Matsunami M, Tarui T, Mitani K, Nagasawa K, Fukushima O, Okubo K, Yoshida S, Takemura M, Kawabata A
Division of Pharmacology and Pathophysiology, Kinki University School of Pharmacy, 3-4-1 Kowakae, Higashi-Osaka 577-8502, Japan.
Gut. 2009 Jun;58(6):751-61. doi: 10.1136/gut.2007.144543. Epub 2008 Oct 13.
Given recent evidence that hydrogen sulfide (H(2)S), a gasotransmitter, promotes somatic pain through redox modulation of T-type Ca(2+) channels, the roles of colonic luminal H(2)S in visceral nociceptive processing in mice were examined.
After intracolonic administration of NaHS, an H(2)S donor, visceral pain-like behaviour and referred abdominal allodynia/hyperalgesia were evaluated. Phosphorylation of extracellular signal-regulated protein kinase (ERK) in the spinal dorsal horn was determined immunohistochemically. The whole-cell recording technique was used to evaluate T-type Ca(2+) currents (T-currents) in cultured dorsal root ganglion (DRG) neurons.
Like capsaicin, NaHS, administered intracolonically at 0.5-5 nmol per mouse, triggered visceral nociceptive behaviour accompanied by referred allodynia/hyperalgesia in mice. Phosphorylation of ERK in the spinal dorsal horn was detected following intracolonic NaHS or capsaicin. The behavioural effects of intracolonic NaHS were abolished by a T-type channel blocker or an oxidant, but not inhibitors of L-type Ca(2+) channels or ATP-sensitive K(+) (K(ATP)) channels. Intraperitoneal NaHS at 60 micromol/kg facilitated intracolonic capsaicin-evoked visceral nociception, an effect abolished by the T-type channel blocker, although it alone produced no behavioural effect. In DRG neurons, T-currents were enhanced by NaHS.
These findings suggest that colonic luminal H(2)S/NaHS plays pronociceptive roles, and imply that the underlying mechanisms might involve sensitisation/activation of T-type channels probably in the primary afferents, aside from the issue of the selectivity of mibefradil.
鉴于近期有证据表明,作为气体递质的硫化氢(H₂S)通过对T型钙通道进行氧化还原调节来促进躯体疼痛,本研究探讨了结肠腔内H₂S在小鼠内脏伤害性信息处理中的作用。
在结肠内给予H₂S供体硫氢化钠(NaHS)后,评估内脏痛样行为以及牵涉性腹部痛觉过敏/痛觉超敏。采用免疫组织化学方法测定脊髓背角细胞外信号调节蛋白激酶(ERK)的磷酸化水平。运用全细胞膜片钳记录技术评估培养的背根神经节(DRG)神经元中的T型钙电流(T电流)。
与辣椒素一样,每只小鼠结肠内给予0.5 - 5 nmol的NaHS会引发小鼠的内脏伤害性感受行为,并伴有牵涉性痛觉过敏/痛觉超敏。结肠内给予NaHS或辣椒素后,可检测到脊髓背角ERK的磷酸化。结肠内给予NaHS所产生的行为学效应可被T型通道阻滞剂或氧化剂消除,但不能被L型钙通道抑制剂或ATP敏感性钾通道(KATP)抑制剂消除。腹腔注射60 μmol/kg的NaHS可促进结肠内辣椒素诱发的内脏伤害性感受,该效应可被T型通道阻滞剂消除,尽管单独注射NaHS本身未产生行为学效应。在DRG神经元中,NaHS可增强T电流。
这些发现表明结肠腔内的H₂S/NaHS具有促痛作用,并且提示其潜在机制可能涉及初级传入神经中T型通道的敏化/激活,这与米贝地尔的选择性问题无关。