Wolf Gilly, Livshits Dina, Beilin Benzion, Yirmiya Raz, Shavit Yehuda
Department of Psychology, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem 91905, Israel.
Department of Anesthesiology, Rabin Medical Center, Hasharon Hospital, Petah Tiqwa 49372, Affiliated with Sackler School of Medicine, Tel Aviv University, Israel.
Brain Behav Immun. 2008 Oct;22(7):1072-1077. doi: 10.1016/j.bbi.2008.03.005. Epub 2008 Apr 28.
Postoperative incisional pain is characterized by persistent acute pain in the area of the cut, and is associated with release of proinflammatory cytokines, including interleukin-1 (IL-1), which play important hyperalgesic and allodynic roles in various inflammatory conditions. In the present study, we tested the role of IL-1 signaling in postoperative incisional pain using three mouse strains impaired in IL-1 signaling due to deletion of the IL-1 type I receptor on a mixed genetic background (IL-1rKO) or congenic background (IL-1rKOCog), or due to transgenic over-expression of IL-1 receptor antagonist (IL-1raTG). We used the relevant wild-type (WT) mice both as controls for the mutant strains, and for assessing the effects of pharmacological blockade of IL-1-signaling. Mechanosensitivity was assessed using the von-Frey filament test before, and up to 4 days following plantar incision, an animal model of postoperative pain. WT mice developed significant allodynia in the incised, compared with the intact, hind-paw beginning 3h after the incision and lasting up to 48h postoperatively. In contrast, IL-1rKO, IL-1rKOCog, and IL-1raTG mice, as well as WT mice chronically treated with IL-1ra, did not display increased mechanical pain sensitivity in either hind-paw. To test the hypothesis that IL-1-signaling is also involved in the maintenance of postoperative pain, WT mice were acutely treated with IL-1ra 24h following the incision, when allodynia was already evident. This treatment reversed the allodynic response throughout the observation period. Together, these findings suggest that IL-1 plays a critical role in the development and maintenance of postoperative incisional pain.
术后切口疼痛的特征是切口部位持续存在急性疼痛,并且与促炎细胞因子的释放有关,这些促炎细胞因子包括白细胞介素-1(IL-1),它们在各种炎症状态中发挥重要的痛觉过敏和异常性疼痛作用。在本研究中,我们使用了三种在IL-1信号传导方面受损的小鼠品系来测试IL-1信号传导在术后切口疼痛中的作用,这些品系由于在混合遗传背景(IL-1rKO)或同源背景(IL-1rKOCog)上缺失IL-1 I型受体,或者由于IL-1受体拮抗剂(IL-1raTG)的转基因过表达。我们使用相关的野生型(WT)小鼠作为突变品系的对照,并用于评估IL-1信号传导的药理学阻断作用。在足底切口(一种术后疼痛的动物模型)之前以及之后长达4天,使用von-Frey细丝试验评估机械敏感性。与完整的后爪相比,WT小鼠在切口后3小时开始在切开的后爪出现明显的异常性疼痛,并持续至术后48小时。相比之下,IL-1rKO、IL-1rKOCog和IL-1raTG小鼠,以及长期用IL-1ra治疗的WT小鼠,两只后爪均未表现出机械性疼痛敏感性增加。为了测试IL-1信号传导也参与术后疼痛维持的假设,在切口后24小时当异常性疼痛已经明显时,对WT小鼠进行IL-1ra急性治疗。这种治疗在整个观察期内逆转了异常性疼痛反应。总之,这些发现表明IL-1在术后切口疼痛的发生和维持中起关键作用。