Division of Neuroscience, Departments of Medicine and Oral and Maxillofacial Surgery, University of California, 521 Parnassus Avenue, San Francisco, CA 94143-0440, USA.
Neuroscience. 2010 Feb 3;165(3):896-901. doi: 10.1016/j.neuroscience.2009.11.029. Epub 2009 Nov 18.
We have previously developed a model in the rat for the transition from acute to chronic pain, hyperalgesic priming, in which a long-lasting neuroplastic change in signaling pathways mediates a prolongation of proinflammatory cytokine-induced nociceptor sensitization and mechanical hyperalgesia, induced at the site of a previous inflammatory insult. Induction of priming is mediated by activation of protein kinase C(epsilon) (PKC(epsilon)) in the peripheral terminal of the primary afferent nociceptor. Given that hyperalgesic mediator-induced PKC(epsilon) translocation occurs in isolectin B4 (IB4)(+)-nonpeptidergic but not in receptor tyrosine kinase (TrkA)(+)-peptidergic nociceptors, we tested the hypothesis that hyperalgesic priming was restricted to the IB4(+) subpopulation of nociceptors. After recovery from nerve growth factor (NGF)- and GDNF-induced hyperalgesia, a proinflammatory cytokine, prostaglandin E(2) (PGE(2)) induced, PKC(epsilon)-dependent, markedly prolonged hyperalgesia, two features that define the development of the primed state. Thus, hyperalgesic priming occurs in both the IB4(+)-nonpeptidergic and TrkA(+)-peptidergic subpopulations of nociceptive afferents. Of note, however, while attenuation of PKC(epsilon) prevented NGF-induced priming, the hyperalgesia induced by NGF is PKC(epsilon) independent. We propose that separate intracellular pools of PKC(epsilon), in the peripheral terminals of nociceptors, mediate nociceptor sensitization and the induction of hyperalgesic priming.
我们之前在大鼠中开发了一种从急性疼痛转变为慢性疼痛的模型,即痛觉敏化引发,其中信号通路中的长期神经可塑性变化介导了促炎细胞因子诱导的伤害感受器敏化和机械性痛觉过敏的延长,这种敏化发生在先前炎症损伤的部位。引发敏化是由初级传入伤害感受器的外周末端蛋白激酶 C(epsilon)(PKC(epsilon))的激活介导的。鉴于痛觉敏化介质诱导的 PKC(epsilon)易位发生在异凝集素 B4(IB4)(+)非肽能但不发生在受体酪氨酸激酶(TrkA)(+)肽能伤害感受器中,我们测试了痛觉敏化仅限于 IB4(+)伤害感受器亚群的假设。在神经生长因子(NGF)和 GDNF 诱导的痛觉过敏恢复后,促炎细胞因子前列腺素 E2(PGE2)诱导 PKC(epsilon)依赖性的明显延长的痛觉过敏,这两个特征定义了引发状态的发展。因此,痛觉敏化发生在伤害感受传入的 IB4(+)非肽能和 TrkA(+)肽能亚群中。然而,值得注意的是,虽然 PKC(epsilon)的衰减可以防止 NGF 诱导的引发,但 NGF 诱导的痛觉过敏是 PKC(epsilon)独立的。我们提出,伤害感受器外周末端的 PKC(epsilon)的分离细胞内池,介导伤害感受器敏化和痛觉敏化的诱导。