丁香酚在大鼠三叉神经系统中的局部麻醉作用分子机制。
Molecular mechanism for local anesthetic action of eugenol in the rat trigeminal system.
作者信息
Park Chul-Kyu, Kim Kihwan, Jung Sung Jun, Kim Min Ji, Ahn Dong Kuk, Hong Seong-Doo, Kim Joong Soo, Oh Seog Bae
机构信息
National Research Laboratory for Pain, Dental Research Institute and Department of Physiology, School of Dentistry, Seoul National University, 28-2 Yeongeon-Dong, Chongno-Ku, Seoul 110-749, Republic of Korea.
出版信息
Pain. 2009 Jul;144(1-2):84-94. doi: 10.1016/j.pain.2009.03.016. Epub 2009 Apr 18.
Eugenol is widely used in dentistry as a local analgesic agent, because of its ability to allay tooth pain. Interestingly, eugenol shares several pharmacological actions with local anesthetics which include inhibition of voltage-gated sodium channel (VGSC) and activation of transient receptor potential vanilloid subtype 1 (TRPV1). In the present study, we investigated the effects of eugenol on pain behaviors in orofacial area, and as an attempt to elucidate its mechanism we characterized inhibitory effects of eugenol on VGSCs in trigeminal ganglion (TG) neurons. TG neurons were classified into four types on the basis of their neurochemical and electrophysiological properties such as cell size, shapes of action potential (AP), isolectin-B(4) (IB(4)) binding, and were analyzed for the association of their distinctive electrophysiological properties and mRNA expression of Na(v)1.8 and TRPV1 by using single-cell RT-PCR following whole-cell recordings. Subcutaneous injection of eugenol reduced the thermal nociception and capsaicin-induced thermal hyperalgesia in a dose-dependent manner. Eugenol also diminished digastric electromyogram evoked by noxious electrical stimulation to anterior tooth pulp, which was attributable to the blockade of AP conduction on inferior alveolar nerve. At cellular level, eugenol reversibly inhibited APs and VGSCs in IB(4)+/TRPV1+/Na(v)1.8+ nociceptive TG neurons (Type I-Type III) and IB(4)-/TRPV1-/Na(v)1.8- nociceptive TG neurons (Type IV). Both TTX-resistant I(Na) in Type I-Type III neurons and TTX-sensitive I(Na) in Type IV neurons were sensitive to eugenol. Taken together, these results suggest that eugenol may serve as local anesthetics for other pathological pain conditions in addition to its wide use in dental clinic.
丁香酚因其缓解牙痛的能力而在牙科领域被广泛用作局部镇痛剂。有趣的是,丁香酚与局部麻醉剂具有多种药理作用,包括抑制电压门控钠通道(VGSC)和激活瞬时受体电位香草酸亚型1(TRPV1)。在本研究中,我们研究了丁香酚对口面部区域疼痛行为的影响,并试图阐明其机制,我们对丁香酚对三叉神经节(TG)神经元中VGSC的抑制作用进行了表征。TG神经元根据其神经化学和电生理特性,如细胞大小、动作电位(AP)形状、异凝集素-B4(IB4)结合等被分为四种类型,并在全细胞记录后通过单细胞逆转录聚合酶链反应(RT-PCR)分析其独特的电生理特性与Na(v)1.8和TRPV1的mRNA表达之间的关联。皮下注射丁香酚以剂量依赖性方式降低了热痛觉过敏和辣椒素诱导的热痛觉过敏。丁香酚还减弱了有害电刺激前牙髓引起的二腹肌肌电图,这归因于下牙槽神经上AP传导的阻断。在细胞水平上,丁香酚可逆地抑制IB4+/TRPV1+/Na(v)1.8+伤害性TG神经元(I型-III型)和IB4-/TRPV1-/Na(v)1.8-伤害性TG神经元(IV型)中的AP和VGSC。I型-III型神经元中的TTX抗性I(Na)和IV型神经元中的TTX敏感性I(Na)对丁香酚均敏感。综上所述,这些结果表明,丁香酚除了在牙科诊所广泛应用外,还可能作为其他病理性疼痛状况的局部麻醉剂。