Sex Differences in Pain with Emphasis on Neuroimmune Interactions

  • Chapter
  • First Online:
Neuroimmune Interactions in Pain
  • 536 Accesses

Abstract

To date, the mechanisms underlying how neuroimmune interactions contribute to sex dimorphism of chronic pain remain elusive. Although women suffer from chronic pain at greater rates than men, the current mechanistic understanding of chronic pain has been predominantly derived from the study of male animals. As such, a greater emphasis will be needed to investigate female-specific signaling mechanisms in chronic pain. These efforts will improve our understanding of sex dimorphism in chronic pain and improve the ability of pain medicine address specific patient backgrounds in the future. In this chapter, we will discuss pain-related sex differences in neural, immune, and glial mechanisms, with a focus on sex dimorphism in neuroimmune interactions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Free ship** worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Agalave NM, Mody PH, Szabo-Pardi TA, Jeong HS, Burton MD. Neuroimmune consequences of eIF4E phosphorylation on chemotherapy-induced peripheral neuropathy. Front Immunol. 2021a;12:642420.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Agalave NM, Rudjito R, Farinotti AB, Khoonsari PE, Sandor K, Nomura Y, Szabo-Pardi TA, Urbina CM, Palada V, Price TJ, Erlandsson Harris H, Burton MD, Kultima K, Svensson CI. Sex-dependent role of microglia in disulfide high mobility group box 1 protein-mediated mechanical hypersensitivity. Pain. 2021b;162(2):446–58.

    Article  CAS  PubMed  Google Scholar 

  • Avona A, Burgos-Vega C, Burton MD, Akopian AN, Price TJ, Dussor G. Dural calcitonin gene-related peptide produces female-specific responses in rodent migraine models. J Neurosci. 2019;39(22):4323–31.

    Article  PubMed  PubMed Central  Google Scholar 

  • Beery AK, Zucker I. Sex bias in neuroscience and biomedical research. Neurosci Biobehav Rev. 2011;35(3):565–72.

    Google Scholar 

  • Berta T, Park CK, Xu ZZ, **e RG, Liu T, Lü N, Liu YC, Ji RR. Extracellular caspase-6 drives murine inflammatory pain via microglial TNF-α secretion. J Clin Invest. 2014;124(3):1173–86.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Berta T, Qadri YJ, Chen G, Ji RR. Microglial signaling in chronic pain with a special focus on caspase 6, p38 MAP kinase, and sex dependence. J Dent Res. 2016;95(10):1124–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chen MJ, Kress B, Han X, Moll K, Peng W, Ji RR, Nedergaard M. Astrocytic CX43 hemichannels and gap junctions play a crucial role in development of chronic neuropathic pain following spinal cord injury. Glia. 2012;60(11):1660–70.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chen G, Luo X, Qadri MY, Berta T, Ji RR. Sex-dependent glial signaling in pathological pain: distinct roles of spinal microglia and astrocytes. Neurosci Bull. 2018a;34(1):98–108.

    Article  CAS  PubMed  Google Scholar 

  • Chen G, Zhang YQ, Qadri YJ, Serhan CN, Ji RR. Microglia in pain: detrimental and protective roles in pathogenesis and resolution of pain. Neuron. 2018b;100(6):1292–311.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chen O, Donnelly CR, Ji RR. Regulation of pain by neuro-immune interactions between macrophages and nociceptor sensory neurons. Curr Opin Neurobiol. 2020a;62:17–25.

