Liou Jiin-Tarng, Liu Fu-Chao, Mao Chih-Chieh, Hsin Shi-Tai, Lui Ping-Wing
Department of Anesthesiology, Chang Gung Memorial Hospital, Gueishan, Taoyuan 333, Taiwan.
Can J Anaesth. 2009 Oct;56(10):763-9. doi: 10.1007/s12630-009-9149-z. Epub 2009 Jul 28.
There is evidence that cyclic adenosine monophosphate (cAMP) transduction is involved in nociceptive processing. We previously showed that intrathecal injection of an adenylate cyclase inhibitor attenuated tactile allodynia caused by partial sciatic nerve ligation (PSNL) in rats. The present study investigates the pre-emptive effects of spinal cAMP transduction on nociceptive processing in a chronic neuropathic pain model.
Intrathecal catheterization and PSNL were performed in male Sprague-Dawley rats. Nociceptive responses to mechanical and thermal stimuli were evaluated at the hindpaw at 2 hr and at 3, 7, and 14 days after PSNL. The pre-emptive effects of the intrathecal adenylate cyclase inhibitor, SQ22536 (0.7 mumol x L(-1), 30 min before or after nerve ligation) were assessed. Also, the spatial and temporal expression profiles and immunoreactivity in the spinal cord of the cAMP response element binding protein (CREB) and its phosphorylated proteins (CREB-IR and p-CREB-IR) were analyzed.
Compared with the rats treated with the vehicle, allodynia and hyperalgesia were significantly attenuated at 1-3 days by the intrathecal injection of SQ22536 performed either before or after ligation. The expression of CREB was significantly higher after ligation (P < 0.05), but differences were not observed between groups. Intrathecal injection of SQ22536, either before or after ligation, partially reduced p-CREB-IR protein expression in comparison with the vehicle control, especially after the first 3 days (P < 0.05).
Our results show a possible association between the increase in p-CREB and PSNL-induced neuropathic pain. However, a pre-emptive effect of adenylate cyclase inhibitor administered before surgery was not observed.
有证据表明环磷酸腺苷(cAMP)转导参与伤害性感受处理。我们之前表明鞘内注射腺苷酸环化酶抑制剂可减轻大鼠坐骨神经部分结扎(PSNL)所致的触觉异常性疼痛。本研究调查脊髓cAMP转导在慢性神经性疼痛模型中对伤害性感受处理的先发效应。
对雄性Sprague-Dawley大鼠进行鞘内置管和PSNL。在PSNL后2小时以及3、7和14天评估后爪对机械和热刺激的伤害性反应。评估鞘内腺苷酸环化酶抑制剂SQ22536(0.7 μmol·L⁻¹,在神经结扎前或后30分钟)的先发效应。此外,分析cAMP反应元件结合蛋白(CREB)及其磷酸化蛋白(CREB-IR和p-CREB-IR)在脊髓中的时空表达谱和免疫反应性。
与接受赋形剂处理的大鼠相比,结扎前或后进行鞘内注射SQ22536可使1 - 3天的异常性疼痛和痛觉过敏显著减轻。结扎后CREB的表达显著更高(P < 0.05),但组间未观察到差异。与赋形剂对照相比,结扎前或后鞘内注射SQ22536可部分降低p-CREB-IR蛋白表达,尤其是在最初3天后(P < 0.05)。
我们的结果表明p-CREB增加与PSNL诱导的神经性疼痛之间可能存在关联。然而,未观察到手术前给予腺苷酸环化酶抑制剂的先发效应。