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慢性阻断白细胞介素-1(IL-1)可预防和减轻神经损伤后的神经病理性疼痛行为和自发性异位神经元活动。

Chronic blockade of interleukin-1 (IL-1) prevents and attenuates neuropathic pain behavior and spontaneous ectopic neuronal activity following nerve injury.

机构信息

Department of Anatomy and Cell Biology, Faculty of Dentistry and Medicine, Hebrew University, Jerusalem, Israel.

出版信息

Eur J Pain. 2011 Mar;15(3):242-8. doi: 10.1016/j.ejpain.2010.07.012. Epub 2010 Aug 30.

Abstract

Neuropathic pain is a chronic pain state resulting from peripheral nerve injury, characterized by hyperalgesia and allodynia. We have reported that mice with genetic impairment of IL-1 signaling display attenuated neuropathic pain behavior and ectopic neuronal activity. In order to substantiate the role of IL-1 in neuropathic pain, WT mice were implanted subcutaneously with osmotic micropumps containing either IL-1ra or vehicle. Two days following the implantation, two models of neuropathic pain were used; partial nerve injury (spinal nerve transection, SNT), or complete nerve cut (spinal neuroma model). Mechanosensitivity was assessed seven consecutive days following SNT, and on day 7 recordings of spontaneous ectopic activity were performed. In the spinal nerve neuroma model, autotomy scores were recorded up to 35 days. Vehicle-treated mice developed significant allodynia and autotomy, and clear ectopic activity (4.1±1.1% of the axons); whereas IL-1ra-treated mice did not display allodynic response, displayed delayed onset of autotomy and markedly reduced severity of autotomy scores, and displayed reduced spontaneous activity (0.8±0.4% of the axons). To test whether IL-1 is involved in maintenance of mechanical allodynia, a separate group of WT mice was treated with a single injection of either saline or IL-1ra four days following SNT, after the allodynic response was already manifested. Whereas saline-treated mice displayed robust allodynia, acute IL-1ra treatment induced long-lasting attenuation of the allodynic response. The results support our hypothesis that IL-1 signaling plays an important role in neuropathic pain and in the ectopic neuronal activity that underling its development.

摘要

神经病理性疼痛是一种由外周神经损伤引起的慢性疼痛状态,其特征是痛觉过敏和感觉异常。我们已经报道,IL-1 信号遗传缺陷的小鼠表现出减轻的神经病理性疼痛行为和异位神经元活性。为了证实 IL-1 在神经病理性疼痛中的作用,WT 小鼠被皮下植入含有 IL-1ra 或载体的渗透微泵。在植入后的两天,使用两种神经病理性疼痛模型;部分神经损伤(脊神经横断,SNT)或完全神经切断(脊神经瘤模型)。在 SNT 后连续 7 天评估机械敏感性,并在第 7 天进行自发性异位活动记录。在脊神经瘤模型中,记录到自截足评分长达 35 天。载体处理的小鼠表现出明显的痛觉过敏和自截足,并显示出清晰的异位活动(4.1±1.1%的轴突);而 IL-1ra 处理的小鼠没有表现出痛觉过敏反应,表现出自截足的发作延迟和自截足评分的严重程度明显降低,并且显示出自发性活动的减少(0.8±0.4%的轴突)。为了测试 IL-1 是否参与机械性痛觉过敏的维持,一组单独的 WT 小鼠在 SNT 后四天接受单次注射盐水或 IL-1ra,此时已经出现痛觉过敏反应。虽然盐水处理的小鼠表现出强烈的痛觉过敏,但急性 IL-1ra 治疗诱导了持久的痛觉过敏反应的减弱。这些结果支持我们的假设,即 IL-1 信号在神经病理性疼痛和其发展所依赖的异位神经元活性中发挥重要作用。

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