Department of Neurology, Chinese PLA General Hospital, Beijing 100853, PR China.
Brain Res. 2011 Nov 18;1424:9-19. doi: 10.1016/j.brainres.2011.09.048. Epub 2011 Sep 29.
A bi-directional relationship between depression and migraine has been widely reported in epidemiological and clinical studies, but the mechanisms of interaction between these disorders have not been fully examined using animal models. The aim of the present study was to investigate the effects of depression elicited by olfactory bulbectomy (OB) on trigeminovascular nociception in conscious rats. The nociception was induced by electrical stimulation of the dura mater surrounding the superior sagittal sinus (SSS); this procedure causes nociception similar to that experienced during vascular headaches such as migraine. We showed that nociceptive behaviors (grooming and head flicks) were significantly enhanced in OB rats as compared to sham-operation (Sham) rats and that these nociceptive behaviors were correlated with depressive-like behaviors. Systemic administration of the antidepressant amitriptyline (AMI) significantly alleviated nociceptive behaviors in both the OB rats and Sham rats. Plasma levels of substance P (SP), but not plasma calcitonin gene-related protein (CGRP), significantly increased in OB rats and plasma SP levels decreased to normal following AMI treatment. Furthermore, changes in plasma SP levels were associated with both depressive-like behaviors and nociceptive behaviors. In conclusion, our results indicate that OB-induced depression can exacerbate trigeminovascular nociception, which may be mediated by SP. Moreover, we demonstrate that inhibition of SP release may contribute to the antinociceptive effect of AMI.
抑郁症和偏头痛之间存在双向关系,这在流行病学和临床研究中得到了广泛报道,但使用动物模型尚未充分研究这些疾病之间相互作用的机制。本研究旨在探讨嗅球切除术(OB)引起的抑郁对清醒大鼠三叉神经血管痛觉的影响。通过对围绕矢状窦(SSS)的硬脑膜进行电刺激来诱导痛觉;该程序引起的痛觉类似于偏头痛等血管性头痛期间经历的痛觉。我们发现,与假手术(Sham)大鼠相比,OB 大鼠的痛觉行为(梳理和摇头)明显增强,并且这些痛觉行为与抑郁样行为相关。全身性给予抗抑郁药阿米替林(AMI)可显著减轻 OB 大鼠和 Sham 大鼠的痛觉行为。OB 大鼠的血浆 P 物质(SP)水平而非血浆降钙素基因相关肽(CGRP)水平显著升高,AMI 治疗后血浆 SP 水平降至正常。此外,血浆 SP 水平的变化与抑郁样行为和痛觉行为均相关。总之,我们的结果表明,OB 诱导的抑郁可加重三叉神经血管性痛觉,这可能是由 SP 介导的。此外,我们证明抑制 SP 释放可能有助于 AMI 的抗痛觉作用。