: in the thalamus by 60% and S1 by 108% (p < 0.05 versus control)
Increase in GFAP-positive cell number in the spinal cord after oxaliplatin injection: D21
GFAP expression increased in the brain after oxaliplatin: S1 by 49% and VL-PAG by 50% (p < 0.05 versus control)
PNU or (R)-ICH3 (30 mg/kg, p.o.) failed to reduce increased GFAP expression in the spinal cord
PNU or (R)-ICH3 injection increased GFAP cell number in the thalamus and S1, but decreased in the VL-PAG (p < 0.05 versus oxaliplatin)
Mannelli et al. (2014) [24] SD rat (spinal cord, DRG) D0–4, D7–11, D14–18 (15 times)/36 mg/kg (i.p.) Ast. Mic. SGCs Oxaliplatin induced mechanical hyperalgesia (paw-pressure test): ± 70 g (control); 56.6 ± 1.9 g (D7, p < 0.05 versus control); 45.0 ± 4.1 g (D14, p < 0.01 versus control); 43.5 ± 1.9 g (D21, p < 0.01 versus control); Minocycline (12.5 nmol/h, i.t.) prevented mechanical hyperalgesia: by 50% (D7, p < 0.05); by 33% (D14, p < 0.05); by 60% (D21, p < 0.01); Fluorocitrate (1 nmol/h, i.t.) prevented hyperalgesia: by 100% (D7, p < 0.01); by 80% (D14, p < 0.01); 87% (D21, p < 0.01)
Oxaliplatin induced mechanical allodynia (von Frey test): ± 28 g (control); 19.2 ± 0.6 g (D14, p < 0.05); 14.2 ± 0.5 g (D21, p < 0.01). Minocycline prevented by 60% (D14, p < 0.05); 90% (D21, p < 0.01); Fluorocitrate prevented by 93% (D14, p < 0.01); 94% (D21, p < 0.01).
Oxaliplatin induced cold hyperalgesia (cold plate test): ± 23 s (control), 17.0 ± 1.5 g (D7, p < 0.05), 16.1 ± 0.8 g (D14, p < 0.01), and 12.4 ± 1.1 g (D21, p < 0.01); Minocycline prevented by 80% (D21, p < 0.01); Fluorocitrate prevented by 100% (D7, p < 0.01), by 90% (D14, p < 0.01), and by 95% (D21, p < 0.01)
Oxaliplatin increased Iba1 positive cells in the spinal cord: D7, p < 0.01 versus control. Minocycline prevented this increased: D7, p < 0.01 versus oxaliplatin; D14, NS versus control; D21, NS versus control
Oxaliplatin increased GFAP expressing cell number in the superficial laminae of the dorsal horn: D7, D14, and D21, p < 0.01 versus control. Fluorocitrate prevented this increase: D7, D14, and D21, p < 0.01 versus oxaliplatin
Minocycline and fluorocitrate did not decrease the number of SGCs increased in DRG after oxaliplatin treatment: D21; 10.7 ± 1.3 (control); 23.5 ± 2.7 (oxaliplatin, p < 0.05 versus control); 20.4 ± 3.6 (minocycline, NS versus oxaliplatin); 22.7 ± 4.1(fluorocitrate, NS versus oxaliplatin)
Robinson et al. (2014) [27] SD rat (spinal cord) D1, D3, D5, D7 (4 times)/8 mg/kg (i.p.) Ast. Oxaliplatin induced mechanical allodynia (von Frey test): D14, 20.6 ± 1.8 g (control); 12.0 ± 1.4 g (oxaliplatin, p < 0.05 versus control); D0-8 treatment of minocycline (25 mg/kg, i.p.) prevented this change: D14
Oxaliplatin increased GFAP fluorescence intensity in the spinal cord: D7, 131 ± 9.4% of control (p < 0.001); D14, 122 ± 4.7% of control (p < 0.001)
D0–8 treatment of minocycline showed an increase of intensity at D7, 115 ± 13.5% of control (NS) and decrease at D14, 91 ± 20.2% of control (NS)
Janes et al. (2015) [28] SD rat (spinal cord) D0–4 (5 times)/10 mg/kg (i.p.) Ast. Mic. Oxaliplatin induced mechanical hypersensitivity (von Frey test): D11, D17, and D25 (p < 0.05 versus control)
D0–4 A3AR agonists MRS5698 (0.1 mg/kg/day, i.p.) injection prevented the development of mechanical hypersensitivity: D11, D17, and D25 (p < 0.05 versus oxaliplatin)
No change in spinal expression of OX42 after oxaliplatin treatment: D25
GFAP expression increased bilaterally within the superficial dorsal horn: p < 0.05 versus control
