Strickland Iain T, Martindale Jo C, Woodhams Peter L, Reeve Alison J, Chessell Iain P, McQueen Daniel S
Division of Neuroscience, University of Edinburgh, Medical College, 1 George Sq., Edinburgh EH8 9JZ, UK.
Eur J Pain. 2008 Jul;12(5):564-72. doi: 10.1016/j.ejpain.2007.09.001. Epub 2007 Oct 18.
Voltage-gated sodium channels play an essential role in regulating the excitability of nociceptive primary afferent neurones. In particular the tetrodotoxin-sensitive (TTX-S) Na(V)1.7 and the tetrodotoxin-resistant (TTX-R) Na(V)1.8 and Na(V)1.9 channels have been suggested to play a role in inflammatory pain. Previous work has revealed acute administration of inflammatory mediators, such as Freund's complete adjuvant (FCA) or carrageenan caused an upregulation in the levels of Na(V)1.7 and Na(V)1.8 protein in DRG (dorsal root ganglia) tissue up to 4 days post-insult. In the present study, the expression of Na(V)1.7, Na(V)1.8 and Na(V)1.9 was examined over a 28 day timecourse during a rat model of FCA-induced chronic inflammatory joint pain. Using the retrograde tracer Fast Blue (FB) and specific Na(V)1.7, Na(V)1.8 and Na(V)1.9 sodium channel antibodies, immunohistochemical staining techniques were used to study sodium channel expression in a distinct population of L3-L5 knee joint afferent DRGs. In the ganglia, counts were made of positively labelled cells in the FB population. The results demonstrate that, following FCA injection, Na(V)1.9 expression is upregulated at days 14, 21 and 28 post-FCA, with Na(V)1.7 and Na(V)1.8 showing increased channel expression at days 14 and 28. These observations are accompanied by a unilateral joint hypersensitivity in the FCA-injected knee indicated by a behavioural shift in weight distribution measured using an incapacitance tester. The increased presence of these channels suggests that Na(V)1.7, Na(V)1.8 and Na(V)1.9 play a role, at least in part, in the maintenance of chronic inflammatory pain several weeks after the initial insult.
电压门控钠通道在调节伤害性初级传入神经元的兴奋性方面起着至关重要的作用。特别是,河豚毒素敏感型(TTX-S)的Na(V)1.7以及河豚毒素耐受型(TTX-R)的Na(V)1.8和Na(V)1.9通道被认为在炎性疼痛中发挥作用。先前的研究表明,急性给予炎性介质,如弗氏完全佐剂(FCA)或角叉菜胶,会导致背根神经节(DRG)组织中Na(V)1.7和Na(V)1.8蛋白水平在损伤后4天内上调。在本研究中,在FCA诱导的大鼠慢性炎性关节痛模型中,对Na(V)1.7、Na(V)1.8和Na(V)1.9的表达进行了为期28天的时间进程研究。使用逆行示踪剂快蓝(FB)以及特异性的Na(V)1.7、Na(V)1.8和Na(V)1.9钠通道抗体,采用免疫组织化学染色技术研究L3-L5膝关节传入DRG中不同群体的钠通道表达。在神经节中,对FB群体中阳性标记细胞进行计数。结果表明,FCA注射后,Na(V)1.9的表达在FCA注射后第14、21和28天上调,Na(V)1.7和Na(V)1.8在第14和28天显示通道表达增加。这些观察结果伴随着FCA注射膝关节的单侧关节超敏反应,这通过使用失能测试仪测量的体重分布行为变化得以表明。这些通道表达的增加表明,Na(V)1.7、Na(V)1.8和Na(V)1.9至少在一定程度上在初始损伤后数周的慢性炎性疼痛维持中发挥作用。