Yang Yong, Guo Qu-lian, Zou Wang-yuan, Wang E
Department of Anesthesiology, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2006 Oct;31(5):747-51.
To investigate the expression of neuronal nitric oxide synthase (nNOS) in spinal dorsal horn and the effect of intrathecal katemine on the expression of nNOS in the rats with formalin-induced pain.
Thirty-two Sprague-Dawley rats were randomly divided into 4 groups (n=8 in each group): a control group (C), an intrathecal saline group (NS), a katemine 50 microg group (K1), and a katemine 100 microg group (K2). The rats that were anesthetized with 10% chlroral hydrate 300 - 350 mg/kg by abdominal injection were intrathecally inserted a microspinal catheter into the lumbar region according to the method of modified Yaksh. After 5 days ,the rats in Group NS, K1 and K2 were intrathecal 20 microL saline or 10 microL katemine (50, 100 microg) followed by 10 microL saline, respectively. Thirty minutes later, 5% formalin 50 microL was subcutaneously injected into the left hindpaw. Pain intensity scoring (PIS) was used to assess antinociceptive behavior within 1 h after the formalin injection. The expression of nNOS in the spinal dorsal horn of L5 segment was assayed using immunohistochemistry 24 h later.
Compared with Group NS, PIS of Group K1 and K2 was decreased obviously (P<0.01) in the second phase of formalin pain. The number of immunoreactive soma and immunohistochemistic dying grade of nNOS in the spinal dorsal horn of L5 segment was higher in Group NS than that in Group C (P<0.01), but Group K1 and K2 were lower than Group NS (P<0.01).
There was significant antinociception of intrathecal katemine in rats with formalin pain. Intrathecal katemine significantly inhibited the increase of nNOS expression in the spinal dorsal horn of formalin-induced pain, suggesting nNOS plays an important role in nociceptive transmission and modulation of the spinal cord.
研究神经元型一氧化氮合酶(nNOS)在脊髓背角的表达以及鞘内注射卡痛敏对福尔马林致痛大鼠nNOS表达的影响。
将32只Sprague-Dawley大鼠随机分为4组(每组n = 8):对照组(C)、鞘内注射生理盐水组(NS)、卡痛敏50μg组(K1)和卡痛敏100μg组(K2)。采用改良的Yaksh法,经腹腔注射10%水合氯醛300 - 350mg/kg麻醉大鼠后,于腰部鞘内插入微脊髓导管。5天后,NS组、K1组和K2组大鼠分别鞘内注射20μL生理盐水或10μL卡痛敏(50、100μg),随后再注射10μL生理盐水。30分钟后,于左后足皮下注射5%福尔马林50μL。采用疼痛强度评分(PIS)评估福尔马林注射后1小时内的抗伤害感受行为。24小时后,采用免疫组织化学法检测L5节段脊髓背角nNOS的表达。
在福尔马林疼痛的第二阶段,与NS组相比,K1组和K2组的PIS明显降低(P < 0.01)。L5节段脊髓背角nNOS免疫反应性胞体数量和免疫组织化学染色分级,NS组高于C组(P < 0.01),而K1组和K2组低于NS组(P < 0.01)。
鞘内注射卡痛敏对福尔马林致痛大鼠有显著的镇痛作用。鞘内注射卡痛敏可显著抑制福尔马林致痛大鼠脊髓背角nNOS表达的增加,提示nNOS在脊髓伤害性信息传递和调制中起重要作用。