    Article  CAS  PubMed  Google Scholar 

  • Chen Y, Moutal A, Navratilova E, Kopruszinski C, Yue X, Ikegami M, Chow M, Kanazawa I, Bellampalli SS, **e J, Patwardhan A, Rice K, Fields H, Akopian A, Neugebauer V, Dodick D, Khanna R, Porreca F. The prolactin receptor long isoform regulates nociceptor sensitization and opioid-induced hyperalgesia selectively in females. Sci Transl Med. 2020b;12(529):eaay7550.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chitu V, Gokhan Ş, Nandi S, Mehler MF, Stanley ER. Emerging roles for CSF-1 receptor and its ligands in the nervous system. Trends Neurosci. 2016;39(6):378–93.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chiu IM, von Hehn CA, Woolf CJ. Neurogenic inflammation and the peripheral nervous system in host defense and immunopathology. Nat Neurosci. 2012;15(8):1063–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Coull JA, Beggs S, Boudreau D, Boivin D, Tsuda M, Inoue K, Gravel C, Salter MW, De Koninck Y. BDNF from microglia causes the shift in neuronal anion gradient underlying neuropathic pain. Nature. 2005;438(7070):1017–21.

    Article  CAS  PubMed  Google Scholar 

  • Dahlhamer J, Lucas J, Zelaya C, Nahin R, Mackey S, DeBar L, Kerns R, Von Korff M, Porter L, Helmick C. Prevalence of chronic pain and high-impact chronic pain among adults – United States, 2016. Morb Mortal Wkly Rep. 2016;67(36):1001–6.

    Article  Google Scholar 

  • Diogenes A, Patwardhan AM, Jeske NA, Ruparel NB, Goffin V, Akopian AN, Hargreaves KM. Prolactin modulates TRPV1 in female rat trigeminal sensory neurons. J Neurosci. 2006;26(31):8126–36.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Doyle HH, Eidson LN, Sinkiewicz DM, Murphy AZ. Sex differences in microglia activity within the periaqueductal gray of the rat: a potential mechanism driving the dimorphic effects of morphine. J Neurosci. 2017;37(12):3202–14.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fernandez-Zafra T, Gao T, Jurczak A, Sandor K, Hore Z, Agalave NM, Su J, Estelius J, Lampa J, Hokfelt T, Wiesenfeld-Hallin Z, Xu X, Denk F, Svensson CI. Exploring the transcriptome of resident spinal microglia after collagen antibody-induced arthritis. Pain. 2019;160(1):224–36.

    Article  CAS  PubMed  Google Scholar 

  • Fillingim RB, King CD, Ribeiro-Dasilva MC, Rahim-Williams B, Riley JL 3rd. Sex, gender, and pain: a review of recent clinical and experimental findings. J Pain. 2009;10(5):447–85.

    Article  PubMed  PubMed Central  Google Scholar 

  • Frot M, Feine JS, Bushnell CM. Sex differences in pain perception and anxiety. A psychophysical study with topical capsaicin. Pain 2004;08(3):230–36.

    Google Scholar 

  • Gaffen SL, Jain R, Garg AV, Cua DJ. The IL-23-IL-17 immune axis: from mechanisms to therapeutic testing. Nat Rev Immunol. 2014;14(9):585–600.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gazerani P, Andersen OK, Arendt-Nielsen L. A human experimental capsaicin model for trigeminal sensitization. Gender-specific differences. Pain 2005;118(1–2):155–63.

    Google Scholar 

  • Grace PM, Hutchinson MR, Maier SF, Watkins LR. Pathological pain and the neuroimmune interface. Nat Rev Immunol. 2014;14(4):217–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Grace PM, Wang X, Strand KA, Baratta MV, Zhang Y, Galer EL, Yin H, Maier SF, Watkins LR. DREADDed microglia in pain: implications for spinal inflammatory signaling in male rats. Exp Neurol. 2018;304:125–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Guan Z, Kuhn JA, Wang X, Colquitt B, Solorzano C, Vaman S, Guan AK, Evans-Reinsch Z, Braz J, Devor M, Abboud-Werner SL, Lanier LL, Lomvardas S, Basbaum AI. Injured sensory neuron-derived CSF1 induces microglial proliferation and DAP12-dependent pain. Nat Neurosci. 2016;19(1):94–101.

