外周物质 P 和神经激肽-1 受体在炎症性和神经性口腔面部疼痛模型中起作用。

Peripheral substance P and neurokinin-1 receptors have a role in inflammatory and neuropathic orofacial pain models.

机构信息

Department of Pharmacology, Federal University of Parana, Curitiba, PR, Brazil.

出版信息

Neuropeptides. 2013 Jun;47(3):199-206. doi: 10.1016/j.npep.2012.10.005. Epub 2012 Nov 22.

Abstract

There is accumulating evidence that substance P released from peripheral sensory neurons participates in inflammatory and neuropathic pain. In this study it was investigated the ability of substance P to induce orofacial nociception and thermal and mechanical hyperalgesia, as well as the role of NK1 receptors on models of orofacial inflammatory and neuropathic pain. Substance P injected into the upper lip at 1, 10 and 100 μg/50 μL failed to induce nociceptive behavior. Also, substance P (0.1-10 μg/50 μL) injected into the upper lip did not evoke orofacial cold hyperalgesia and when injected at 1 μg/50 μL did not induce mechanical hyperalgesia. However, substance P at this latter dose induced orofacial heat hyperalgesia, which was reduced by the pre-treatment of rats with a non-peptide NK1 receptor antagonist (SR140333B, 3mg/kg). Systemic treatment with SR140333B (3 mg/kg) also reduced carrageenan-induced heat hyperalgesia, but did not exert any influence on carrageenan-induced cold hyperalgesia. Blockade of NK1 receptors with SR140333B also reduced by about 50% both phases of the formalin response evaluated in the orofacial region. Moreover, heat, but not cold or mechanical, hyperalgesia induced by constriction of the infraorbital nerve, a model of trigeminal neuropathic pain, was abolished by pretreatment with SR140333B. Considering that substance P was peripherally injected (i.e. upper lip) and the NK1 antagonist used lacks the ability to cross the blood-brain-barrier, our results demonstrate that the peripheral SP/NK1 system participates in the heat hyperalgesia associated with inflammation or nerve injury and in the persistent pain evoked by formalin in the orofacial region.

摘要

有越来越多的证据表明,从周围感觉神经元释放的 P 物质参与了炎症和神经性疼痛。在这项研究中,研究了 P 物质诱导口腔疼痛和热痛觉过敏和机械性痛觉过敏的能力,以及 NK1 受体在口腔炎症和神经性疼痛模型中的作用。将 P 物质注入上唇 1、10 和 100μg/50μL 并不能引起疼痛行为。此外,将 P 物质(0.1-10μg/50μL)注入上唇不会引起口腔冷痛觉过敏,当以 1μg/50μL 注入时也不会引起机械性痛觉过敏。然而,在此剂量下,P 物质会引起口腔热痛觉过敏,这种过敏可通过预先用非肽 NK1 受体拮抗剂(SR140333B,3mg/kg)处理大鼠来减轻。全身性给予 SR140333B(3mg/kg)也减轻了卡拉胶引起的热痛觉过敏,但对卡拉胶引起的冷痛觉过敏没有影响。用 SR140333B 阻断 NK1 受体也使评估的口腔区域福尔马林反应的两个阶段减少约 50%。此外,用 SR140333B 预处理可消除由眶下神经缩窄引起的热痛觉过敏,但不能消除冷痛觉过敏或机械性痛觉过敏。考虑到 P 物质是外周性注射的(即上唇),并且使用的 NK1 拮抗剂缺乏穿过血脑屏障的能力,我们的结果表明,外周 SP/NK1 系统参与了与炎症或神经损伤相关的热痛觉过敏,以及福尔马林在口腔区域引起的持续性疼痛。

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