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慢性缩窄性损伤导致体内扣带皮层神经元自发性膜电位振荡发生长期变化。

Chronic constriction injury induced long-term changes in spontaneous membrane-potential oscillations in anterior cingulate cortical neurons in vivo.

机构信息

Department of Anesthesiology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China; Institute & Key Laboratory of Brain Functional Genomics of Shanghai and Chinese Ministry of Education, East China Normal University, Sh.

出版信息

Pain Physician. 2013 Sep-Oct;16(5):E577-89.

Abstract

BACKGROUND

Neuropathic pain induction by nerve injury has been shown by in vitro studies to be accompanied by synaptic strengthening in the anterior cingulate cortex (ACC) and has been shown by pharmacological studies in vivo to be prevented by blocking N-methyl-D-aspartate (NMDA) receptor-dependent ACC plasticity. These findings indicate that ACC neurons undergo nerve injury-induced synaptic modifications and further raise a new question about neuropathic pain-associated changes in neuronal activity in the ACC in vivo, particularly spontaneous neuronal oscillations - a process believed to be fundamental for many forms of brain function.

OBJECTIVE

In this study, we examined the change of spontaneous membrane-potential (MP) oscillations in the ACC in vivo in a neuropathic pain animal model of chronic constriction injury (CCI), which may account for neuropathic pain development, as well as pain hypersensitivity and spontaneous pain.

STUDY DESIGN

Experimental trial in rats.

METHODS

Neuropathic pain rats were produced by CCI surgery on the common sciatic nerve. Neuropathic pain-related behaviors were accessed by evoked responses to both mechanical and thermal stimuli, as well as spontaneous pain indicated by spontaneous foot lifting. In vivo whole-cell recording was performed in both control and neuropathic pain rats under anaesthesia. MP and action-potential (AP) changes of layer II/III ACC pyramidal cells were measured in current-clamp mode. The level of anaesthesia was evaluated by monitoring respiratory and heart rates in some experiments.

RESULTS

Within 7 to 14 days after CCI surgery, the frequency of MP oscillations of ACC neurons was found to be significantly higher than that in control rats. Such an increase in oscillation frequency after surgery was not due to periphery transmission via the sciatic nerve subjected to CCI surgery and was indicated to be accounted for by neuronal modifications in the central nervous system. Furthermore, this increase was found to result in a higher overall level of MP excitation as well as an increase in spontaneous AP firing.

LIMITATIONS

Our findings in MP and AP changes were obtained in anaesthetized brains; this issue remains to be further examined by using whole-cell recording in awake behaving animals.

CONCLUSIONS

Neuropathic pain is accompanied by the increase in rates of spontaneous oscillations of ACC neurons. This change may be critical for neuropathic pain development, as well as pain hypersensitivity and spontaneous pain in neuropathic pain animals.

摘要

背景

体外研究表明,神经损伤引起的神经性疼痛伴随着前扣带皮层(ACC)中的突触增强,体内药理学研究表明,通过阻断 N-甲基-D-天冬氨酸(NMDA)受体依赖性 ACC 可塑性可以预防这种疼痛。这些发现表明 ACC 神经元经历了神经损伤诱导的突触修饰,并进一步提出了一个新的问题,即在体内,ACC 中与神经性疼痛相关的神经元活动的变化,特别是自发性神经元振荡 - 这一过程被认为是许多形式的脑功能的基础。

目的

在这项研究中,我们检查了慢性缩窄性损伤(CCI)神经病理性疼痛动物模型中 ACC 中自发性膜电位(MP)振荡的变化,这可能解释了神经性疼痛的发展,以及疼痛过敏和自发性疼痛。

研究设计

大鼠实验性试验。

方法

通过对坐骨神经的 CCI 手术制作神经病理性疼痛大鼠。通过机械和热刺激的诱发反应以及自发抬脚表示的自发性疼痛来评估与神经病理性疼痛相关的行为。在麻醉下对对照和神经病理性疼痛大鼠进行体内全细胞记录。在电流钳模式下测量层 II/III ACC 锥体神经元的 MP 和动作电位(AP)变化。在一些实验中,通过监测呼吸和心率来评估麻醉水平。

结果

在 CCI 手术后 7 至 14 天内,发现 ACC 神经元的 MP 振荡频率明显高于对照组大鼠。手术后这种振荡频率的增加不是由于通过接受 CCI 手术的坐骨神经的外周传递引起的,而是表明是中枢神经系统神经元修饰的结果。此外,这种增加导致 MP 兴奋的总体水平升高,并增加自发 AP 放电。

局限性

我们在 MP 和 AP 变化方面的发现是在麻醉大脑中获得的;这一问题仍有待通过在清醒行为动物中使用全细胞记录进一步研究。

结论

神经病理性疼痛伴随着 ACC 神经元自发性振荡率的增加。这种变化可能对神经病理性疼痛的发展以及神经病理性疼痛动物的疼痛过敏和自发性疼痛至关重要。

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