鞘内注射缝隙连接解偶联剂 carbenoxolone 可减轻大鼠脊髓损伤后下位神经性疼痛的诱导。
Intrathecal injection of carbenoxolone, a gap junction decoupler, attenuates the induction of below-level neuropathic pain after spinal cord injury in rats.
机构信息
Biotherapy Human Resources Center, College of Veterinary Medicine, Chonnam National University, Gwangju, South Korea.
出版信息
Exp Neurol. 2010 Jul;224(1):123-32. doi: 10.1016/j.expneurol.2010.03.002. Epub 2010 Mar 11.
The most common type of chronic pain following spinal cord injury (SCI) is central neuropathic pain and SCI patients typically experience mechanical allodynia and thermal hyperalgesia. The present study was designed to examine the potential role of astrocyte gap junction connectivity in the induction and maintenance of "below-level" neuropathic pain in SCI rats. We examined the effect of intrathecal treatment with carbenoxolone (CARB), a gap junction decoupler, on SCI-induced bilateral thermal hyperalgesia and mechanical allodynia during the induction phase (postoperative days 0 to 5) and the maintenance phase (days 15 to 20) following T13 spinal cord hemisection. Immunohistochemistry was performed to determine potential SCI-induced changes in spinal astrocyte activation and phosphorylation of the NMDA receptor NR1 subunit (pNR1). CARB administered during the induction period dose-dependently attenuated the development of bilateral thermal hyperalgesia and mechanical allodynia. Intrathecal CARB also significantly reduced the bilateral SCI-induced increase in GFAP-immunoreactive (ir) staining and the number of pNR1-ir cell profiles in the spinal cord dorsal horn compared to vehicle-treated rats. In contrast, CARB treatment during the maintenance phase had no effect on the established thermal hyperalgesia and mechanical allodynia nor on spinal GFAP expression or the number of pNR1-ir cell profiles. These results indicate that gap junctions play a critical role in the activation of astrocytes distant from the site of SCI and in the subsequent phosphorylation of NMDA receptors in the lumbar spinal cord. Both of these processes appear to contribute to the induction of bilateral below-level pain in SCI rats.
脊髓损伤 (SCI) 后最常见的慢性疼痛类型是中枢神经性疼痛,SCI 患者通常会出现机械性痛觉过敏和热痛觉过敏。本研究旨在探讨星形胶质细胞缝隙连接连接在 SCI 大鼠“下位”神经性疼痛诱导和维持中的潜在作用。我们研究了鞘内给予缝隙连接解偶联剂 carbenoxolone (CARB) 对 T13 脊髓半切术后诱导期(术后第 0 至 5 天)和维持期(第 15 至 20 天)双侧热痛觉过敏和机械性痛觉过敏的影响。免疫组织化学用于确定脊髓星形胶质细胞激活和 NMDA 受体 NR1 亚基磷酸化(pNR1)的 SCI 诱导变化。在诱导期给予 CARB 呈剂量依赖性地减弱双侧热痛觉过敏和机械性痛觉过敏的发展。鞘内 CARB 还显著降低了与载体处理大鼠相比,脊髓背角中 GFAP-免疫反应性(ir)染色和 pNR1-ir 细胞形态的双侧 SCI 诱导增加。相比之下,维持期 CARB 治疗对已建立的热痛觉过敏和机械性痛觉过敏以及脊髓 GFAP 表达或 pNR1-ir 细胞形态的数量均无影响。这些结果表明,缝隙连接在远离 SCI 部位的星形胶质细胞的激活以及随后在腰椎脊髓中 NMDA 受体的磷酸化中起关键作用。这两个过程似乎都有助于诱导 SCI 大鼠双侧下位疼痛。