Department of Clinical Pharmacy, Kobe Gakuin University, School of Pharmaceutical Sciences, Kobe, Japan.
J Pharm Pharmacol. 2013 Apr;65(4):615-20. doi: 10.1111/jphp.12007. Epub 2012 Dec 6.
Stroke is the leading cause of disability in the world. Central post-stroke pain (CPSP), an intractable secondary disease, is a serious problem that occurs following cerebral stroke. However, the detailed mechanisms underlying CPSP and standard treatments for it are not well established. Therefore, we examined the nociceptive threshold and alterations in the current stimulus threshold of primary afferent neurons in bilateral carotid artery occlusion (BCAO) mice.
Male ddY mice were subjected to 30 min of BCAO. The development of mechanical and thermal hyperalgesia and changes in current stimulus threshold in the hind paws were measured after BCAO using the von Frey test, plantar test and a Neurometer, respectively.
The threshold for mechanical and thermal hyperalgesia in both hind paws was significantly decreased on day 3 after BCAO as compared with pre-BCAO treatment. Furthermore, the sensitivity of C and Aβ fibres (at stimulation of 5 and 2000 Hz, respectively) was increased on day 3 after BCAO as compared with pre-BCAO treatment, while that of Aδ fibres was not altered.
Our data show the development of bilateral hyperalgesia in this model. Potentially, C and Aβ fibre-specific hypersensitization after stroke may have contributed to these symptoms.
中风是世界范围内导致残疾的主要原因。中枢性卒中后疼痛(CPSP)是一种难治性的继发性疾病,是脑卒中后发生的严重问题。然而,CPSP 的详细发病机制和标准治疗方法尚未明确。因此,我们检测了双侧颈总动脉闭塞(BCAO)小鼠初级传入神经元的伤害感受阈值和当前刺激阈值的变化。
雄性 ddY 小鼠接受 30 分钟的 BCAO。使用 von Frey 测试、足底测试和 Neurometer 分别在 BCAO 后测量后肢机械性和热痛觉过敏的发展以及后肢电流刺激阈值的变化。
与 BCAO 前处理相比,BCAO 后第 3 天,双后肢的机械性和热痛觉过敏阈值显著降低。此外,与 BCAO 前处理相比,C 和 Aβ纤维(分别在 5Hz 和 2000Hz 刺激时)的敏感性在 BCAO 后第 3 天增加,而 Aδ纤维的敏感性没有改变。
我们的数据显示,该模型中出现了双侧痛觉过敏。可能是脑卒中后 C 和 Aβ纤维的特异性超敏反应导致了这些症状。