Department of Neural and Pain Sciences, University of Maryland School of Dentistry, Baltimore, USA.
Eur J Pain. 2014 Jan;18(1):29-38. doi: 10.1002/j.1532-2149.2013.00343.x. Epub 2013 Jun 6.
Although the efficacy of peripherally administered opioid has been demonstrated in preclinical and clinical studies, the underlying mechanisms of its anti-hyperalgesic effects are poorly understood. G protein-coupled inwardly rectifying potassium (GIRK) channels are linked to opioid receptors in the brain. However, the role of peripheral GIRK channels in analgesia induced by peripherally administered opioid, especially in trigeminal system, is not clear.
Expression of GIRK subunits in rat trigeminal ganglia (TG) was examined with reverse transcription-polymerase chain reaction, Western blot and immunohistochemistry. Chemical profiles of GIRK-expressing neurons in TG were further characterized. Behavioural and Fos experiments were performed to examine the functional involvement of GIRK channels in δ-opioid receptor (DOR)-mediated anti-hyperalgesia under an acute myositis condition.
TG expressed mRNA and proteins for GIRK1 and GIRK2 subunits. Majority of GIRK1- and GIRK2-expressing neurons were non-peptidergic afferents. Inhibition of peripheral GIRK using Tertiapin-Q (TPQ) attenuated antinociceptive effects of peripherally administered DOR agonist, [D-Pen(2), D-Pen(6) ]-enkephalin (DPDPE), on mechanical hypersensitivity in masseter muscle. Furthermore, TPQ attenuated the suppressive effects of peripheral DPDPE on neuronal activation in the subnucleus caudalis of the trigeminal nucleus (Vc) following masseteric injection of capsaicin.
Our data indicate that peripheral DOR agonist-induced suppression of mechanical hypersensitivity in the masseter muscle involves the activity of peripheral GIRK channels. These results could provide a rationale for developing a novel therapeutic approach using peripheral GIRK channel openers to mimic or supplement the effects of peripheral opioid agonist.
尽管外周给予阿片类药物在临床前和临床研究中已显示出疗效,但对其抗痛觉过敏作用的潜在机制仍了解甚少。G 蛋白偶联内向整流钾 (GIRK) 通道与大脑中的阿片受体相连。然而,外周 GIRK 通道在外周给予阿片类药物引起的镇痛作用中的作用,特别是在三叉神经系统中的作用尚不清楚。
通过逆转录聚合酶链反应、Western blot 和免疫组织化学检查大鼠三叉神经节 (TG) 中 GIRK 亚基的表达。进一步研究 TG 中表达 GIRK 的神经元的化学特征。在急性肌炎条件下,通过行为学和 Fos 实验研究 GIRK 通道在 δ-阿片受体 (DOR) 介导的抗痛觉过敏中的功能作用。
TG 表达 GIRK1 和 GIRK2 亚基的 mRNA 和蛋白。大多数 GIRK1 和 GIRK2 表达神经元是非肽能传入神经。使用 Tertiapin-Q (TPQ) 抑制外周 GIRK 可减弱外周给予 DOR 激动剂 [D-Pen(2), D-Pen(6)]-脑啡肽 (DPDPE) 对咬肌机械性高敏的镇痛作用。此外,TPQ 减弱了外周 DPDPE 对辣椒素注射后三叉神经核尾亚核 (Vc) 神经元激活的抑制作用。
我们的数据表明,外周给予 DOR 激动剂诱导的咬肌机械性高敏的抑制作用涉及外周 GIRK 通道的活性。这些结果为开发使用外周 GIRK 通道开放剂的新型治疗方法提供了依据,该方法可模拟或补充外周阿片类激动剂的作用。