Department of Anesthesiology Mannheim, Heidelberg University, Mannheim, Germany Department of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA Department of Mathematics and Computer Science, Bethel University, St. Paul, MN, USA.
Pain. 2011 Sep;152(9):2138-2146. doi: 10.1016/j.pain.2011.05.021. Epub 2011 Jul 18.
Nerve growth factor (NGF) induces acute sensitization of nociceptive sensory endings and long-lasting hyperalgesia. NGF modulation of sodium channel expression might contribute to neurotrophin-induced hyperalgesia. Here, we investigated NGF-evoked changes of the activity-dependent slowing of conduction in porcine C-fibers. Animals received intradermal injections of NGF (2 μg or 8 μg) or saline in both hind limbs. Extracellular recordings from the saphenous nerves were performed 1 week later. Based on sensory thresholds and electrically induced activity-dependent slowing (ADS) of axonal conduction, C-fibers were classified as mechano-sensitive afferents, mechano-insensitive afferents, cold nociceptors, and sympathetic efferents. NGF (2 μg) increased conduction velocity in C-fibers from 1.0±0.05 m/s to 1.2±0.07 m/s. In mechano-insensitive afferents, NGF (8 μg) reduced activity-dependent slowing of conduction, from 5.3±0.2% to 3.2±0.5% (0.125-0.5 Hz stimulation) and from 28.5±1.3% to 20.9±1.9% (2 Hz stimulation), such that ADS no longer differentiated between mechano-sensitive and mechano-insensitive fibers. Accordingly, the number of fibers with pronounced ADS decreased but more units with pronounced ADS were mechano-sensitive. Spontaneously active C-fibers were increased above the control level (1%) by NGF 8 μg (8%). The results demonstrate that NGF changes the functional axonal characteristics of mechano-insensitive C-fibers and enhances spontaneous activity thereby possibly contributing to hyperalgesia.
神经生长因子(NGF)可诱导伤害性感觉末梢的急性敏化和长期痛觉过敏。NGF 对钠通道表达的调节可能有助于神经营养因子诱导的痛觉过敏。在这里,我们研究了猪 C 纤维中活性依赖性传导减慢的 NGF 诱发变化。动物在两条后肢接受 NGF(2μg 或 8μg)或生理盐水的皮内注射。1 周后,从隐神经进行细胞外记录。基于感觉阈值和电诱导的活动依赖性轴突传导减慢(ADS),将 C 纤维分类为机械敏感传入纤维、机械不敏感传入纤维、冷伤害感受器和交感传出纤维。NGF(2μg)将 C 纤维的传导速度从 1.0±0.05m/s 增加到 1.2±0.07m/s。在机械不敏感传入纤维中,NGF(8μg)减少了传导的活动依赖性减慢,从 5.3±0.2%降至 3.2±0.5%(0.125-0.5Hz 刺激)和 28.5±1.3%降至 20.9±1.9%(2Hz 刺激),使得 ADS 不再区分机械敏感和机械不敏感纤维。因此,具有明显 ADS 的纤维数量减少,但更多具有明显 ADS 的纤维为机械敏感。NGF 8μg 将自发活动的 C 纤维增加到对照水平(1%)以上(8%)。结果表明,NGF 改变了机械不敏感 C 纤维的功能性轴突特征,并增强了自发性活动,从而可能导致痛觉过敏。