Department of Anesthesiology, Affiliated Hospital of Nantong University, Nantong, 226001, Jiangsu, People's Republic of China.
Neurochem Res. 2013 Oct;38(10):2168-79. doi: 10.1007/s11064-013-1125-x. Epub 2013 Aug 25.
Nerve injury and inflammation can both induce neuropathic pain via the production of pro-inflammatory cytokines. In the process, G protein-coupled receptors (GPCRs) were involved in pain signal transduction. GPCR kinase (GRK) 6 is a member of the GRK family that regulates agonist-induced desensitization and signaling of GPCRs. However, its expression and function in neuropathic pain have not been reported. In this study, we performed a chronic constriction injury (CCI) model in adult male rats and investigated the dynamic change of GRK6 expression in spinal cord. GRK6 was predominantly expressed in the superficial layers of the lumbar spinal cord dorsal horn neurons and its expression was decreased bilaterally following induction of CCI. The changes of GRK6 were mainly in IB4 and P substrate positive areas in spinal cord dorsal horn. And over-expression of GRK6 in spinal cord by lentivirus intrathecal injection attenuated the pain response induced by CCI. In addition, the level of TNF-α underwent the negative pattern of GRK6 in spinal cord. And neutralized TNF-α by antibody intrathecal injection up-regulated GRK6 expression and attenuated the mechanical allodynia and heat hyperalgesia in CCI model. All the data indicated that down-regulation of neuronal GRK6 expression induced by cytokine may be a potential mechanism that contributes to increasing neuronal signaling in neuropathic pain.
神经损伤和炎症均可通过产生促炎细胞因子引起神经性疼痛。在这个过程中,G 蛋白偶联受体(GPCR)参与了疼痛信号转导。G 蛋白偶联受体激酶(GRK)6 是 GPCR 家族的一员,可调节激动剂诱导的 GPCR 脱敏和信号转导。然而,其在神经性疼痛中的表达和功能尚未被报道。在本研究中,我们在成年雄性大鼠中建立了慢性压迫性损伤(CCI)模型,并研究了脊髓中 GRK6 表达的动态变化。GRK6 主要在脊髓背角浅层神经元中表达,CCI 诱导后双侧表达减少。GRK6 的变化主要发生在脊髓背角 IB4 和 P 底物阳性区域。通过慢病毒鞘内注射过表达 GRK6 可减轻 CCI 诱导的疼痛反应。此外,脊髓中 TNF-α 的水平与 GRK6 呈负相关。通过鞘内注射中和抗体抑制 TNF-α,可上调 GRK6 表达,减轻 CCI 模型的机械性痛觉过敏和热痛觉过敏。所有数据表明,细胞因子诱导的神经元 GRK6 表达下调可能是导致神经性疼痛中神经元信号增强的潜在机制。