Smith Fiona M, Haskelberg Hila, Tracey David J, Moalem-Taylor Gila
School of Medical Sciences, University of New South Wales, Sydney, NSW, Australia.
Neuroimmunomodulation. 2007;14(6):317-25. doi: 10.1159/000125048. Epub 2008 Apr 10.
Histamine is a chemical mediator that acts at four known types of histamine receptors and has been widely implicated in the development of nociception and neuropathic pain. Blocking histamine H(1) and H(2) receptors has been shown to reduce hyperalgesia following nerve injury, but the role of histamine H(3) and H(4) receptors in neuropathic pain has not been studied. Here, we used blockers of histamine H(3) and H(4) receptors to assess their effects on neuropathic pain behavior and mast cell numbers following peripheral nerve injury. In addition, we assessed the effect of activating H(4) receptors on neuropathic pain behavior.
Rats were subjected to a partial ligation of the sciatic nerve, a model of neuropathic pain, and were treated either systemically or locally (hindpaw) with the H(3)/H(4) receptor inverse agonist thioperamide, the specific H(4) receptor antagonist JNJ 7777120, or the H(4) receptor agonist VUF 8430. Measurements of mechanical hyperalgesia were carried out by Randall-Selitto test for 1-3 weeks, and sciatic nerve tissues were analyzed for numbers of intact mast cells by histology at 9 h after surgery.
Rats treated with thioperamide or JNJ 7777120 showed significantly enhanced mechanical hyperalgesia after partial ligation of the sciatic nerve. The number of intact mast cells in the injured nerve of these rats was higher than in control rats suggesting reduced mast cell degranulation, but was still significantly lower than in intact nerves. Rats treated with VUF 8430 showed significantly reduced mechanical hyperalgesia.
We propose that the increase in mechanical hyperalgesia produced by thioperamide and JNJ 7777120 and the decrease in mechanical hyperalgesia produced by VUF 8430 may represent a direct effect of these agents on mechanospecific primary afferents, or an indirect effect of these agents via injury-induced inflammation.
组胺是一种化学介质,作用于四种已知类型的组胺受体,并且在伤害感受和神经性疼痛的发生发展中具有广泛影响。已表明阻断组胺H(1)和H(2)受体会减轻神经损伤后的痛觉过敏,但组胺H(3)和H(4)受体在神经性疼痛中的作用尚未得到研究。在此,我们使用组胺H(3)和H(4)受体阻滞剂来评估它们对周围神经损伤后神经性疼痛行为和肥大细胞数量的影响。此外,我们评估了激活H(4)受体对神经性疼痛行为的影响。
将大鼠进行坐骨神经部分结扎,这是一种神经性疼痛模型,然后用H(3)/H(4)受体反向激动剂硫代酰胺、特异性H(4)受体拮抗剂JNJ 7777120或H(4)受体激动剂VUF 8430进行全身或局部(后爪)治疗。通过Randall-Selitto试验在1至3周内测量机械性痛觉过敏,并在手术后9小时通过组织学分析坐骨神经组织中完整肥大细胞的数量。
用硫代酰胺或JNJ 7777120治疗的大鼠在坐骨神经部分结扎后表现出明显增强的机械性痛觉过敏。这些大鼠受伤神经中完整肥大细胞的数量高于对照大鼠,表明肥大细胞脱颗粒减少,但仍显著低于完整神经中的数量。用VUF 8430治疗的大鼠表现出明显减轻的机械性痛觉过敏。
我们提出,硫代酰胺和JNJ 7777120产生的机械性痛觉过敏增加以及VUF 8430产生的机械性痛觉过敏降低可能代表这些药物对机械特异性初级传入神经的直接作用,或者是这些药物通过损伤诱导的炎症产生的间接作用。