Okabe Tadashi, Sato Chiyo, Sakamoto Atsuhiro
Department of Anesthesiology, Nippon Medical School, Tokyo, Japan.
Biomed Res. 2010 Oct;31(5):287-92. doi: 10.2220/biomedres.31.287.
Some reports have shown that electroconvulsive shock therapy (ECT) is effective for treating refractory neuropathic pain. However, its mechanism of action remains unknown. We have previously shown that electroconvulsive shock (ECS) improved thermal hypersensitivity in chronic constrictive injury (CCI) model rats and simultaneously elevated the neuropeptide Y (NPY) expression in the brain of these rats. In this study, we examined changes in the expression of NPY in the spinal cord of a CCI model. The rat model of CCI was established by ligating the left sciatic nerve. ECS was administered to the rats once daily for six days on days 7-12 after the operation using an electrical stimulator. RT-PCR was used to measure NPY mRNA expression in both the right and left L5 dorsal spinal cords on the 14th day after the operation. NPY gene expression was decreased in the dorsal spinal cords after ECS; however, no differences in NPY expression were observed between the right and left side of dorsal spinal cords, suggesting that the effect of changes in NPY expression after ECS on the improvement of neuropathic pain is not directly related to the spinal cord, but mainly to the upper central nerves.
一些报告显示,电休克疗法(ECT)对治疗难治性神经性疼痛有效。然而,其作用机制尚不清楚。我们之前已经表明,电休克(ECS)改善了慢性压迫性损伤(CCI)模型大鼠的热超敏反应,同时提高了这些大鼠大脑中神经肽Y(NPY)的表达。在本研究中,我们检测了CCI模型大鼠脊髓中NPY表达的变化。通过结扎左侧坐骨神经建立CCI大鼠模型。术后第7 - 12天,使用电刺激器每天对大鼠进行一次ECS,共六天。术后第14天,采用逆转录聚合酶链反应(RT-PCR)检测右侧和左侧L5背侧脊髓中NPY mRNA的表达。ECS后背侧脊髓中NPY基因表达降低;然而,背侧脊髓左右两侧NPY表达未见差异,这表明ECS后NPY表达变化对神经性疼痛改善的影响与脊髓无直接关系,而主要与上位中枢神经有关。