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中枢环氧化酶抑制剂可减轻自由活动大鼠颞下颌关节中白细胞介素-1β诱导的痛觉过敏。

Central cyclooxygenase inhibitors reduced IL-1beta-induced hyperalgesia in temporomandibular joint of freely moving rats.

作者信息

Ahn Dong K, Chae Jong M, Choi Hyo S, Kyung Hee M, Kwon Oh W, Park Hyo S, Youn Dong H, Bae Yong C

机构信息

Department of Oral Physiology, School of Dentistry, Kyungpook National University, 188-1 Sam Deok 2 ga, Chung-gu, Daegu 700-412, South Korea.

出版信息

Pain. 2005 Sep;117(1-2):204-13. doi: 10.1016/j.pain.2005.06.009.

Abstract

Microinjection of formalin (5%, 50 microl) into a temporomandibular joint (TMJ) causes noxious behavioral responses in freely moving rats. In the present study, we investigated the role of central cyclooxygenase (COX) pathways in IL-1beta-induced hyperalgesia with formalin-induced TMJ pain model. Intra-articular injection of 100 pg or 1 ng of IL-1beta significantly facilitated formalin-induced behavior by 130 or 174% in the number of scratches. Intracisternal administration of 100 pg or 1 ng of IL-1beta also significantly increased formalin-induced behavior by 166 or 82% in the number of scratches. IL-1beta-induced hyperalgesia was blocked by pretreatment with IL-1 receptor antagonist. Intracisternal pretreatment with SC-560, a selective COX-1 inhibitor, or NS-398, a selective COX-2 inhibitor, abolished intra-articular administration of IL-1beta-induced hyperalgesic response. Intracisternal pretreatment with NS-398, a selective COX-2 inhibitor, abolished the intracisternal administration of IL-1beta-induced hyperalgesic response, while pretreatment with SC-560, a selective COX-1 inhibitor, did not change IL-1beta-induced hyperalgesic responses. On the other hand, pretreatment with acetaminophen, a tentative COX-3 inhibitor, also abolished both intra-articular and intracisternal administration of IL-1beta-induced hyperalgesic responses. These results indicate that central COX-2 plays important role in the central administration of IL-1beta-induced hyperalgesia and that central COX-1/2 pathways mediate peripheral administration of IL-1beta-induced hyperalgesia in the TMJ. Central COX-3 inhibitor seems to play an important role in the nociceptive process associated with both peripheral and central administration of IL-1beta-induced hyperalgesia in TMJ. It is concluded that central acting of COX-3 inhibitors may be of therapeutic value in the treatment of inflammatory pain in TMJ.

摘要

将福尔马林(5%,50微升)微量注射到大鼠颞下颌关节(TMJ)会在自由活动的大鼠中引发伤害性行为反应。在本研究中,我们利用福尔马林诱导的TMJ疼痛模型,研究了中枢环氧化酶(COX)通路在白细胞介素-1β(IL-1β)诱导的痛觉过敏中的作用。关节内注射100皮克或1纳克的IL-1β可使福尔马林诱导的抓挠次数行为显著增加130%或174%。脑池内注射100皮克或1纳克的IL-1β也可使福尔马林诱导的抓挠次数行为显著增加166%或82%。IL-1β诱导的痛觉过敏可被IL-1受体拮抗剂预处理所阻断。脑池内用选择性COX-1抑制剂SC-560或选择性COX-2抑制剂NS-398预处理,可消除关节内注射IL-1β诱导的痛觉过敏反应。脑池内用选择性COX-2抑制剂NS-398预处理,可消除脑池内注射IL-1β诱导的痛觉过敏反应,而用选择性COX-1抑制剂SC-560预处理则不会改变IL-1β诱导的痛觉过敏反应。另一方面,用暂定的COX-3抑制剂对乙酰氨基酚预处理,也可消除关节内和脑池内注射IL-1β诱导的痛觉过敏反应。这些结果表明,中枢COX-2在IL-1β诱导的痛觉过敏的中枢给药中起重要作用,且中枢COX-1/2通路介导了TMJ中IL-1β诱导的痛觉过敏的外周给药。中枢COX-3抑制剂似乎在与TMJ中IL-1β诱导的痛觉过敏的外周和中枢给药相关的伤害性过程中起重要作用。结论是,COX-3抑制剂的中枢作用可能在TMJ炎症性疼痛的治疗中具有治疗价值。

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