Averbeck Beate, Rudolphi Karl, Michaelis Martin
Aventis Pharma Deutschland GmbH, Frankfurt, Germany.
J Rheumatol. 2004 Oct;31(10):2013-20.
Osteoarthritis (OA) is a painful degenerative joint disease. To assess joint nociceptor activation indirectly, we used a novel in vitro knee joint preparation and determined the release of calcitonin gene-related peptide (CGRP) and prostaglandin E2 (PGE2) in osteoarthritic mice.
We studied STR/1N mice, which spontaneously develop OA, along with CD-1 mice as controls and C57/Bl6 mice with unilateral collagenase-induced OA and C57/Bl6 control mice. The release of CGRP and PGE2 from tibial and femoral joint preparations was determined separately in vitro with enzyme immunoassays; we investigated both basal release and release induced by stimulation with capsaicin (CAP, 1 microM) or bradykinin (BK, 10 microM).
Basal PGE2 release from femoral and tibial preparations increased by 79% and 97%, respectively, in STR/1N mice between 6 and 18 weeks of age when they developed OA, while age-matched CD-1 mice exhibited only a weak increase (23%). BK-evoked PGE2 release was significantly higher in 18-week-old STR/1N mice (931 +/- 98 pg/ml and 759 +/- 82 pg/ml from femoral and tibial preparations, respectively) than in age-matched CD-1 controls (236 +/- 38 pg/ml and 246 +/- 34 pg/ml). CAP stimulation induced a significant CGRP release, which, however, did not correlate with the temporal development of OA in STR/1N mice. Tibial but not femoral joint preparations from mice with collagenase-induced OA exhibited a significantly enhanced release upon BK stimulation compared to sham controls, while CAP-induced CGRP release did not reveal such difference.
Basal and evoked PGE2 release from knee joint preparations rose while osteoarthritic alterations developed, whereas CGRP release remained unaltered. The increased PGE2 release may contribute to enhanced nociceptor sensitivity underlying chronic OA pain.
骨关节炎(OA)是一种引起疼痛的退行性关节疾病。为了间接评估关节伤害感受器的激活情况,我们使用了一种新型的体外膝关节制备方法,并测定了骨关节炎小鼠中降钙素基因相关肽(CGRP)和前列腺素E2(PGE2)的释放。
我们研究了自发发生OA的STR/1N小鼠,以及作为对照的CD-1小鼠,还有单侧胶原酶诱导OA的C57/Bl6小鼠和C57/Bl6对照小鼠。通过酶免疫测定法分别在体外测定胫骨和股骨关节制备物中CGRP和PGE2的释放;我们研究了基础释放以及辣椒素(CAP,1微摩尔)或缓激肽(BK,10微摩尔)刺激诱导的释放。
在6至18周龄出现OA的STR/1N小鼠中,股骨和胫骨制备物的基础PGE2释放分别增加了79%和97%,而年龄匹配的CD-1小鼠仅出现微弱增加(23%)。18周龄的STR/1N小鼠中,BK诱发的PGE2释放显著高于年龄匹配的CD-1对照小鼠(股骨和胫骨制备物分别为931±98皮克/毫升和759±82皮克/毫升)(分别为236±38皮克/毫升和246±34皮克/毫升)。CAP刺激诱导了显著的CGRP释放,然而,这与STR/1N小鼠中OA的时间发展无关。与假手术对照相比,胶原酶诱导OA的小鼠的胫骨而非股骨关节制备物在BK刺激后释放显著增强,而CAP诱导的CGRP释放未显示出这种差异。
随着骨关节炎改变的发展,膝关节制备物的基础和诱发PGE2释放增加,而CGRP释放保持不变。PGE2释放增加可能导致慢性OA疼痛中伤害感受器敏感性增强。