神经病理性疼痛大鼠模型中5-羟色胺和中脑边缘多巴胺传递增强
Enhanced serotonin and mesolimbic dopamine transmissions in a rat model of neuropathic pain.
作者信息
Sagheddu Claudia, Aroni Sonia, De Felice Marta, Lecca Salvatore, Luchicchi Antonio, Melis Miriam, Muntoni Anna Lisa, Romano Rosaria, Palazzo Enza, Guida Francesca, Maione Sabatino, Pistis Marco
机构信息
Division of Neuroscience and Clinical Pharmacology, Department of Biomedical Sciences, University of Cagliari, 09042 Monserrato, Italy.
Neuroscience Institute, National Research Council of Italy, Section of Cagliari, Italy.
出版信息
Neuropharmacology. 2015 Oct;97:383-93. doi: 10.1016/j.neuropharm.2015.06.003. Epub 2015 Jun 22.
In humans, affective consequences of neuropathic pain, ranging from depression to anxiety and anhedonia, severely impair quality of life and are a major disease burden, often requiring specific medications. Depressive- and anxiety-like behaviors have also been observed in animal models of peripheral nerve injury. Dysfunctions in central nervous system monoamine transmission have been hypothesized to underlie depressive and anxiety disorders in neuropathic pain. To assess whether these neurons display early changes in their activity that in the long-term might lead to chronicization, maladaptive plasticity and affective consequences, we carried out in vivo extracellular single unit recordings from serotonin neurons in the dorsal raphe nucleus (DRN) and from dopamine neurons in ventral tegmental area (VTA) in the spared nerve injury (SNI) model of neuropathic pain in rats. Extracellular dopamine levels and the expression of dopamine D1, D2 receptors and tyrosine hydroxylase (TH) were measured in the nucleus accumbens. We report that, two weeks following peripheral nerve injury, discharge rate of serotonin DRN neurons and burst firing of VTA dopamine cells are enhanced, when compared with sham-operated animals. We also observed higher extracellular dopamine levels and reduced expression of D2, but not D1, receptors and TH in the nucleus accumbens. Our study confirms that peripheral neuropathy induces changes in the serotonin and dopamine systems that might be the early result of chronic maladaptation to persistent pain. The allostatic activation of these neural systems, which mirrors that already described as a consequence of stress, might lead to depression and anxiety previously observed in neuropathic animals but also an attempt to cope positively with the negative experience.
在人类中,神经性疼痛的情感后果,从抑郁到焦虑和快感缺乏,严重损害生活质量,是一项重大的疾病负担,常常需要特定药物治疗。在周围神经损伤的动物模型中也观察到了类似抑郁和焦虑的行为。中枢神经系统单胺传递功能障碍被认为是神经性疼痛中抑郁和焦虑症的潜在原因。为了评估这些神经元的活动是否会出现早期变化,而这种变化长期来看可能会导致慢性化、适应不良的可塑性和情感后果,我们在大鼠神经性疼痛的 spared nerve injury (SNI) 模型中,对背侧中缝核 (DRN) 的5-羟色胺能神经元和腹侧被盖区 (VTA) 的多巴胺能神经元进行了体内细胞外单单位记录。测量了伏隔核中的细胞外多巴胺水平以及多巴胺 D1、D2 受体和酪氨酸羟化酶 (TH) 的表达。我们报告称,与假手术动物相比,外周神经损伤两周后,DRN 5-羟色胺能神经元的放电率和 VTA 多巴胺能细胞的爆发式放电增强。我们还观察到伏隔核中细胞外多巴胺水平升高,D2 受体而非 D1 受体以及 TH 的表达降低。我们的研究证实,外周神经病变会引起 5-羟色胺和多巴胺系统的变化,这可能是对持续性疼痛长期慢性适应不良的早期结果。这些神经系统的非稳态激活,反映了已被描述为应激后果的情况,可能导致先前在神经性疼痛动物中观察到的抑郁和焦虑,也是积极应对负面经历的一种尝试。