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敲低脊髓代谢型谷氨酸受体1(mGluR(1))可减轻大鼠神经损伤后的疼痛并恢复阿片类药物的疗效。

Knockdown of spinal metabotropic glutamate receptor 1 (mGluR(1)) alleviates pain and restores opioid efficacy after nerve injury in rats.

作者信息

Fundytus M E, Yashpal K, Chabot J G, Osborne M G, Lefebvre C D, Dray A, Henry J L, Coderre T J

机构信息

Department of Physiology, McGill University, Montreal, Quebec, Canada.

出版信息

Br J Pharmacol. 2001 Jan;132(1):354-67. doi: 10.1038/sj.bjp.0703810.

Abstract
  1. Nerve injury often produces long-lasting spontaneous pain, hyperalgesia and allodynia that are refractory to treatment, being only partially relieved by clinical analgesics, and often insensitive to morphine. With the aim of assessing its therapeutic potential, we examined the effect of antisense oligonucleotide knockdown of spinal metabotropic glutamate receptor 1 (mGluR(1)) in neuropathic rats. 2. We chronically infused rats intrathecally with either vehicle, or 50 microg day(-1) antisense or missense oligonucleotides beginning either 3 days prior to or 5 days after nerve injury. Cold, heat and mechanical sensitivity was assessed prior to any treatment and again every few days after nerve injury. 3. Here we show that knockdown of mGluR(1) significantly reduces cold hyperalgesia, heat hyperalgesia and mechanical allodynia in the ipsilateral (injured) hindpaw of neuropathic rats. 4. Moreover, we show that morphine analgesia is reduced in neuropathic rats, but not in sham-operated rats, and that knockdown of mGluR(1) restores the analgesic efficacy of morphine. 5. We also show that neuropathic rats are more sensitive to the excitatory effects of intrathecally injected N-methyl-D-aspartate (NMDA), and have elevated protein kinase C (PKC) activity in the spinal cord dorsal horn, two effects that are reversed by knockdown of mGluR(1). 6. These results suggest that activity at mGluR(1) contributes to neuropathic pain through interactions with spinal NMDA receptors and PKC, and that knockdown of mGluR(1) may be a useful therapy for neuropathic pain in humans, both to alleviate pain directly, and as an adjunct to opioid analgesic treatment.
摘要
  1. 神经损伤常产生持久的自发痛、痛觉过敏和异常性疼痛,这些症状难以治疗,临床镇痛药只能部分缓解,且通常对吗啡不敏感。为评估其治疗潜力,我们研究了脊髓代谢型谷氨酸受体1(mGluR(1))反义寡核苷酸敲低对神经病变大鼠的影响。2. 我们从神经损伤前3天或损伤后5天开始,向大鼠鞘内长期注入溶剂、50微克/天(-1)的反义或错义寡核苷酸。在任何治疗前评估冷、热和机械敏感性,神经损伤后每隔几天再次评估。3. 在此我们表明,敲低mGluR(1)可显著降低神经病变大鼠同侧(损伤)后爪的冷痛觉过敏、热痛觉过敏和机械性异常性疼痛。4. 此外,我们表明神经病变大鼠的吗啡镇痛作用减弱,但假手术大鼠未出现这种情况,并且敲低mGluR(1)可恢复吗啡的镇痛效果。5. 我们还表明,神经病变大鼠对鞘内注射N-甲基-D-天冬氨酸(NMDA)的兴奋作用更敏感,且脊髓背角蛋白激酶C(PKC)活性升高,这两种作用可被敲低mGluR(1)逆转。6. 这些结果表明,mGluR(1)的活性通过与脊髓NMDA受体和PKC相互作用导致神经病理性疼痛,敲低mGluR(1)可能是治疗人类神经病理性疼痛的有效方法,既能直接减轻疼痛,又可作为阿片类镇痛药治疗的辅助手段。

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