PT - JOURNAL ARTICLE AU - Alexandre G. Maganin AU - Guilherme R. Souza AU - Miriam D. Fonseca AU - Alexandre H. Lopes AU - Rafaela M. Guimarães AU - André Dagostin AU - Nerry T. Cecilio AU - Atlante S. Mendes AU - Francisco I. Gomes AU - Lucas M. Marques AU - Rangel L Silva AU - Leticia M. Arruda AU - Denis A. Santana AU - Henrique Lemos AU - Lei Huang AU - Marcela Davoli-Ferreira AU - Danielle S. Coelho AU - Morena B. Sant’anna AU - Ricardo Kusuda AU - Jhimmy Talbot AU - Gabriela Pacholczyk AU - Gabriela A. Buqui AU - Norberto P. Lopes AU - Jose C. Alves-Filho AU - Ricardo Leão AU - Jason C. O’Connor AU - Fernando Q. Cunha AU - Andrew Mellor AU - Thiago M. Cunha TI - Meningeal dendritic cells-astrocytes interactions elevate the kynurenine metabolic pathway to sustain neuropathic pain AID - 10.1101/2021.01.25.428142 DP - 2021 Jan 01 TA - bioRxiv PG - 2021.01.25.428142 4099 - http://biorxiv.org/content/early/2021/03/10/2021.01.25.428142.short 4100 - http://biorxiv.org/content/early/2021/03/10/2021.01.25.428142.full AB - Neuropathic pain is triggered by injury to the somatosensory system, and is one of the most important types of chronic pain. Nevertheless, critical pathophysiological mechanisms that maintain neuropathic pain are poorly understood. Here, we show that neuropathic pain is abrogated when the kynurenine metabolic pathway (KYNPATH) initiated by the enzyme indoleamine 2,3-dioxygenase (IDO) is ablated pharmacologically or genetically. Mechanistically, it was found that IDO upregulation in dendritic cells that accumulate in the dorsal root leptomeninges led to increased levels of kynurenine (Kyn) in the spinal cord, where Kyn is metabolized by astrocytes-expressed kynurenine-3-monooxygenase into a pro-nociceptive metabolite 3-hydroxykynurenine. In conclusion, these data reveal a novel role for KYNPATH as an important factor maintaining neuropathic pain during neuroimmune-glia cells interactions. This novel paradigm offers potential new targets for drug development against this type of chronic pain.Competing Interest StatementThe authors have declared no competing interest.