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鞘内移植微囊化猪嗜铬细胞减轻异常性疼痛

Reduction of allodynia by intrathecal transplantation of microencapsulated porcine chromaffin cells.

作者信息

Kim Yu Mi, Kwak Kyung Hwa, Lim Jeong Ok, Baek Woon Yi

机构信息

Department of Oral Anatomy, School of Dentistry, Kyungpook National University, 50 Samduck 2ga, Jung gu, Daegu, South Korea.

出版信息

Artif Organs. 2009 Mar;33(3):240-9. doi: 10.1111/j.1525-1594.2009.00714.x.

Abstract

Bovine chromaffin cells (BCCs) are well known to have analgesic effect to reduce acute or chronic pain when transplanted in the subarachnoid space and have been considered as an alternative therapy for pain management. However, due to recent concerns over risks associated with prion transmission, porcine tissue is considered to be an alternate xenogeneic source for clinical use. In the present study, we investigated whether microencapsulated porcine adrenal medullary chromaffin cells (PCCs) also have analgesic effect to reduce allodynia caused by neuropathic pain in chronic constriction injury model of rat. PCCs were isolated from a porcine adrenal medulla and then microencapsulated with alginate and poly. In in vitro tests, the microencapsulated PCCs were investigated whether they have an ability to release catecholamines responding to nicotine stimulation. The levels of catecholamines released from the microencapsulated PCCs were significantly higher than from microencapsulated BCCs. In addition, the microencapsulated PCCs released catecholamines and met-enkephalin responding to cerebral spinal fluid (CSF) retrieved from a neuropathic pain model. In in vivo tests, implantation of microencapsulated PCCs reduced both mechanical and cold allodynia in chronic constriction injury model of a rat whereas the microencapsulated BCCs reduced only cold allodynia under the same conditions. The injection of antagonist of opioid peptides reversed the reduction of cold allodynia in microencapsulated PCC-received animal. The levels of catecholamines in the CSF of rats after implantation of microencapsulated PCCs were significantly higher than in the control group. These data suggest that microencapsulated PCCs may be another effective source for the treatment of neuropathic pain.

摘要

牛嗜铬细胞(BCCs)在蛛网膜下腔移植时具有减轻急性或慢性疼痛的镇痛作用,已被视为疼痛管理的替代疗法。然而,由于近期对朊病毒传播相关风险的担忧,猪组织被认为是临床使用的另一种异种来源。在本研究中,我们调查了微囊化猪肾上腺髓质嗜铬细胞(PCCs)是否也具有镇痛作用,以减轻大鼠慢性压迫性损伤模型中神经性疼痛引起的异常性疼痛。从猪肾上腺髓质分离出PCCs,然后用藻酸盐和聚赖氨酸进行微囊化。在体外试验中,研究微囊化PCCs是否具有对尼古丁刺激作出反应释放儿茶酚胺的能力。微囊化PCCs释放的儿茶酚胺水平显著高于微囊化BCCs。此外,微囊化PCCs对从神经性疼痛模型中获取的脑脊液(CSF)作出反应释放儿茶酚胺和甲硫氨酸脑啡肽。在体内试验中,植入微囊化PCCs可减轻大鼠慢性压迫性损伤模型中的机械性和冷异常性疼痛,而在相同条件下微囊化BCCs仅减轻冷异常性疼痛。注射阿片肽拮抗剂可逆转接受微囊化PCCs动物的冷异常性疼痛减轻。植入微囊化PCCs后大鼠脑脊液中的儿茶酚胺水平显著高于对照组。这些数据表明,微囊化PCCs可能是治疗神经性疼痛的另一种有效来源。

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