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头孢曲松在大鼠慢性神经病理性疼痛中的抗伤害作用。

An anti-nociceptive role for ceftriaxone in chronic neuropathic pain in rats.

机构信息

Department of Pathophysiology, Institute of Basic Medicine, Hebei Medical University, 361 Zhongshan East Road, Shijiazhuang 050017, PR China Aging and Cognition Neuroscience Laboratory of Hebei Province, 89 Donggang Road, Shijiazhuang 050031, PR China Hebei Medical University, 361 Zhongshan East Road, Shijiazhuang 050017, PR China.

出版信息

Pain. 2010 Feb;148(2):284-301. doi: 10.1016/j.pain.2009.11.014. Epub 2009 Dec 21.

Abstract

Glial glutamate transporter-1 (GLT-1) plays an essential role in the maintenance of glutamate homeostasis and is involved in the development and maintenance of pathological pain. The present study was undertaken (1) to observe the anti-nociceptive effects of ceftriaxone (Cef) in a chronic neuropathic pain model induced by chronic constrictive nerve injury (CCI) of the sciatic nerve and (2) to identify the role of spinal GLT-1 in the process. CCI induced significant thermal hyperalgesia and mechanical allodynia, which began from postoperative day 3 and lasted to day 21. This long-term hyperalgesia was accompanied by significant down-regulation of GLT-1 expression in the L4-L6 segments of the spinal dorsal horn, as revealed by immunohistochemistry and Western blot. Intraperitoneal preventive and therapeutic administration of Cef effectively prevented or reversed, respectively, the development of thermal hyperalgesia, mechanical allodynia, and GLT-1 down-regulation in the spinal dorsal horn. To further determine whether the above anti-nociceptive effects of Cef are a result of the up-regulation of spinal GLT-1 expression and its function, we further observed the effects of intrathecal administration of Cef in the same model. It was found that intrathecal administration of Cef led to the specific up-regulation of GLT-1 expression and glutamate uptake ((3)H-glutamate) in the spinal dorsal horn, and similar anti-nociceptive effects to those of intraperitoneal administration of Cef. The above effects of intrathecal Cef administration were all significantly inhibited by intrathecal administration of GLT-1 antisense oligodeoxynucleotides (As-ODNs). These results indicate that Cef plays an anti-nociceptive role by up-regulating spinal GLT-1 expression and its function.

摘要

胶质细胞谷氨酸转运体-1(GLT-1)在维持谷氨酸稳态中发挥着重要作用,并且参与病理性疼痛的发生和维持。本研究旨在:(1)观察头孢曲松(Cef)在慢性坐骨神经缩窄性损伤(CCI)诱导的慢性神经病理性疼痛模型中的抗伤害作用;(2)确定脊髓 GLT-1 在该过程中的作用。CCI 诱导的热痛觉过敏和机械性痛觉过敏始于术后第 3 天,持续至第 21 天。这种长期的痛觉过敏伴随着脊髓背角 L4-L6 节段 GLT-1 表达的显著下调,免疫组织化学和 Western blot 显示。腹腔预防性和治疗性给予 Cef 可有效预防或逆转脊髓背角热痛觉过敏、机械性痛觉过敏和 GLT-1 下调的发展。为了进一步确定 Cef 的上述抗伤害作用是否是由于脊髓 GLT-1 表达及其功能的上调所致,我们进一步观察了相同模型中鞘内给予 Cef 的作用。结果发现,鞘内给予 Cef 导致脊髓背角 GLT-1 表达和谷氨酸摄取((3)H-谷氨酸)的特异性上调,并产生类似于腹腔给予 Cef 的抗伤害作用。鞘内给予 GLT-1 反义寡核苷酸(As-ODNs)可显著抑制鞘内给予 Cef 的上述作用。这些结果表明,Cef 通过上调脊髓 GLT-1 表达及其功能发挥抗伤害作用。

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