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脊髓 CCL2 和小胶质细胞激活参与紫杉醇诱发的冷痛觉过敏。

Spinal CCL2 and microglial activation are involved in paclitaxel-evoked cold hyperalgesia.

机构信息

Laboratorio de Farmacología, Facultad de Medicina, Instituto Universitario de Oncología del Principado de Asturias, Universidad de Oviedo, 33006 Oviedo, Asturias, Spain.

出版信息

Brain Res Bull. 2013 Jun;95:21-7. doi: 10.1016/j.brainresbull.2013.03.005. Epub 2013 Apr 2.

Abstract

The antineoplastic paclitaxel induces a sensory neuropathy that involves the spinal release of neuroinflammatory mediators and activation of glial cells. Although the chemokine CCL2 can evoke glial activation and its participation in neuropathic pain has been demonstrated in other models, its involvement in paclitaxel-evoked neuropathy has not been previously explored. Paclitaxel-evoked cold hypernociception was assessed in mice by the unilateral cold plate test and the effects on cold hyperalgesia of the CCR2 antagonist RS 504393, the CCR1 antagonist J113863, the microglial inhibitor minocycline or an anti-CCL2 antibody were tested. Furthermore, ELISA measurements of CCL2 concentration and immunohistochemical assays of Iba-1 and GFAP, markers of microglial and astroglial cells respectively, were performed in the lumbar spinal cord. Cold hypernociception measured 3 days after the administration of paclitaxel (10mg/kg) was inhibited by the s.c. (0.3-3mg/kg) or i.t. (1-10 μg) administration of RS 504393 but not of J113863 (3-30 mg/kg). CCL2 levels measured by ELISA in the lumbar spinal cord were augmented in mice treated with paclitaxel and the i.t. administration of an anti-CCL2 antibody completely suppressed paclitaxel-evoked cold hyperalgesia, strongly suggesting that CCL2 is involved in the hypernociception evoked by this taxane. Besides, the implication of microglial activation is supported by the increase in the immunolabelling of Iba-1, but not GFAP, in the spinal cord of paclitaxel-treated mice and by the inhibition of cold hyperalgesia produced by the i.t. administration of the microglial inhibitor minocycline (1-10 nmol). Finally, the neutralization of spinal CCL2 by the i.t. administration of a selective antibody for 3 days almost totally inhibited paclitaxel-evoked microglial activation. In conclusion, our results indicate that paclitaxel-evoked cold hypernociception depends on the activation of CCR2 due to the spinal release of CCL2 and the subsequent microglial activation.

摘要

紫杉醇是一种抗肿瘤药物,它会引起感觉性周围神经病,涉及到脊髓神经炎症介质的释放和神经胶质细胞的激活。虽然趋化因子 CCL2 可以引发神经胶质细胞的激活,并且其在其他模型中的神经病理性疼痛中的参与已经得到了证实,但它在紫杉醇诱导的周围神经病中的参与尚未被探索过。通过单侧冷板试验评估了紫杉醇诱导的冷超敏反应在小鼠中的作用,并测试了 CCR2 拮抗剂 RS 504393、CCR1 拮抗剂 J113863、小胶质细胞抑制剂米诺环素或抗 CCL2 抗体对冷超敏反应的影响。此外,还进行了 ELISA 测量 CCL2 浓度和免疫组织化学测定 Iba-1 和 GFAP,分别是小胶质细胞和星形胶质细胞的标志物,在腰椎脊髓中进行。紫杉醇(10mg/kg)给药后 3 天测量的冷超敏反应被皮下(0.3-3mg/kg)或鞘内(1-10μg)给予 RS 504393 抑制,但不是 J113863(3-30mg/kg)。ELISA 测量的腰椎脊髓中的 CCL2 水平在紫杉醇处理的小鼠中增加,鞘内给予抗 CCL2 抗体完全抑制了紫杉醇诱导的冷超敏反应,强烈表明 CCL2 参与了这种紫杉烷类药物引起的超敏反应。此外,小胶质细胞激活的暗示得到了支持,即紫杉醇处理的小鼠脊髓中 Iba-1 的免疫标记增加,但 GFAP 没有增加,以及鞘内给予小胶质细胞抑制剂米诺环素(1-10nmol)抑制冷超敏反应。最后,鞘内给予选择性抗体 3 天几乎完全抑制紫杉醇诱导的小胶质细胞激活,从而中和了脊髓中的 CCL2。总之,我们的结果表明,紫杉醇诱导的冷超敏反应依赖于 CCR2 的激活,这是由于脊髓中 CCL2 的释放和随后的小胶质细胞激活所致。

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