    Article  CAS  PubMed  Google Scholar 

  • Guo TZ, Shi X, Li WW, Wei T, Clark JD, Kingery WS. Sex differences in the temporal development of pronociceptive immune responses in the tibia fracture mouse model. Pain. 2019;160(9):2013–27.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gutierrez S, Hayashida K, Eisenach JC. The puerperium alters spinal cord plasticity following peripheral nerve injury. Neuroscience. 2013;228:301–8.

    Article  CAS  PubMed  Google Scholar 

  • Hains BC, Waxman SG. Activated microglia contribute to the maintenance of chronic pain after spinal cord injury. J Neurosci. 2006;26(16):4308–17.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hartmann EM, Handwerker HO, Forster C. Gender differences in itch and pain-related sensations provoked by histamine, cowhage and capsaicin. Acta Derm Venereol. 2015;95(1):25–30. doi: https://doi.org/10.2340/00015555-1894. PMID: 24819823.

  • Huck NA, Siliezar-Doyle J, Haight ES, Ishida R, Forman TE, Wu S, Shen H, Takemura Y, Clark JD, Tawfik VL. Temporal contribution of myeloid-lineage TLR4 to the transition to chronic pain: a focus on sex differences. J Neurosci. 2021;41(19):4349–65.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Inoue K, Tsuda M. Microglia in neuropathic pain: cellular and molecular mechanisms and therapeutic potential. Nat Rev Neurosci. 2018;19(3):138–52.

    Article  CAS  PubMed  Google Scholar 

  • Ji RR, Suter MR. p38 MAPK, microglial signaling, and neuropathic pain. Mol Pain. 2007;3:33.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ji RR, Berta T, Nedergaard M. Glia and pain: is chronic pain a gliopathy? Pain. 2013;154(Suppl 1(01)):S10–28.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ji RR, Chamessian A, Zhang YQ. Pain regulation by non-neuronal cells and inflammation. Science. 2016;354(6312):572–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ji RR, Donnelly CR, Nedergaard M. Astrocytes in chronic pain and itch. Nat Rev Neurosci. 2019;20(11):667–85.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ji J, He Q, Luo X, Bang S, Matsuoka Y, McGinnis A, Nackley AG, Ji RR. IL-23 Enhances C-Fiber-Mediated and Blue Light-Induced Spontaneous Pain in Female Mice. Front Immunol. 2021;12:787565.

    Google Scholar 

  • Krieg AM. CpG motifs in bacterial DNA and their immune effects. Annu Rev Immunol. 2002;20:709–60.

    Article  CAS  PubMed  Google Scholar 

  • Langley PC. The prevalence, correlates and treatment of pain in the European Union. Curr Med Res Opin. 2011;27(2):463–80.

    Article  CAS  PubMed  Google Scholar 

  • Lopes DM, Malek N, Edye M, Jager SB, McMurray S, McMahon SB, Denk F. Sex differences in peripheral not central immune responses to pain-inducing injury. Sci Rep. 2017;7(1):16460.

    Article  PubMed  PubMed Central  Google Scholar 

  • Luo X, Fitzsimmons B, Mohan A, Zhang L, Terrando N, Kordasiewicz H, Ji RR. Intrathecal administration of antisense oligonucleotide against p38α but not p38β MAP kinase isoform reduces neuropathic and postoperative pain and TLR4-induced pain in male mice. Brain Behav Immun. 2018;72:34–44.

    Article  CAS  PubMed  Google Scholar 

  • Luo X, Huh Y, Bang S, He Q, Zhang L, Matsuda M, Ji RR. Macrophage toll-like receptor 9 contributes to chemotherapy-induced neuropathic pain in male mice. J Neurosci. 2019;39(35):6848–64.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Luo X, Chen O, Wang Z, Bang S, Ji J, Lee SH, Huh Y, Furutani K, He Q, Tao X, Ko MC, Bortsov A, Donnelly CR, Chen Y, Nackley A, Berta T, Ji RR. IL-23/IL-17A/TRPV1 axis produces mechanical pain via macrophage-sensory neuron crosstalk in female mice. Neuron. 2021;109(17):2691–2706.e5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Maduna T, Audouard E, Dembélé D, Mouzaoui N, Reiss D, Massotte D, Gaveriaux-Ruff C. Microglia express mu opioid receptor: insights from transcriptomics and fluorescent reporter mice. Front Psych. 2019;9:726.

