Summ Oliver, Holland Philip R, Akerman Simon, Goadsby Peter J
University of California, USA.
Cephalalgia. 2011 Jan;31(2):172-80. doi: 10.1177/0333102410375626. Epub 2010 Jul 1.
It has been proposed that TRPV1 receptors may play a role modulating trigeminal sensory processing. We used models of trigeminovascular nociceptive activation to study the involvement of TRPV1 receptors in the rat. Due to a possible role of TRPV1 receptors in cortical spreading depression (CSD), an experimental phenomenon sharing many features with migraine aura, we also utilized a model of mechanically induced CSD.
Male Sprague Dawley rats (N = 39) were anesthetized and cannulated for monitoring and drug administration to study the effects of the TRPV1 receptor antagonist A-993610 (8 mg kg(-1) IV). Wide-dynamic-range neurons, responding to electrical stimulation of the middle meningeal artery (MMA)/dura mater were identified and recorded using electrophysiological techniques. Intravital microscopy was used to study neurogenic dural vasodilation (NDV) of the MMA comparing capsaicin and electrical stimulation, and the effect of A-993610 on mechanically induced CSD was examined.
Administration of A-993610 had no significant effect on trigeminal firing of A- or C-fibers elicited by electrical stimulation of the MMA. It also showed no effect on NDV whilst blocking vasodilation due to intravenous capsaicin injection. The mechanically induced CSD response could not be altered by A-993610 administration.
Although there is evidence that TRPV1 receptors play an important role in sensory processing in general, the new data do not support a role in the treatment of acute migraine.
有人提出瞬时受体电位香草酸亚型1(TRPV1)受体可能在调节三叉神经感觉处理中发挥作用。我们使用三叉神经血管伤害性激活模型来研究TRPV1受体在大鼠中的作用。由于TRPV1受体可能在皮层扩散性抑制(CSD)中起作用,而CSD是一种与偏头痛先兆有许多共同特征的实验现象,我们还利用了机械诱导CSD模型。
将39只雄性Sprague Dawley大鼠麻醉并插管用于监测和给药,以研究TRPV1受体拮抗剂A-993610(8毫克/千克静脉注射)的作用。使用电生理技术识别并记录对脑膜中动脉(MMA)/硬脑膜进行电刺激时有反应的广动力范围神经元。采用活体显微镜研究辣椒素和电刺激对MMA神经源性硬脑膜血管舒张(NDV)的影响,并检测A-993610对机械诱导CSD的作用。
给予A-993610对MMA电刺激诱发的三叉神经A或C纤维放电无显著影响。它对NDV也无影响,同时能阻断静脉注射辣椒素引起的血管舒张。给予A-993610不能改变机械诱导的CSD反应。
虽然有证据表明TRPV1受体总体上在感觉处理中起重要作用,但新数据不支持其在急性偏头痛治疗中的作用。