Liu Jian-Hua, Fu Wen-Bin, Xu Zhen-Hua, Liao Yuan, Li Xin-Ran
Key Laboratory for Studying Regularities and Mechanism of Acu-moxibustion, Department of Acu-moxibustion, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.
Zhen Ci Yan Jiu. 2010 Aug;35(4):281-6.
To observe the role of large-diameter fibers of infraorbital nerve (ION) in "Sibai" (ST 2)-electroacupuncture (EA) induced analgesia in visceral pain (VP) rats.
A total of 36 SD rats were randomized into control, VP, EA, ION transaction, snake venom (SV) and saline groups, with 6 rats in each group. EA(2 Hz/20 Hz) was applied to bilateral "Sibai" (ST 2) for 20 min. VP model was established by intraperitoneal injection of 0.6% acetic acid (10 mL/kg). Bilateral ION were transacted or pretreated by regional application of snake venom to selectively destroy A fibers,respectively. Behavior reactions were assessed by counting abdominal muscular contractions. Meanwhile, c-fos expression in the nucleus of the solitary tract (NTS) and paratrigeminal nucleus (PTN) was displayed by immunohistochemistry.
In comparison with control group, the numbers of abdominal muscular contraction,and c-fos immuno-reaction (IR) positive neurons in both NTS and PTN increased significantly in VP group (P < 0.001); while in comparison with VP group, the numbers of the abdominal contraction, and c-fos IR-positive neurons of both NTS and PTN in EA and SV and saline groups decreased considerably (P < 0.05, P < 0.01). No significant differences were found between ION transaction and VP groups in the abdominal contraction number, and c-fos IR-positive neurons in both NTS and PTN areas,and among EA and SV and saline groups in the numbers of abdominal contraction and c-fos IR-positive neurons of both NTS and PTN (P > 0.05).
The large-diameter (A) fibers of ION are not the major afferent fibers affecting EA-ST 2 induced analgesia in visceral pain rats; and somatic sensory afferents from orofacial areas and visceral pain input converge in the NTS and PTN, which may be the basis of the EA analgesia in the present study.
观察眶下神经(ION)大直径纤维在“四白”(ST 2)电针(EA)诱导的内脏痛(VP)大鼠镇痛中的作用。
将36只SD大鼠随机分为对照组、VP组、EA组、ION切断组、蛇毒(SV)组和生理盐水组,每组6只。对双侧“四白”(ST 2)施加EA(2 Hz/20 Hz)20分钟。通过腹腔注射0.6%醋酸(10 mL/kg)建立VP模型。分别通过切断双侧ION或局部应用蛇毒预处理以选择性破坏A纤维。通过计数腹部肌肉收缩来评估行为反应。同时,采用免疫组织化学法显示孤束核(NTS)和三叉神经旁核(PTN)中c-fos的表达。
与对照组相比,VP组腹部肌肉收缩次数以及NTS和PTN中c-fos免疫反应(IR)阳性神经元数量均显著增加(P < 0.001);而与VP组相比,EA组、SV组和生理盐水组的腹部收缩次数以及NTS和PTN中c-fos IR阳性神经元数量均显著减少(P < 0.05,P < 0.01)。ION切断组与VP组在腹部收缩次数以及NTS和PTN区域的c-fos IR阳性神经元数量方面无显著差异,EA组、SV组和生理盐水组在腹部收缩次数以及NTS和PTN中c-fos IR阳性神经元数量方面也无显著差异(P > 0.05)。
ION的大直径(A)纤维不是影响EA-ST 2诱导的内脏痛大鼠镇痛的主要传入纤维;来自口面部区域的躯体感觉传入和内脏痛传入在NTS和PTN汇聚,这可能是本研究中EA镇痛的基础。