Enhanced expression of GFAP was suppressed by treatment of MRS5698: p < 0.05 versus oxaliplatin
Kim et al. (2015) [29] SD rat (spinal cord) Twice a week for 4 weeks (8 times)/32 mg/kg (i.p.) Ast. Mic. Oxaliplatin induced mechanical allodynia (von Frey test): D21, p < 0.05; D28, p < 0.01 versus control
Oxaliplatin induced thermal pain (hot plate test, tail-flick test): D14, p < 0.01 versus control; D21, p < 0.05 versus control; D28, p < 0.001 versus control
PC (300 mg/kg, p.o.) treatment decrease mechanical allodynia induced by oxaliplatin: D28, p < 0.05 versus oxaliplatin
Increased thermal pain reduced after PC treatment: D21, p < 0.05; D28, p < 0.01 versus oxaliplatin
No change in GFAP expression in the spinal cord after oxaliplatin treatment: D28
PC administration decreased the number of Iba1 positive cells increased after oxaliplatin treatment in the spinal cord: D28, 10.00 ± 2.12 (control); 16.67 ± 4.27 (oxaliplatin, p < 0.01 versus control); 11.80 ± 3.11 (PC, p < 0.05 versus oxaliplatin)
Mannelli et al. (2015) [30] SD rat (brain, spinal cord) D0–4, D7–11, D14–18 (15 times)/36 mg/kg (i.p.) Ast. Mic. Oxaliplatin induced cold hyperalgesia (cold plate test): 21.3 ± 0.8 s (control); 11.5 ± 0.6 s (D21, p < 0.01 versus control)
Single PEA (30 mg/kg, i.p.) injection relieved pain for 30–60 min after administration (p < 0.01 versus oxaliplatin)
D0–20 PEA (30 mg/kg/day, i.p.) administration decreased mechanical allodynia about 40% (p < 0.05 versus oxaliplatin)
Oxaliplatin induced mechanical allodynia (von Frey test): 32.1 ± 1.1 g (control), 21.6 ± 1.1 g (D21, p < 0.01 versus control) D0-20 PEA treatment prevented pain threshold alteration by 55% (p < 0.01 versus oxaliplatin)
Oxaliplatin induced mechanical hyperalgesia (paw-pressure test): 69.2 ± 1.7 g (control), 40.5 ± 1.3 g (D21, p < 0.01 versus control); D0-20 PEA treatment, prevented mechanical hyperalgesia by 62% (p < 0.01 versus oxaliplatin)
D0–20 PEA treatment decreased increased expression of GFAP-positive cells by 66% in the dorsal horn of the spinal cord: D21, p < 0.05 versus oxaliplatin. Iba1 expression was not changed after oxaliplatin
In S1, both GFAP and Iba1 positive cell number increased after oxaliplatin: D21, p < 0.05 versus control
D0-20 PEA treatment decreased GFAP and Iba1 positive cell number: D21, p < 0.05 versus oxaliplatin
Deng et al. (2016) [31] Wistar rat (spinal cord) Twice a week (not mentioned)/36 mg/kg (i.p.) Ast. WLT decrease oxaliplatin induced mechanical allodynia (von Frey test, 4 g): D31, 5.00 ± 5.35 (control); 46.25 ± 20.65 (oxaliplatin, p < 0.01 versus control); 16.25 ± 10.61 (WLT, p < 0.05 versus oxaliplatin)
WLT decrease oxaliplatin induced mechanical hyperalgesia (von Frey test, 15g): D31, 18.75 ± 8.35 (control); 60.00 ± 16.04 (oxaliplatin, p < 0.01 versus control); 33.75 ± 15.06 (WLT, p < 0.01 versus oxaliplatin)
GFAP-positive cell density change (IOD) after oxaliplatin and WLT treatment in the spinal dorsal horn: D31, 0.55 ± 0.07 (control); 1.27 ± 0.33 (oxaliplatin, p < 0.01 versus control); 0.61 ± 0.11 (WLT, p < 0.01 versus oxaliplatin)
GFAP-positive cell density change (area μm2) after oxaliplatin and WLT treatment in the spinal dorsal horn: D31, 191.44 ± 171.04 (control); 1366.17 ± 486.86 (oxaliplatin, p < 0.01 versus control); 129.85 ± 54.31 (WLT, p < 0.01 versus oxaliplatin)
Kim et al. (2016) [19] SD rat (spinal cord) D0 (single)/6 mg/kg (i.p.) Ast. Mic. Oxaliplatin induced cold allodynia (TWL, 4 °C): D3–5, p < 0.001 versus control
