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乙醇戒断相关的痛觉过敏和痛觉超敏:蛋白激酶Cε和γ同工酶的年龄依赖性调节

Ethanol withdrawal-associated allodynia and hyperalgesia: age-dependent regulation by protein kinase C epsilon and gamma isoenzymes.

作者信息

Shumilla Jennifer A, Liron Tamar, Mochly-Rosen Daria, Kendig Joan J, Sweitzer Sarah M

机构信息

Department of Anesthesiology, Stanford University School of Medicine, Stanford, CA, USA.

出版信息

J Pain. 2005 Aug;6(8):535-49. doi: 10.1016/j.jpain.2005.03.005.

Abstract

UNLABELLED

Ethanol (EtOH) withdrawal increases sensitivity to painful stimuli in adult rats. In this study, withdrawal from a single, acute administration of EtOH dose-dependently produced mechanical allodynia and thermal hyperalgesia in postnatal day 7 (P7) rats. In contrast, P21 rats exhibited earlier and more prolonged mechanical allodynia but not thermal hyperalgesia. For both P7 and P21 rats, blood and spinal cord EtOH levels peaked at 30 minutes after administration, with P7 rats achieving overall higher spinal cord concentrations. Protein kinase C (PKC) has been implicated in mediating pain responses. Inhibitory PKC- and gamma-specific peptides attenuated mechanical allodynia and thermal hyperalgesia in P7 rats, whereas only the PKCgamma inhibitor prevented mechanical allodynia in P21 rats. Immunoreactive PKC in dorsal root ganglion and PKCgamma in lumbar spinal cord increased at 6 hours after EtOH administration in P7 rats. In P21 rats, the density of PKC immunoreactivity remained unchanged, whereas the density of PKCgamma immunoreactivity increased and translocation occurred. These studies demonstrate developmental differences in neonatal nociceptive responses after withdrawal from acute EtOH and implicate a role for specific PKC isozymes in EtOH withdrawal-associated allodynia and hyperalgesia.

PERSPECTIVE

This study examines age-specific nociceptive responses after ethanol exposure by using 2 different ages of rats. The results suggest that ethanol age-dependently alters sensitivity to mechanical and thermal stimuli via specific protein kinase C isozymes. These results begin to ascertain the mechanisms that produce abnormal pain after alcohol exposure.

摘要

未标记

成年大鼠戒断乙醇(EtOH)会增加对疼痛刺激的敏感性。在本研究中,对出生后第7天(P7)的大鼠单次急性给予EtOH后戒断,会剂量依赖性地产生机械性异常性疼痛和热痛觉过敏。相比之下,P21大鼠表现出更早且更持久的机械性异常性疼痛,但没有热痛觉过敏。对于P7和P21大鼠,血液和脊髓中的EtOH水平在给药后30分钟达到峰值,P7大鼠的脊髓总体浓度更高。蛋白激酶C(PKC)与介导疼痛反应有关。抑制性PKC和γ特异性肽可减轻P7大鼠的机械性异常性疼痛和热痛觉过敏,而只有PKCγ抑制剂可预防P21大鼠的机械性异常性疼痛。P7大鼠在EtOH给药后6小时,背根神经节中的免疫反应性PKC和腰脊髓中的PKCγ增加。在P21大鼠中,PKC免疫反应性密度保持不变,而PKCγ免疫反应性密度增加并发生易位。这些研究证明了急性EtOH戒断后新生大鼠伤害性反应的发育差异,并表明特定的PKC同工酶在EtOH戒断相关的异常性疼痛和痛觉过敏中起作用。

观点

本研究通过使用两种不同年龄的大鼠,研究了乙醇暴露后的年龄特异性伤害性反应。结果表明,乙醇通过特定的蛋白激酶C同工酶年龄依赖性地改变对机械和热刺激的敏感性。这些结果开始确定酒精暴露后产生异常疼痛的机制。

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