# Investigating the role of osteoarthritic pain and inflammation in autonomic nervous system shifts using preclinical models

> **NIH NIH F31** · UNIVERSITY OF FLORIDA · 2021 · $40,735

## Abstract

Project Summary/Abstract
 Osteoarthritis (OA) is a prevalent musculoskeletal disease characterized by local, low-grade inflammation in
the affected joints. Inflammation in OA modulates both local and higher-order neuroplasticity through decreased
innervation in the inflamed synovium and lowered thresholds of dorsal horn neurons, respectively. Dysregulation
of the autonomic nervous system (ANS) has been considered in the initiation and progression of other
inflammatory and chronic pain disorders such as rheumatoid arthritis, but has not been explored in OA. However,
my preliminary data demonstrate widespread ANS dysregulation in a surgical rat knee OA model 8-10 weeks
after initiation. Unfortunately, autonomic dysfunction related to the pathophysiologic and symptomatic
progression of knee OA is not well understood.
 Pain is the cardinal symptom of OA. In early stages of the disease, pain arises with use of the joint, indicating
a nociceptive component. In naïve animals, nociceptive afferent feedback from the periphery interacts bi-
directionally with the ANS. For example, stimulation of the nucleus tractus solitaries inhibits nociceptive signal
transmission while nociceptive feedback attenuates the parasympathetic nervous system by damping vagal
activity. However, these autonomic-nociceptive relationships have not been explored in the knee joint.
 To address these gaps, the central goal of this proposal is to close the gap between nociception at the knee
and vagal nerve activation and to investigate the role of nociception and the ANS in symptomatic and
pathophysiologic progression of OA. In Aim 1, I the joint-brain axis will be investigated by quantifying vagal nerve
response to acute nociceptive knee stimulations. In Aim 2, shifts in vagal nerve response due to chronic
progression of OA pain and inflammation in the rat will be quantified. This expands on Aim 1 to correlate pain-
related gait compensations and pathologic joint damage to shifts in vagal nerve responses. Because OA is a
heterogeneous disease with varied mechanisms of onset and severity of symptoms, two models of OA will be
investigated. This research is significant and innovative because it will provide the first quantitative evidence of
parasympathetic changes in rodent models of OA. Specifically, vagal output in response to nociceptive sensory
stimuli will be quantified to establish the presence of the autonomic joint-brain axis. Shifts in these responses
will be assessed alongside pain-related behavioral changes in rodent models of OA to evidence a role for the
autonomic nervous system in OA symptomatic progression. This proposal will utilize specialized quantitative
techniques to understand novel mechanisms contributing to OA pain and disability, thereby becoming among
the first studies to elucidate the role of the ANS in OA pathogenesis and OA symptom progression.

## Key facts

- **NIH application ID:** 10240289
- **Project number:** 5F31AR077996-02
- **Recipient organization:** UNIVERSITY OF FLORIDA
- **Principal Investigator:** Taylor Yeater
- **Activity code:** F31 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $40,735
- **Award type:** 5
- **Project period:** 2020-08-16 → 2022-08-15

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10240289

## Citation

> US National Institutes of Health, RePORTER application 10240289, Investigating the role of osteoarthritic pain and inflammation in autonomic nervous system shifts using preclinical models (5F31AR077996-02). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/10240289. Licensed CC0.

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