D0-4 WECC (200, 400 mg/kg, p.o.) administration showed potent analgesic effects: D3–5, p < 0.001 versus oxaliplatin
Coumarin decreased oxaliplatin induced cold allodynia: D3 and 5, p < 0.001; D4, p < 0.01 versus oxaliplatin
GFAP and Iba1 positive cells in spinal cord (laminae I–II) increased after oxaliplatin injection: p < 0.001 versus control
D0–4 WECC (200 mg/kg, p.o.) administration suppressed the change in GFAP and Iba1 positive cells: GFAP (p < 0.001 versus oxaliplatin); Iba1 (p < 0.05 versus oxaliplatin)
Pacini et al. (2016) [32] SD rat (brain, spinal cord) D0–4, D7–11, D14–18 (15 times)/36 mg/kg (i.p.) Ast. Mic. Oxaliplatin induced mechanical hyperalgesia (paw-pressure test): ± 75 g (control); 60.1 ± 2.0 g (D7, p < 0.05 versus control); 47.4 ± 1.2 g (D14, p < 0.01 versus control); 44.6 ± 2.9 g (D21, p < 0.01 versus control); D0-21 RgIA (10 nmol/100 μL, i.m.) injection prevented pain development: D7, p < 0.05; D14 and D21; p < 0.01 versus oxaliplatin
Oxaliplatin induced mechanical allodynia (von Frey test): ± 35 g (control); 20.2 ± 2.3 g (D14, p < 0.01 versus control); 15.0 ± 2.0 g (D21, p < 0.01 versus control); D0–21 RgIA injection increased the threshold (D14 and D21, p < 0.01 versus oxaliplatin)
Oxaliplatin induced cold hyperalgesia (cold plate test): ± 23 s (control); 14.7 ± 0.9 g (D7, p < 0.01 versus control); 15.0 ± 0.6 g (D14, p < 0.01 versus control); 10.7 ± 1.6 g (D21, p < 0.01 versus control); D0–21 RgIA significantly delayed the latency (D7, p < 0.05 versus oxaliplatin; D14 and D21, p < 0.01 versus oxaliplatin group)
No change in spinal expression of Iba1 after oxaliplatin treatment: D21, 40.7 ± 2.7 (control); 37.0 ± 4.4 (NS versus control)
D0–21 RgIA (10 nmol) treatment prevented oxaliplatin-induced GFAP expression increase: 185.1 ± 21.3 (control); 303.0 ± 14.1 (p < 0.05 versus control); 201.3 ± 28.4 (p < 0.05 versus oxaliplatin)
RgIA treated rats showed increase in the density of both Iba1 and GFAP expression in the brain: Cg1, Cg2, M1, M2, S1, S2, GI, VPL, mfb, PAG, CA2/CA3 (p < 0.05 versus control)
Jung et al. (2017) [20] SD rat (spinal cord) D0 (single)/6 mg/kg (i.p.) Ast. Mic. Oxaliplatin induced cold allodynia (TWL, 4 °C): D3, p < 0.05; D5, p < 0.001 versus control
Oxaliplatin induced mechanical hypersensitivity (von Frey test): D3 and D5, p < 0.001 versus control
D0-5 Buja (300 mg/kg, p.o.) administration prevented the development of cold allodynia (D5, p < 0.001 versus oxaliplatin) and mechanical hypersensitivity (D3 and D5, p < 0.001 versus oxaliplatin)
GFAP and Iba1-positive cells increased in the spinal cord after oxaliplatin injection (p < 0.001 versus control)
Buja only suppressed GFAP expressions (p < 0.001), but not Iba1 expression in cells increased by oxaliplatin
Makker et al. (2017) [33] C57BL/6J mice (spinal cord) D0, D2, D4, D6 (4 times)/20 mg/kg (i.p.) Ast. Mic. Oxaliplatin induced mechanical allodynia (von Frey test): D8, p < 0.01 versus control; D13, p < 0.001 versus control; and D16, p < 0.001 versus control
No change of GFAP and Iba1 expression in the spinal cord after oxaliplatin injection: D13
Reduction in P2ry12 + homeostatic microglia in the spinal cord: p < 0.001 versus control
Mannelli et al. (2017) [34] SD rat (BrainSpinal cord) D0–4, D7–11, D14–18 (15 times)/36 mg/kg (i.p.) Ast. Mic. Oxaliplatin induced cold hyperalgesia (cold plate test): 24.1 ± 1.2 s (control); 16.2 ± 0.8 s (oxaliplatin, p < 0.05)
Oxaliplatin induced mechanical allodynia (von Frey test): 23.7 ± 1.2 g (control); 13.8 ± 0.9 g (oxaliplatin, p < 0.05)
