Department of Endocrinology, the Second Affiliated Hospital, Soochow University, Suzhou, China.
CNS Neurosci Ther. 2013 Feb;19(2):83-90. doi: 10.1111/cns.12035. Epub 2012 Dec 11.
To investigate whether electroacupuncture (EA) produced analgesic effect and whether nuclear factor kappa B (NF-κB) and cystathionine β synthase (CBS) involved in EA-mediated analgesia in painful diabetic neuropathy in rats.
Diabetes was induced by an intraperitoneal injection of streptozotocin (STZ) in adult female rats. Mechanical pain threshold was measured by von Frey filaments. EA was applied at acupoint Zu-San-Li (ST-36) in both hindlimbs. Western blot analysis was employed to detect changes in protein levels of NF-κB and CBS in spinal dorsal root ganglion (DRGs).
Mechanical allodynia was developed 2 weeks after STZ injection and lasted for another 4 weeks. STZ injection significantly enhanced expression of p65 and CBS in lumbar L4-6 DRGs when compared with age-matched controls. EA markedly attenuated mechanical allodynia. Importantly, EA treatment remarkably inhibited p65 and CBS expression in DRGs. Additionally, intrathecal injection of the p65 antagonist pyrrolidine dithiocarbamate attenuated mechanical allodynia and markedly inhibited CBS expression in DRGs in STZ rats.
These data indicate that EA produced an analgesic effect, which might be mediated at least in a part by inhibition of NF-κB signaling pathway in primary sensory neurons in rats with diabetes.
探讨电针对糖尿病神经病理性痛大鼠的镇痛作用及其机制是否与核因子-κB(NF-κB)和胱硫醚-β 合酶(CBS)有关。
成年雌性大鼠腹腔注射链脲佐菌素(STZ)诱导糖尿病。采用 Von Frey 纤维测量机械痛阈。双侧后肢 ST-36 穴位给予电针刺激。采用 Western blot 分析检测脊髓背根神经节(DRG)中 NF-κB 和 CBS 蛋白水平的变化。
STZ 注射后 2 周出现机械性痛觉过敏,持续 4 周。与同龄对照组相比,STZ 注射显著增强了腰椎 L4-6 DRG 中 p65 和 CBS 的表达。电针治疗明显减轻了机械性痛觉过敏。重要的是,电针治疗显著抑制了 DRG 中的 p65 和 CBS 表达。此外,鞘内注射 p65 拮抗剂吡咯烷二硫代氨基甲酸盐可减轻糖尿病大鼠的机械性痛觉过敏,并明显抑制 DRG 中的 CBS 表达。
这些数据表明,电针在糖尿病大鼠中产生了镇痛作用,其机制至少部分与初级感觉神经元中 NF-κB 信号通路的抑制有关。