脊髓 N-甲基-D-天冬氨酸受体 NR1 亚基在外周信号调节激酶的磷酸化作用导致背角神经元和小胶质细胞参与糖尿病性痛性神经病的发生。

Phosphorylation of spinal N-methyl-d-aspartate receptor NR1 subunits by extracellular signal-regulated kinase in dorsal horn neurons and microglia contributes to diabetes-induced painful neuropathy.

机构信息

Clermont Université, Université d'Auvergne, Pharmacologie Fondamentale et Clinique de la Douleur, Laboratoire de Pharmacologie, Faculté de Pharmacie, Clermont-Ferrand, France.

出版信息

Eur J Pain. 2011 Feb;15(2):169.e1-169.e12. doi: 10.1016/j.ejpain.2010.06.003. Epub 2010 Jul 1.

Abstract

The N-methyl-d-aspartate receptor (NMDAR) contributes to central sensitization in the spinal cord, a phenomenon which comprises various pathophysiological mechanisms responsible for neuropathic pain-like signs in animal models. NMDAR function is modulated by post-translational modifications including phosphorylation, and this is proposed to underlie its involvement in the production of pain hypersensitivity. As in diabetic patients, streptozotocin-induced diabetic rats exhibit or not somatic mechanical hyperalgesia; these rats were named DH and DNH respectively. At three weeks of diabetes, we present evidence that somatic mechanical hyperalgesia was correlated with an enhanced phosphorylation of the NMDAR NR1 subunit (pNR1) in the rat spinal cord. This increase was not found in normal and DNH rats, suggesting that this regulation was specific to hyperalgesia. Double immunofluorescence studies revealed that the numbers of pNR1-immunoreactive neurons and microglial cells were significantly increased in all laminae (I-II and III-VI) of the dorsal horn from DH animals. Western-blots analysis showed no change in NR1 protein levels, whatever the behavioural and glycemic status of the animals. Chronic intrathecal treatment (5μg/rat/day for 7days) by U0126 and MK801, which blocked MEK (an upstream kinase of extracellular signal-regulated protein kinase: ERK) and the NMDAR respectively, simultaneously suppressed somatic mechanical hyperalgesia developed by diabetic rats and decreased pNR1. These results indicate for the first time that increased expression of pNR1 is regulated by ERK and the NMDAR via a feedforward mechanism in spinal neurons and microglia and represents one mechanism involved in central sensitization and somatic mechanical hyperalgesia after diabetes.

摘要

N-甲基-D-天冬氨酸受体(NMDAR)参与脊髓的中枢敏化,这一现象包含了各种生理病理机制,负责动物模型中类似神经性疼痛的迹象。NMDAR 的功能受到翻译后修饰的调节,包括磷酸化,这被认为是其参与疼痛超敏反应的基础。与糖尿病患者一样,链脲佐菌素诱导的糖尿病大鼠表现出或不表现躯体机械性痛觉过敏;这些大鼠分别命名为 DH 和 DNH。在糖尿病 3 周时,我们提供的证据表明,躯体机械性痛觉过敏与大鼠脊髓中 NMDAR NR1 亚基(pNR1)的磷酸化增强相关。在正常和 DNH 大鼠中未发现这种增加,表明这种调节是痛觉过敏特有的。双重免疫荧光研究显示,DH 动物背角所有层(I-II 和 III-VI)中 pNR1 免疫反应性神经元和小胶质细胞的数量显著增加。Western blot 分析显示,无论动物的行为和血糖状态如何,NR1 蛋白水平均无变化。慢性鞘内治疗(5μg/rat/天,持续 7 天)通过 U0126 和 MK801,分别阻断细胞外信号调节蛋白激酶(ERK)的上游激酶 MEK 和 NMDAR,同时抑制糖尿病大鼠的躯体机械性痛觉过敏并降低 pNR1。这些结果首次表明,pNR1 的表达增加是由 ERK 和 NMDAR 通过脊髓神经元和小胶质细胞中的前馈机制调节的,是糖尿病后中枢敏化和躯体机械性痛觉过敏的一种机制。

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