Oxaliplatin induced mechanical hyperalgesia (paw-pressure test): 66.5 ± 1.9 g (control); 40.7 ± 1.8 g (oxaliplatin, p < 0.05 versus control)
D0–21 treatment of 50% HA (300 mg/kg, p.o.) attenuated oxaliplatin-induced pain: D21, p < 0.01 versus oxaliplatin
Increased number of GFAP but not Iba1 positive cells in the spinal cord after oxaliplatin injection: D21, p < 0.05 versus control; 50% HA reduced the number of GFAP-positive cells: p < 0.05 versus oxaliplatin
Oxaliplatin increased both GFAP and Iba1 positive cells in the brain: Cg, S1, M1, PAG, and mfb (p < 0.05 versus control)
D0–21 treatment of 50% HA (300 mg/kg, p.o.) reduced the number of the GFAP and Iba1 positive cells except in Cg (Iba1): p < 0.05 versus oxaliplatin
Wang et al. (2017) [35] SD rat (spinal cord) D0–3 (4 times)/20 mg/kg (i.p.) Ast. Oxaliplatin induced mechanical allodynia (von Frey test): D7, p < 0.05 versus control
Oxaliplatin induced thermal pain (hot plate test, tail-flick test): D7, p < 0.05 versus control
Single melatonin (20 mg/kg, i.p.) injection alleviated pain: D1 and D3, p < 0.05 versus oxaliplatin
Enhanced GFAP expression after oxaliplatin treatment: p < 0.05 versus control; hypertrophic with thicker processes
Melatonin (20 mg/kg, i.p.) decreased oxaliplatin-induced upregulation of GFAP expressions: p < 0.05 versus oxaliplatin
Areti et al. (2018) [36] SD rat (spinal cord) Twice a week for 4 weeks (8 times)/32 mg/kg (i.p.) Ast. Oxaliplatin induced cold allodynia (acetone spray test): D14–28, p < 0.001 versus control
Oxaliplatin induced thermal hyperalgesia (hot/cold plate test): D14–28, p < 0.001 versus control
Oxaliplatin induced mechanical hypersensitivity (von Frey test): D14–28, p < 0.001 versus control
D0-28 RA (25 and 50 mg/kg, i.p.) treatment attenuated pain: D21–28, p < 0.001 versus oxaliplatin
Oxaliplatin increased the GFAP expression in the L4-L6 spinal cord: p < 0.001 versus control
D0-28 RA (25 and 50 mg/kg, i.p.) treatment significantly attenuated this increase: p < 0.01 versus oxaliplatin group
Tonkin et al. (2018) [37] C57BL/6J mice (spinal cord) D0, D2, D4, D6 (4 times)/20 mg/kg (i.p.) Ast. Oxaliplatin induced mechanical allodynia (von Frey test, 4g): D13, 2.1 folds; D16, 1.5 folds (p < 0.05 versus control)
Cx43 mimetic (Peptide 5, 20 μM) injection had no effect on response rate: p > 0.05 versus control
A significant increase in Cx43 protein levels in oxaliplatin treated mice:D13, 2.2 folds, p < 0.05 versus control
Wahlman et al. (2018) [38] SD rat & C57BL/6J mice D0–4 (5 times)/10 mg/kg (rats, i.p.), D0–4, D10–14 (10 times)/30 mg/kg (mice, i.p.) Ast. Oxaliplatin induced mechanical allodynia (von Frey test): D11, D17, and D25, p < 0.05 versus control
Oxaliplatin induced mechanical hyperalgesia (paw pressure test): D11, D17, and D25, p < 0.05 versus control
ABT-702 (30 nmol, i.t.) injection prevented these pain signs, but A3AR antagonist injection (MRS1523, 1 nmol, i.t.) blocked the effect: D11, D17, and D25, p < 0.05 versus oxaliplatin
Increased GFAP expression after oxaliplatin treatment in the spinal dorsal horn: D25, p < 0.05 versus control
Increased ADK expression in spinal dorsal horn after oxaliplatin injection: D11 and D25, p < 0.05 versus control
No change in the percentage of ADK+ GFAP (co-localization) expression in the spinal cord: 44.49% ± 5.72 (control); 44.97% ± 12.23 (oxaliplatin, p = 0.95 versus control); but the cellular volume of astrocytes occupied by ADK (ADK+ voxels/GFAP+ voxels) increased: 0.20 ± 0.09 (control); 0.42 ± 0.08 (p < 0.05 versus control)