    Article  Google Scholar 

  • Maixner W, Humphrey C. Gender differences in pain and cardiovascular responses to forearm ischemia. Clin J Pain. 1993;9(1):16–25.

    Article  CAS  PubMed  Google Scholar 

  • Mapplebeck JCS, Dalgarno R, Tu Y, Moriarty O, Beggs S, Kwok CHT, Halievski K, Assi S, Mogil JS, Trang T, Salter MW. Microglial P2X4R-evoked pain hypersensitivity is sexually dimorphic in rats. Pain. 2018;159(9):1752–63.

    Article  CAS  PubMed  Google Scholar 

  • Masuda T, Sankowski R, Staszewski O, Böttcher C, Amann L, Sagar SC, Nessler S, Kunz P, van Loo G, Coenen VA, Reinacher PC, Michel A, Sure U, Gold R, Grün D, Priller J, Stadelmann C, Prinz M. Spatial and temporal heterogeneity of mouse and human microglia at single-cell resolution. Nature. 2019;566(7744):388–92.

    Article  CAS  PubMed  Google Scholar 

  • Mogil JS. Sex differences in pain and pain inhibition: multiple explanations of a controversial phenomenon. Nat Rev Neurosci. 2012;13(12):859–66. doi: https://doi.org/10.1038/nrn3360. PMID: 23165262.

  • Mogil JS. Qualitative sex differences in pain processing: emerging evidence of a biased literature. Nat Rev Neurosci. 2020;21(7):353–65.

    Article  CAS  PubMed  Google Scholar 

  • Mogil JS. Sex differences in pain and pain inhibition: multiple explanations of a controversial phenomenon. Nat Rev Neurosci. 2021;13(12):859–66.

    Article  Google Scholar 

  • Moriarty O, Tu Y, Sengar AS, Salter MW, Beggs S, Walker SM. Priming of adult incision response by early-life injury: neonatal microglial inhibition has persistent but sexually dimorphic effects in adult rats. J Neurosci. 2019;39(16):3081–93.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Navratilova E, Fillingim RB, Porreca F. Sexual dimorphism in functional pain syndromes. Sci Transl Med. 2021;13(619):eabj7180.

    Article  CAS  PubMed  Google Scholar 

  • Paige C, Maruthy GB, Mejia G, Dussor G, Price T. Spinal inhibition of P2XR or p38 signaling disrupts Hyperalgesic priming in male, but not female, mice. Neuroscience. 2018;385:133–42.

    Article  CAS  PubMed  Google Scholar 

  • Patil MJ, Ruparel SB, Henry MA, Akopian AN. Prolactin regulates TRPV1, TRPA1, and TRPM8 in sensory neurons in a sex-dependent manner: contribution of prolactin receptor to inflammatory pain. Am J Physiol Endocrinol Metab. 2013;305(9):E1154–64.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Patil M, Belugin S, Mecklenburg J, Wangzhou A, Paige C, Barba-Escobedo PA, Boyd JT, Goffin V, Grattan D, Boehm U, Dussor G, Price TJ, Akopian AN. Prolactin regulates pain responses via a female-selective nociceptor-specific mechanism, vol. iScience 20; 2019. p. 449–65.

    Google Scholar 

  • Payrits M, Sághy É, Cseko K, Pohóczky K, Bölcskei K, Ernszt D, Barabás K, Szolcsányi J, Ábrahám IM, Helyes Z, Szoke É. Estradiol sensitizes the transient receptor potential Vanilloid 1 receptor in pain responses. Endocrinology. 2017;158(10):3249–58.

    Article  CAS  PubMed  Google Scholar 

  • Posillico CK, Terasaki LS, Bilbo SD, Schwarz JM. Examination of sex and minocycline treatment on acute morphine-induced analgesia and inflammatory gene expression along the pain pathway in Sprague-Dawley rats. Biol Sex Differ. 2015;6:33.

