Department of General Anesthesiology, Institute of Anesthesiology, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Eur J Pharmacol. 2011 Feb 25;653(1-3):26-31. doi: 10.1016/j.ejphar.2010.11.027. Epub 2010 Dec 11.
Adaptation of glutamatergic transmission, including the trafficking of AMPA receptor subunits, serves as an important mechanism underlying long-term neuronal plasticity under several pathophysiological conditions, including pain. Meanwhile, the anterior cingulate cortex (ACC) is found to be critically involved in the central processing and modulation of noxious stimulus, although the neuroadaptation in the ACC has not yet been well established in the setting of chronic pain. To address these issues, the present work was undertaken to explore the adaptation of glutamatergic AMPA receptor subunits in ACC neurons in rats with inflammation in the left hindpaw induced with Complete Freund's Adjuvant (CFA). The results showed an increased AMPA receptor-mediated glutamatergic evoked EPSC in the ACC neurons, indicating an enhanced basal glutamatergic transmission. Furthermore, an increased distribution of the synaptic GluR1 subunit was observed in the ACC neurons. We conclude that chronic peripheral inflammation significantly enhances the synaptic insertion of GluR1 subunits in the ACC neurons, which consequently increases the central excitatory transmission during chronic pain. This investigation may clarify, at least partially, the underlying supraspinal mechanism for adaptation of glutamatergic transmission during chronic pain induced by peripheral inflammation.
谷氨酸能传递的适应,包括 AMPA 受体亚基的转运,是几种病理生理条件下(包括疼痛)长期神经元可塑性的重要机制。同时,研究发现,前扣带皮层(ACC)在伤害性刺激的中枢处理和调节中起着关键作用,尽管在慢性疼痛的背景下,ACC 中的神经适应尚未得到很好的证实。为了解决这些问题,本研究旨在探索慢性炎症状态下,左后爪注射完全弗氏佐剂(CFA)诱导的大鼠 ACC 神经元中谷氨酸能 AMPA 受体亚基的适应性。结果显示,ACC 神经元中 AMPA 受体介导的谷氨酸诱发 EPSC 增加,表明基础谷氨酸能传递增强。此外,还观察到 ACC 神经元中突触 GluR1 亚基的分布增加。我们得出结论,慢性外周炎症显著增强了 ACC 神经元中 GluR1 亚基的突触插入,从而增加了慢性疼痛期间的中枢兴奋性传递。这项研究至少部分阐明了外周炎症引起的慢性疼痛期间谷氨酸能传递适应的中枢机制。