Increased ADK signal was found in the astrocyte nucleus and cytoplasm in somas that expanded into processes
Hao et al. (2019) [39] SD rat (spinal cord) D0–4, D7–11, D14–18 (15 times)/36 mg/kg (i.p.) Ast. Mic. Oxaliplatin induced cold allodynia (acetone spray test): D7–21, p < 0.01 versus control
Oxaliplatin induced thermal hyperalgesia (hot plate test): D7–21, p < 0.01 versus control
Oxaliplatin induced mechanical allodynia (von Frey test): D7–21, p < 0.01 versus control
Single Huachansu (2.5 g/kg, i.p.) injection alleviated cold allodynia (D21, p < 0.01 versus oxaliplatin), mechanical allodynia (D7, D14, D21, p < 0.01 versus oxaliplatin), and thermal hyperalgesia (D7, D14, D21, p < 0.01 versus oxaliplatin)
D0–19 Huachansu (2.5 g/kg, i.p.) treatment alleviated cold allodynia (D21, p < 0.01 versus oxaliplatin), mechanical allodynia (D21, p < 0.01 versus oxaliplatin), and thermal hyperalgesia (D21, p < 0.01 versus oxaliplatin)
Increased GFAP expression in the spinal cord after oxaliplatin injection: D21, p < 0.001 versus control
Increased Iba1 expression in the spinal cord after oxaliplatin injection: D21, p < 0.001 versus control
D0-19 Huachansu (2.5 g/kg, i.p.) treatment decreased upregulated GFAP expression: p < 0.01 versus oxaliplatin
Huachansu failed to block the activation of Iba1 positive cells: p > 0.01 versus oxaliplatin
Saika et al. (2019) [40] Transgenic mice (spinal cord) D0, D2, D4, D6 (4 times)/20 mg/kg (i.p.) Mic. Oxaliplatin-induced mechanical allodynia (von Frey test)
Single CNO (10 mg/kg, i.p.) injection did not prevent pain development in male and female CX3CR1-hM4Di mice
HA-hM4Di was highly expressed in the SDH of CX3CR1-hM4Di mice
In CX3CR1-hM4Di mice, HA-hM4Di overlapped with Iba1

Abbreviations: A3AR: A3 adenosine receptor, ABT-702: ABT 702 hydrochloride; 5-(3-Bromophenyl)-7-[6-(4-morpholinyl)-3-pyrido[2,3-d]byrimidin-4-amine hydrochloride, ACC: anterior cingulate cortex, ADK: adenosine kinase, Ast.: astrocytes, CA2: cornu ammonis 2 of hippocampus, CA3: cornu ammonis 3 of hippocampus, CNO: clozapine N-oxide, Cg1: cyngulate cortex area 1, Cg2: cyngulate cortex area 2, CX3CR1-hM4Di: CX3C chemokine receptor 1-human Gi coupled M4 muscarinic receptors, Cx43: connexin43, DL-PAG: dorsolateral periaqueductal grey, DH: dorsal horn, DRG: dorsal root ganglion, GBT: Gyejigachulbu-tang, GFAP: glial fibrillary acidic protein, GI: granular insular cortex, HA: 50% hydroalcoholic 50% extracts of Astragali radix, HA-hM4Di: Hemagglutinin A-human Gi coupled M4 muscarinic receptors Iba1: Ionized calcium binding adaptor molecule 1, IOD: integral optical density, i.p.: intraperitoneal, LPS: lipopolysaccharide, M1: primary motorcortex, M2: secondary motor cortex, Mic.: microglia, mfb: medial forebrain bundle, α7 nAChR: α7 nicotinic acetylcholine receptor, NRM: nucleus raphe magnus, mfb: medial forebrain bundle, NS: non-significant, OX-42: oxycocin-42, p2ry12: purinergic receptor P2Y12, PAG: periaqueductal grey, PC: phosphatidylcholine, PEA: N-Palmitoylethanolamine, (R)-ICH3: (R)-(−)-3-methoxy-1-oxa-2,7-diaza-7,10-ethanospiro[4.5]dec-2-ene sesquifumarate, RA: Rosmarinic acid, S1: primary somatosensory cortex, S2: secondary somatosensory cortex, SD rat: Sprague–Dawley rat, SGCs: satellite glial cells, TWL: tail withdrawal latency, VH: ventral horn, VL-PAG: ventrolateral periaqueductal grey, VPL: ventral posterolateral thalamic nucleus, WECC: water extract of cinnamomi cortex, WLT: Wen-luo-tong.