Department Oral and Maxillofacial Surgery, San Francisco, CA 94143, USA.
Eur J Pain. 2011 Sep;15(8):796-800. doi: 10.1016/j.ejpain.2011.02.005. Epub 2011 Mar 17.
Stress exacerbates both experimental and clinical pain, most well-characterized in irritable bowel and fibromyalgia syndromes. Since it has been hypothesized that cytokines play an etiopathogenic role in fibromyalgia and other chronic widespread pain conditions, we investigated the relationship between stress and cytokines in a model of stress-induced chronic somatic pain. A series of experiments were performed to evaluate the impact of stress on the hyperalgesia-induced by endotoxin (lipopolysaccharide, LPS) and the role of two pro-inflammatory cytokines, interleukin-6 (IL-6) and tumor necrosis α (TNFα). Fourteen days after exposure to a 4-day protocol of unpredictable sound stress, the ability of systemic LPS (100 μg/kg, i.p) to elicit cytokine-mediated mechanical hyperalgesia was measured in gastrocnemius muscle. LPS-induced hyperalgesia was significantly greater in stressed rats, but when rats were treated intrathecally with antisense oligodeoxynucleotide (ODN), to decrease either the gp130 subunit of the IL-6 receptor or the TNFα receptor, in nociceptors, skeletal muscle hyperalgesia in sound stressed, but not control, rats was prevented. These data suggest that chronic stress alters signaling in the primary afferent nociceptor for the hyperalgesia induced by endogenously produced pro-inflammatory cytokines.
压力会加剧实验性和临床疼痛,在肠易激和纤维肌痛综合征中最为明显。由于有人假设细胞因子在纤维肌痛和其他慢性广泛性疼痛疾病中起病因作用,因此我们在应激诱导的慢性躯体疼痛模型中研究了压力与细胞因子之间的关系。进行了一系列实验来评估应激对内毒素(脂多糖,LPS)引起的痛觉过敏的影响,以及两种促炎细胞因子白细胞介素 6(IL-6)和肿瘤坏死因子 α(TNFα)的作用。在暴露于为期 4 天的不可预测声音应激方案 14 天后,测量了全身 LPS(100μg/kg,ip)在比目鱼肌中引起细胞因子介导的机械性痛觉过敏的能力。在应激大鼠中,LPS 诱导的痛觉过敏明显更大,但当大鼠鞘内给予反义寡脱氧核苷酸(ODN)以减少 IL-6 受体或 TNFα 受体的 gp130 亚基时,在声音应激但不是对照大鼠中,骨骼肌肉痛觉过敏被预防。这些数据表明,慢性应激改变了内源性产生的促炎细胞因子引起的痛觉过敏的初级传入伤害感受器中的信号转导。