From the *Department of Neurological Surgery, University of Louisville, Louisville, Kentucky; and †Department of Anesthesiology, Wake Forest University Health Sciences, Winston-Salem, North Carolina.
Anesth Analg. 2014 Apr;118(4):854-62. doi: 10.1213/ANE.0000000000000119.
Detection of ongoing spontaneous pain behaviors in laboratory animals remains a research challenge. Most preclinical pain studies measure elicited behavioral responses to an external noxious stimulus; however, ongoing spontaneous pain in humans and animals may be unrelated to hypersensitivity, and likely diminishes many behaviors, particularly motivated behaviors, that we hypothesize will decrease after induction of acute and chronic pain.
In this study, 201 male rats were subjected to paw incision (INC), L5/L6 spinal nerve ligation (SNL), or INC in SNL rats, and the effects on paw withdrawal threshold (PWT) were assessed. For comparison, the behavioral-decreasing effects on nonevoked measures, including lever pressing for rewarding electrical stimulation of the ventral tegmental area intracranial self-stimulation (VTA ICSS) or food reinforcement (FR), and open field activity (OFA), were also assessed in these same rats.
INC decreased PWT for 4 days, decreased VTA ICSS for 2 days, and FR for 1 day but did not alter OFA. SNL decreased PWT similarly to INC but did not decrease VTA ICSS or FR; SNL did however decrease OFA. INC in SNL rats reduced PWT, VTA ICSS, and FR similarly to INC alone and did not decrease OFA compared with SNL alone.
The acute effects of INC on decreasing lever pressing for VTA ICSS and FR (1-2 days after incision) correspond to the timeframe in which ongoing spontaneous pain is expected to occur after INC. Therefore, these decreases are likely mediated by ongoing spontaneous pain, which may be unrelated to mechanical hypersensitivity that persists for up to 4 days after INC. PWT is decreased similarly by SNL, yet operant behavior (lever pressing for VTA ICSS and FR) was not decreased by SNL. SNL, but not INC, decreased rearing behavior but not total distance traveled during OFA. This further indicates that the presence and the extent of hypersensitivity are not predictive of many behavioral changes in rats thought to be mediated by the presence of ongoing pain. Surprisingly, the behavioral effects of INC are not exacerbated in SNL rats. These data support the growing belief that acute pain models produce short-lived spontaneous pain behaviors that are often less pronounced or absent in neuropathic pain models, and highlight the need for assessment of both evoked and nonevoked pain behaviors in developing future therapies for acute and chronic pain.
在实验动物中检测持续性自发性疼痛行为仍然是一个研究挑战。大多数临床前疼痛研究测量对外源性伤害性刺激的诱发行为反应;然而,人类和动物的持续性自发性疼痛可能与超敏反应无关,并且可能会减少我们假设在诱导急性和慢性疼痛后会减少的许多行为,特别是动机行为。
在这项研究中,201 只雄性大鼠接受爪切开术(INC)、L5/L6 脊神经结扎术(SNL)或 INC 加 SNL,评估对爪退缩阈值(PWT)的影响。为了比较,还评估了这些相同大鼠对非诱发措施的行为减少效应,包括为腹侧被盖区颅内自我刺激(VTA ICSS)或食物强化(FR)的奖赏性电刺激按压杠杆的行为,以及旷场活动(OFA)。
INC 降低了 4 天的 PWT,降低了 2 天的 VTA ICSS,降低了 1 天的 FR,但不改变 OFA。SNL 降低 PWT 的方式与 INC 相似,但不降低 VTA ICSS 或 FR;然而,SNL 确实降低了 OFA。INC 加 SNL 大鼠降低 PWT、VTA ICSS 和 FR 的作用与单独 INC 相似,与单独 SNL 相比,不降低 OFA。
INC 对降低 VTA ICSS 和 FR 的按压杠杆行为的急性影响(INC 后 1-2 天)与 INC 后预计发生持续性自发性疼痛的时间框架相对应。因此,这些减少可能是由持续性自发性疼痛引起的,而持续性自发性疼痛可能与机械超敏反应无关,机械超敏反应可持续至 INC 后 4 天。SNL 也降低 PWT,但不降低操作性行为(VTA ICSS 和 FR 的按压杠杆)。SNL 降低了立起行为,但不降低旷场活动中的总行驶距离。这进一步表明,超敏反应的存在和程度并不能预测许多被认为是由持续性疼痛引起的大鼠行为变化。令人惊讶的是,INC 的行为效应在 SNL 大鼠中没有加重。这些数据支持越来越多的信念,即急性疼痛模型产生短暂的自发性疼痛行为,这些行为在神经病理性疼痛模型中往往不那么明显或不存在,并强调需要评估诱发和非诱发疼痛行为,以开发未来治疗急性和慢性疼痛的方法。