Kim Ji Hoon, Min Byung-Il, Na Heung Sik, Park Dong Suk
Department of East-West Medicine, Graduate School, Kyung Hee University, Seoul, South Korea.
Brain Res. 2004 Feb 20;998(2):230-6. doi: 10.1016/j.brainres.2003.11.045.
The relieving effects of electroacupuncture (EA) on mechanical allodynia and its mechanism related to the spinal opioid system were investigated in a rat model of neuropathic pain. To produce neuropathic pain in the tail, the right superior caudal trunk was resected between the S1 and S2 spinal nerves. Two weeks after the surgery, EA stimulation (2 or 100 Hz, 0.3 ms, 0.2-0.3 mA) was delivered to Zusanli (ST36) for 30 min. The degree of mechanical allodynia was evaluated quantitatively by touching the tail with von Frey hair (2.0 g) at 10 min intervals. These rats were then subjected to an i.t. injection with one of the three specific opioid agonists in successive ways: the mu agonist (DAMGO 25, 50 and 100 pmol), the delta agonist (DADELT II 0.5, 1 and 2 nmol), and the kappa agonist (U50488H 5, 10 and 20 nmol) separated by 10 min in cumulative doses. During 30 min of EA stimulation, specific opioid antagonists were subjected to i.t. injection: the mu antagonist (beta-FNA 5, 10 and 20 nmol), the delta antagonist (naltrindole 5, 10 and 20 nmol), and the kappa antagonist (nor-BNI 3, 6 and 12 nmol) separated by 10 min in cumulative doses. As a result, EA reduced the behavioral signs of mechanical allodynia. Two Hz EA induced a robust and longer lasting effect than 100 Hz. All three opioid agonists also showed relieving effects on mechanical allodynia. However, nor-BNI could not block the EA effects on mechanical allodynia, whereas beta-FNA or naltrindole significantly blocked EA effects. These results suggest that the mu and delta, but not kappa, opioid receptors in the spinal cord of the rat, play important roles in mediating relieving effects on mechanical allodynia induced by 2 Hz EA.
在大鼠神经性疼痛模型中,研究了电针(EA)对机械性异常性疼痛的缓解作用及其与脊髓阿片系统相关的机制。为了在尾部产生神经性疼痛,在S1和S2脊神经之间切除右侧尾上干。手术后两周,将EA刺激(2或100Hz,0.3ms,0.2 - 0.3mA)施加于足三里(ST36)30分钟。每隔10分钟用von Frey毛发(2.0g)触摸尾部,定量评估机械性异常性疼痛的程度。然后,这些大鼠依次接受三种特异性阿片类激动剂之一的鞘内注射:μ激动剂(DAMGO 25、50和100pmol)、δ激动剂(DADELT II 0.5、1和2nmol)和κ激动剂(U50488H 5、10和20nmol),累积剂量间隔10分钟。在EA刺激的30分钟内,进行鞘内注射特异性阿片类拮抗剂:μ拮抗剂(β - FNA 5、10和20nmol)、δ拮抗剂(纳曲吲哚5、10和20nmol)和κ拮抗剂(去甲 - BNI 3、6和12nmol),累积剂量间隔10分钟。结果,EA减轻了机械性异常性疼痛的行为体征。2Hz的EA比100Hz诱导出更强且持续时间更长的效果。所有三种阿片类激动剂也显示出对机械性异常性疼痛的缓解作用。然而,去甲 - BNI不能阻断EA对机械性异常性疼痛的作用,而β - FNA或纳曲吲哚显著阻断了EA的作用。这些结果表明,大鼠脊髓中的μ和δ阿片受体,而非κ阿片受体,在介导2Hz EA诱导的对机械性异常性疼痛的缓解作用中起重要作用。