    Article  PubMed  PubMed Central  Google Scholar 

  • Reiss D, Maduna T, Maurin H, Audouard E, Gaveriaux-Ruff C. Mu opioid receptor in microglia contributes to morphine analgesic tolerance, hyperalgesia, and withdrawal in mice. J Neurosci Res. 2022;100(1):203–19.

    Article  CAS  PubMed  Google Scholar 

  • Rosen S, Ham B, Mogil JS. Sex differences in neuroimmunity and pain. J Neurosci Res. 2017;95(1–2):500–8.

    Article  CAS  PubMed  Google Scholar 

  • Rosen SF, Ham B, Haichin M, Walters IC, Tohyama S, Sotocinal SG, Mogil JS. Increased pain sensitivity and decreased opioid analgesia in T-cell-deficient mice and implications for sex differences. Pain. 2019;160(2):358–66.

    Article  CAS  PubMed  Google Scholar 

  • Rudjito R, Agalave NM, Farinotti AB, Lundbäck P, Szabo-Pardi TA, Price TJ, Harris HE, Burton MD, Svensson CI. Sex- and cell-dependent contribution of peripheral high mobility group box 1 and TLR4 in arthritis-induced pain. Pain. 2021;162(2):459–70.

    Article  CAS  PubMed  Google Scholar 

  • Salter MW, Stevens B. Microglia emerge as central players in brain disease. Nat Med. 2017;23(9):1018–27.

    Google Scholar 

  • Saika F, Matsuzaki S, Kobayashi D, Ideguchi Y, Nakamura TY, Kishioka S, Kiguchi N. Chemogenetic regulation of CX3CR1-expressing microglia using Gi-DREADD exerts sex-dependent anti-allodynic effects in mouse models of neuropathic pain. Front Pharmacol. 2020;11:925.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shupler MS, Kramer JK, Cragg JJ, Jutzeler CR, Whitehurst DGT. Pan-Canadian estimates of chronic pain prevalence from 2000 to 2014: a repeated cross-sectional survey analysis. J Pain. 2019;20(5):557–65.

    Article  PubMed  Google Scholar 

  • Sorge RE, Totsch SK. Sex Differences in Pain. J Neurosci Res. 2017;95(6):1271–81.

    Google Scholar 

  • Sorge RE, Strath LJ. Sex differences in pain responses. Curr Opin Physio. 2018;6:75–81.

    Article  Google Scholar 

  • Sorge RE, LaCroix-Fralish ML, Tuttle AH, Sotocinal SG, Austin JS, Ritchie J, Chanda ML, Graham AC, Topham L, Beggs S, Salter MW, Mogil JS. Spinal cord toll-like receptor 4 mediates inflammatory and neuropathic hypersensitivity in male but not female mice. J Neurosci. 2011;31(43):15450–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sorge RE, Mapplebeck JC, Rosen S, Beggs S, Taves S, Alexander JK, Martin LJ, Austin JS, Sotocinal SG, Chen D, Yang M, Shi XQ, Huang H, Pillon NJ, Bilan PJ, Tu Y, Klip A, Ji RR, Zhang J, Salter MW, Mogil JS. Different immune cells mediate mechanical pain hypersensitivity in male and female mice. Nat Neurosci. 2015;18(8):1081–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sweitzer SM, Schubert P, DeLeo JA. Propentofylline, a glial modulating agent, exhibits antiallodynic properties in a rat model of neuropathic pain. J Pharmacol Exp Ther. 2001;297(3):1210–7.

    CAS  PubMed  Google Scholar 

  • Tavares-Ferreira D, Ray PR, Sankaranarayanan I, Mejia GL, Wangzhou A, Shiers S, Uttarkar R, Megat S, Barragan-Iglesias P, Dussor G, Akopian AN, Price TJ. Sex differences in nociceptor translatomes contribute to divergent prostaglandin signaling in male and female mice. Biol Psychiat. 2022;91(1):129–40.

