Department of Neural and Pain Sciences, School of Dentistry, University of Maryland, Baltimore, Maryland 21201, USA.
J Pain. 2012 Jul;13(7):685-94. doi: 10.1016/j.jpain.2012.04.010. Epub 2012 Jun 13.
The mechanism underlying estrogen modulation of visceral pain remains unclear. Our previous studies indicate that activation of estrogen receptor α (ERα) enhances visceral pain. The purpose of the present study was to investigate the role of estrogen receptor β (ERβ) activation in spinal processing of visceral stimuli. The effects of selective ERβ agonists on the visceromotor response (VMR) and dorsal horn neuronal responses to colorectal distention (CRD) were tested in ovariectomized and intact female rats. The magnitude of the VMR to CRD was significantly attenuated by ERβ agonists diarylpropionitrile (DPN) and WAY-200070 4 hours after subcutaneous injection. Pretreatment with the estrogen receptor antagonist ICI 182,780 obscured the DPN-evoked attenuation. There was no effect of DPN on the VMR at earlier time points. Subcutaneous and spinal administration of DPN attenuated the response of visceroceptive dorsal horn neurons with a comparable time course. DPN attenuated the VMR in intact rats regardless of estrous cycle stage. The time course of effect of ERβ activation on the visceromotor response and neuronal activity is consistent with transcriptional or translational modulation of neuronal activity.
Activation of ERβ is antinociceptive in the colorectal distention model of visceral pain, which may provide a therapeutic target to manage irritable bowel syndrome in the clinic.
雌激素调节内脏疼痛的机制尚不清楚。我们之前的研究表明,雌激素受体 α(ERα)的激活增强了内脏疼痛。本研究的目的是研究激活雌激素受体 β(ERβ)在脊髓处理内脏刺激中的作用。在去卵巢和完整雌性大鼠中测试了选择性 ERβ 激动剂对内脏运动反应(VMR)和直肠扩张(CRD)引起的背角神经元反应的影响。CRD 引起的 VMR 幅度在皮下注射 DPN 后 4 小时被 ERβ 激动剂二芳基丙腈(DPN)和 WAY-200070 明显减弱。雌激素受体拮抗剂 ICI 182,780 的预处理掩盖了 DPN 诱发的衰减。DPN 对 VMR 没有早期影响。DPN 皮下和脊髓给药均可减弱内脏感觉背角神经元的反应,其时间过程相似。DPN 减弱了完整大鼠的 VMR,而与动情周期阶段无关。ERβ 激活对内脏运动反应和神经元活动的影响时间过程与神经元活动的转录或翻译调节一致。
ERβ 的激活在直肠扩张内脏疼痛模型中具有镇痛作用,这可能为临床治疗肠易激综合征提供治疗靶点。