坐骨神经的松结扎与同侧脊髓背角中KCC2蛋白水平的TrkB受体依赖性降低有关。
Loose ligation of the sciatic nerve is associated with TrkB receptor-dependent decreases in KCC2 protein levels in the ipsilateral spinal dorsal horn.
作者信息
Miletic Gordana, Miletic Vjekoslav
机构信息
Department of Anesthesiology, University of Wisconsin, Madison, WI 53706-1510, USA.
出版信息
Pain. 2008 Jul 31;137(3):532-539. doi: 10.1016/j.pain.2007.10.016. Epub 2007 Dec 3.
Significant decreases in the protein levels of potassium-chloride co-transporter 2 (KCC2) were detected in the ipsilateral spinal dorsal horn 4h following loose ligation of the sciatic nerve. These decreases were associated with a change in hindlimb weight distribution suggestive of pain behavior. In contrast, no changes in GABA-A receptor subunit alpha-1 levels were detected. The decreases in KCC2 coincided with a significant ipsilateral increase in BDNF protein levels. Both the decreases in KCC2 levels and the early pain behavior were prevented by intrathecal pre-treatment with the BDNF-sequestering TrkB/Fc chimera protein or the tyrosine kinase blocker K252a. The ligation-associated decreases in KCC2 levels were transient. In the ipsilateral spinal dorsal horn of ligated animals exhibiting weight-bearing pain behavior 7 days after the ligation the KCC2 levels were identical to those in control or sham-operated animals. These data suggested that TrkB-dependent reduction in KCC2 protein levels in the spinal dorsal horn was an early consequence of peripheral nerve injury. This decrease in KCC2 may have elicited an early increase in overall dorsal horn neuronal excitability perhaps through a loss of GABA inhibition which is critically dependent on KCC2 activity. The increased neuronal excitability may in turn have caused enhanced and exaggerated communication between primary afferents and dorsal horn neurons to contribute to the early behavioral signs of pain.
坐骨神经松结扎术后4小时,在同侧脊髓背角检测到氯化钾共转运体2(KCC2)蛋白水平显著下降。这些下降与后肢重量分布的变化有关,提示疼痛行为。相比之下,未检测到GABA - A受体α - 1亚基水平的变化。KCC2的下降与BDNF蛋白水平同侧显著升高同时发生。鞘内预处理BDNF隔离TrkB/Fc嵌合蛋白或酪氨酸激酶阻滞剂K252a可预防KCC2水平的下降和早期疼痛行为。结扎相关的KCC2水平下降是短暂的。在结扎7天后表现出负重疼痛行为的结扎动物的同侧脊髓背角,KCC2水平与对照或假手术动物相同。这些数据表明,脊髓背角中TrkB依赖的KCC2蛋白水平降低是周围神经损伤的早期后果。KCC2的这种降低可能通过依赖KCC2活性的GABA抑制作用丧失,引发了脊髓背角神经元总体兴奋性的早期增加。神经元兴奋性增加反过来可能导致初级传入神经与脊髓背角神经元之间的通讯增强和夸张,从而导致疼痛的早期行为体征。
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