Mert Tufan, Altun İdiris, Celik Ahmet, Sürer Tuba, Gunay Ismail
Department of Biophysics, School of Medicine , Kahramanmaras , Turkey.
Int J Radiat Biol. 2015 Jul;91(7):596-602. doi: 10.3109/09553002.2015.1031408. Epub 2015 May 20.
Clinical chronic neuropathic pain is often resistant to currently used pharmacotherapeutic applications. A number studies have shown that pulsed magnetic field (PMF) application may ameliorate the pain associated with damages, surgeries or diseases. However, possible potential mechanisms of PMF treatments have not been well documented. This study aimed to assess the therapeutic effects of PMF treatment on a Chronic Constriction Injury model (CCI) which mimics clinical chronic neuropathic pain symptoms.
Effects of PMF treatments or sham PMF (SPMF) were investigated by measuring the latencies, thresholds and cytokine levels (interleukin [IL]-1 beta, IL-6 and IL-10) of sciatic nerve in CCI or sham surgery rats. PMF was treated on CCI rats before (a day after surgery, PMF-AD) and after (a week after surgery, PMF-AW) the development of pain signs.
Rats exhibited hyperalgesia and allodynia within one week following surgery, and lasted through the experiment. PMF treatments, but not SPMF, significantly enhanced the latency and threshold. Both anti-hyperalgesic and anti-allodynic actions of PMF-AD were greater than those of PMF-AW treatment. Similarly, PMF-AD had more pronounced effects on the level of pro- and anti-inflammatory cytokines than did PMF-AW.
The present findings may suggest that PMF treatment may reverse the CCI-induced changes in neuropathic pain behaviors by decreasing the production of pro-inflammatory cytokines and increasing the anti-inflammatory cytokine production at the site of injury.
临床慢性神经性疼痛通常对目前使用的药物治疗方法有抗性。多项研究表明,施加脉冲磁场(PMF)可能会减轻与损伤、手术或疾病相关的疼痛。然而,PMF治疗的潜在机制尚未得到充分记录。本研究旨在评估PMF治疗对模拟临床慢性神经性疼痛症状的慢性压迫损伤模型(CCI)的治疗效果。
通过测量CCI或假手术大鼠坐骨神经的潜伏期、阈值和细胞因子水平(白细胞介素[IL]-1β、IL-6和IL-10),研究PMF治疗或假PMF(SPMF)的效果。在疼痛体征出现之前(手术后一天,PMF-AD)和之后(手术后一周,PMF-AW)对CCI大鼠进行PMF治疗。
大鼠在手术后一周内出现痛觉过敏和异常性疼痛,并持续至实验结束。PMF治疗而非SPMF显著延长了潜伏期并提高了阈值。PMF-AD的抗痛觉过敏和抗异常性疼痛作用均大于PMF-AW治疗。同样,与PMF-AW相比,PMF-AD对促炎和抗炎细胞因子水平的影响更显著。
本研究结果可能表明,PMF治疗可能通过减少损伤部位促炎细胞因子的产生并增加抗炎细胞因子的产生,来逆转CCI诱导的神经性疼痛行为变化。