Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan 250012, PR China.
Eur J Pain. 2010 Jul;14(6):574-9. doi: 10.1016/j.ejpain.2009.10.007. Epub 2009 Nov 20.
Previous studies suggested that brain-derived neurotrophic factor (BDNF) might act as an important modulator in chronic pain states. However, no systematic study has used knock-out mice to clarify its effect on visceral sensitivity. In the present study, 2,4,6-trinitrobenzene sulfonic acid (TNBS) was administered to heterozygous (BDNF(+/-)) knock-out and wild-type (BDNF(+/+)) mice to induce colitis. Visceral response to colorectal distension (CRD) and bladder reactivity were recorded. Results demonstrated that in normal state, BDNF(+/-) and BDNF(+/+) mice did not differ in the visceral response to CRD at <60 mm Hg pressure and the bladder reactivity; however, with 60 mm Hg pressure, BDNF(+/-) mice showed a weaker visceral response to CRD. In inflammatory state of colitis, TNBS induced upregulation of BDNF in dorsal root ganglia of both genotypes while BDNF(+/-) mice showing significantly lower sensitivity in the colon at 30 mm Hg and lower sensitivity in bladder than BDNF(+/+) mice. The two genotypes showed no significant difference in inflammatory severity. Thus, BDNF deficiency results in developmental changes in colonic nociception in both control and inflammatory states, which are more significant in inflammatory state. For bladder reactivity, BDNF deficiency leads to lower sensitization in inflammatory state but has no effect in control state.
This article highlights the role of BDNF in colonic and referred bladder hyperalgesia in mice. The findings might help in determining novel pharmaceutical interventions targeted at BDNF to relieve abdominal pain.
先前的研究表明,脑源性神经营养因子(BDNF)可能作为慢性疼痛状态的重要调节剂。然而,尚无系统研究使用敲除小鼠来阐明其对内脏敏感性的影响。在本研究中,用 2,4,6-三硝基苯磺酸(TNBS)对杂合(BDNF(+/-))敲除和野生型(BDNF(+/+))小鼠进行处理,以诱导结肠炎。记录对直肠扩张(CRD)的内脏反应和膀胱反应性。结果表明,在正常状态下,BDNF(+/-)和 BDNF(+/+)小鼠在<60mm Hg 压力下对 CRD 的内脏反应和膀胱反应性没有差异;然而,在 60mm Hg 压力下,BDNF(+/-)小鼠对 CRD 的内脏反应较弱。在结肠炎的炎症状态下,TNBS 在两种基因型的背根神经节中均上调了 BDNF,而 BDNF(+/-)小鼠在 30mm Hg 时结肠的敏感性明显降低,在膀胱中的敏感性比 BDNF(+/+)小鼠低。两种基因型的炎症严重程度无显著差异。因此,BDNF 缺乏导致结肠痛觉在对照和炎症状态下均发生发育变化,在炎症状态下更为明显。对于膀胱反应性,BDNF 缺乏导致在炎症状态下的敏感性降低,但在对照状态下无影响。
本文强调了 BDNF 在小鼠结肠和牵涉性膀胱痛觉过敏中的作用。这些发现可能有助于确定靶向 BDNF 的新型药物干预措施,以缓解腹痛。