Department of Anesthesiology, Drum-Tower Hospital, Medical School, Nanjing University, Nanjing, Jiangsu Province, China.
Anesthesiology. 2012 Jan;116(1):122-32. doi: 10.1097/ALN.0b013e31823de68d.
Astrocytes and metabotropic glutamate receptors play important roles in nociceptive processing. However, their roles in bone cancer pain were not well understood. This study sought to investigate whether selective mGluR3 and mGluR5 agonist or antagonist develop antinociceptive effects on bone cancer pain by inhibition of spinal astrocyte activation.
C3H/HeNCrlVr mice were inoculated into the intramedullary space of the femur with sarcoma NCTC 2472 cells to induce bone cancer pain. Quantitative real-time reverse transcription-polymerase chain reaction and Western blot experiments examined messenger RNA and protein expression of spinal glial fibrillary acidic protein, mGluR3, and mGluR5. The authors further investigated effects of intrathecal treatment with the mGluR3 agonist (APDC), the mGluR3 antagonist (LY341495), the mGluR5 agonist (CHPG), or the mGluR5 antagonist (MTEP) on nociceptive behaviors and spinal astrocyte activation associated with bone cancer pain.
Inoculation of sarcoma cells, but not α-MEM solution, induced progressive bone cancer pain and resulted in up-regulation of glial fibrillary acidic protein, mGluR3, and mGluR5 expression on days 10, 14, and 21 postinoculation. Intrathecal administration of APDC and MTEP attenuated bone cancer-evoked spontaneous pain, mechanical allodynia, thermal hyperalgesia, and reduced spinal glial fibrillary acidic protein expression. However, treatment with LY341495 and CHPG induced thermal hyperalgesia and spinal glial fibrillary acidic protein expression in control mice.
Spinal mGluR3 activation or mGluR5 inhibition reduced bone cancer pain. Inhibition of spinal astrocyte activation may contribute to the analgesic effects. These findings may lead to novel strategies for the treatment of bone cancer pain.
星形胶质细胞和代谢型谷氨酸受体在伤害性感受处理中发挥重要作用。然而,它们在骨癌痛中的作用尚不清楚。本研究旨在探讨选择性 mGluR3 和 mGluR5 激动剂或拮抗剂是否通过抑制脊髓星形胶质细胞激活对骨癌痛产生镇痛作用。
将肉瘤 NCTC 2472 细胞接种到 C3H/HeNCrlVr 小鼠股骨骨髓腔内,诱导骨癌痛。实时定量逆转录聚合酶链反应和 Western blot 实验检测脊髓胶质纤维酸性蛋白、mGluR3 和 mGluR5 的信使 RNA 和蛋白表达。作者进一步研究了鞘内给予 mGluR3 激动剂(APDC)、mGluR3 拮抗剂(LY341495)、mGluR5 激动剂(CHPG)或 mGluR5 拮抗剂(MTEP)对骨癌痛相关的痛觉行为和脊髓星形胶质细胞激活的影响。
肉瘤细胞接种而不是 α-MEM 溶液接种,在接种后第 10、14 和 21 天诱导进行性骨癌痛,并导致胶质纤维酸性蛋白、mGluR3 和 mGluR5 表达上调。鞘内给予 APDC 和 MTEP 可减轻骨癌引起的自发性疼痛、机械性痛觉过敏和热痛觉过敏,并减少脊髓胶质纤维酸性蛋白表达。然而,LY341495 和 CHPG 治疗在对照小鼠中诱导了热痛觉过敏和脊髓胶质纤维酸性蛋白表达。
脊髓 mGluR3 激活或 mGluR5 抑制可减轻骨癌痛。抑制脊髓星形胶质细胞激活可能有助于发挥镇痛作用。这些发现可能为骨癌痛的治疗提供新策略。