Douglas Mental Health University Institute, Montreal, Quebec, Canada.
Neuroscience. 2013 Oct 10;250:92-101. doi: 10.1016/j.neuroscience.2013.06.064. Epub 2013 Jul 11.
β-Amyloid (Aβ) peptides are derived from the sequential cleavage of the amyloid precursor protein (APP). They are enriched in plaques present in Alzheimer's brains and thus play important roles in the pathogenesis of this disease. APP is also known to be expressed in the neurons of dorsal root ganglion (DRG) and contributes to neuronal survival and axonal growth during development. However, whether APP and Aβ peptides are involved in nociception and pathological pain states is mostly unknown. In the present study, we have used behavioral, biochemical and morphological approaches to address this issue in both adult rats and APP over-expressing CRND8 transgenic mice. We observed that the Aβ peptide (17-24) was predominantly expressed in small-sized DRG neurons of rats. Following intraplantar (i.pl.) injection of complete Freud's adjuvant (CFA), the levels of APP and Aβ peptides were significantly reduced in the ipsilateral lumbar 4-6 rat DRG. In 3-, 12- and 24-month-old CRND8 mice, pain sensitivity in response to heat and mechanical stimulation was significantly dampened compared to their age-matched wild-type littermates. In parallel with reduced pain sensitivity, the expression of pain mediators such as substance P, calcitonin gene-related peptide and transient receptor potential vanilloid-1 was significantly reduced in L4-6 DRG of CRND8 mice. Although i.pl. injection of CFA induced a rather similar pattern of inflammatory pain in 3-month-old CRND8 mice and their wild-type littermates, recovery from inflammatory pain seemed faster in 12-month-old CRND8 mice than wild-type mice. These findings suggest that APP and Aβ peptides suppress both nociception and inflammatory pain and are likely involved in blunt pain perception of Alzheimer's patients in clinical settings.
β-淀粉样蛋白(Aβ)肽来源于淀粉样前体蛋白(APP)的连续切割。它们在阿尔茨海默病大脑中的斑块中富集,因此在这种疾病的发病机制中发挥重要作用。APP 也已知在背根神经节(DRG)的神经元中表达,并有助于神经元存活和发育过程中的轴突生长。然而,APP 和 Aβ 肽是否参与伤害感受和病理性疼痛状态在很大程度上尚不清楚。在本研究中,我们使用行为学、生化和形态学方法在成年大鼠和 APP 过表达 CRND8 转基因小鼠中解决了这个问题。我们观察到 Aβ 肽(17-24)主要在大鼠的小尺寸 DRG 神经元中表达。在足底(i.pl.)注射完全弗氏佐剂(CFA)后,同侧 L4-6 大鼠 DRG 中 APP 和 Aβ 肽的水平显著降低。在 3、12 和 24 月龄的 CRND8 小鼠中,与年龄匹配的野生型同窝仔相比,对热和机械刺激的疼痛敏感性明显降低。与疼痛敏感性降低平行的是,CRND8 小鼠 L4-6 DRG 中疼痛介质的表达,如 P 物质、降钙素基因相关肽和瞬时受体电位香草酸 1,显著降低。尽管 i.pl. 在 3 月龄 CRND8 小鼠及其野生型同窝仔中,CFA 注射诱导了一种相当相似的炎性疼痛模式,但在 12 月龄 CRND8 小鼠中,从炎性疼痛中恢复的速度似乎比野生型小鼠更快。这些发现表明 APP 和 Aβ 肽抑制伤害感受和炎性疼痛,并且可能参与阿尔茨海默病患者在临床环境中的钝痛感知。