    Article  CAS  PubMed  Google Scholar 

  • Taves S, Berta T, Liu DL, Gan S, Chen G, Kim YH, Van de Ven T, Laufer S, Ji RR. Spinal inhibition of p38 MAP kinase reduces inflammatory and neuropathic pain in male but not female mice: sex-dependent microglial signaling in the spinal cord. Brain Behav Immun. 2016;55:70–81.

    Article  CAS  PubMed  Google Scholar 

  • Ueda H, Dozono N, Tanaka K, Kaneko S, Neyama H, Uchida H. Allodynia by splenocytes from mice with acid-induced fibromyalgia-like generalized pain and its sexual dimorphic regulation by brain microglia. Front Neurosci. 2020;14:600166.

    Article  PubMed  PubMed Central  Google Scholar 

  • Unruh AM. Gender variations in clinical pain experience. Pain. 1996;65(2–3):123–67.

    Google Scholar 

  • Vacca V, Marinelli S, De Angelis F, Angelini DF, Piras E, Battistini L, Pavone F, Coccurello R. Sexually dimorphic immune and Neuroimmune changes following peripheral nerve injury in mice: novel insights for gender medicine. Int J Mol Sci. 2021;22(9):4397.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Warwick CA, Shutov LP, Shepherd AJ, Mohapatra DP, Usachev YM. Mechanisms underlying mechanical sensitization induced by complement C5a: the roles of macrophages, TRPV1, and CGRP receptors. Pain. 2019;160(3):702–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wu A, Dong W, Liu S, Cheung JPY, Kwan KYH, Zeng X, Zhang K, Sun Z, Wang X, Cheung KMC, Zhou M, Zhao J. The prevalence and years lived with disability caused by low back pain in China, 1990 to 2016: findings from the global burden of disease study 2016. Pain. 2019;160(1):237–45.

    Article  PubMed  Google Scholar 

  • Xu ZZ, Berta T, Ji RR. Resolvin E1 inhibits neuropathic pain and spinal cord microglial activation following peripheral nerve injury. J Neuroimmune Pharmacol. 2013;8(1):37–41.

    Article  PubMed  Google Scholar 

  • Xu B, Mo C, Lv C, Liu S, Li J, Chen J, Wei Y, An H, Ma L, Guan X. Post-surgical inhibition of phosphatidylinositol 3-kinase attenuates the plantar incision-induced postoperative pain behavior via spinal Akt activation in male mice. BMC Neurosci. 2019;20(1):36.

    Article  PubMed  PubMed Central  Google Scholar 

  • Yamagata K, Sugimura M, Yoshida M, Sekine S, Kawano A, Oyamaguchi A, Maegawa H, Niwa H. Estrogens exacerbate nociceptive pain via up-regulation of TRPV1 and ANO1 in trigeminal primary neurons of female rats. Endocrinology. 2016;157(11):4309–17.

    Article  CAS  PubMed  Google Scholar 

  • Yang Y, Li H, Li TT, Luo H, Gu XY, Lü N, Ji RR, Zhang YQ. Delayed activation of spinal microglia contributes to the maintenance of bone cancer pain in female Wistar rats via P2X7 receptor and IL-18. J Neurosci. 2015;35(20):7950–63.

    Article  CAS  PubMed  Google Scholar 

  • Yu X, Liu H, Hamel KA, Morvan MG, Yu S, Leff J, Guan Z, Braz JM, Basbaum AI. Dorsal root ganglion macrophages contribute to both the initiation and persistence of neuropathic pain. Nat Commun. 2020;11(1):264.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Luo, X., Ji, J., Ji, RR. (2023). Sex Differences in Pain with Emphasis on Neuroimmune Interactions. In: Ji, RR., Cheng, J., Ji, J. (eds) Neuroimmune Interactions in Pain . Springer, Cham. https://doi.org/10.1007/978-3-031-29231-6_6

Download citation

Publish with us

Policies and ethics

Navigation