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急性化疗诱导的粘膜炎对实验大鼠自发行为和 grimace 评分的影响。

Effects of acute chemotherapy-induced mucositis on spontaneous behaviour and the grimace scale in laboratory rats.

作者信息

Whittaker A L, Leach M C, Preston F L, Lymn K A, Howarth G S

机构信息

School of Animal and Veterinary Sciences, The University of Adelaide, Roseworthy Campus, South Australia, Australia

School of Agriculture, Food and Rural Development, Agriculture Building, Newcastle University, Newcastle-Upon-Tyne, UK.

出版信息

Lab Anim. 2016 Apr;50(2):108-18. doi: 10.1177/0023677215595554. Epub 2015 Jul 10.

Abstract

Intestinal mucositis is a frequent side-effect of chemotherapy treatment. Many oncological research programs aim to identify novel treatments for this distressing condition, and these programs frequently use rat models. Little is known about the presence and progression of pain in these models and how this can best be treated by analgesic therapy. We used a number of behaviour-based methods of pain assessment to determine which tools were best suited for pain identification. Baseline measures for behavioural assessment, rat grimace score and sociability were determined through analysis of continuously recorded video data and an applied social interaction test (n = 16). Mucositis was then induced by intraperitoneal injection of 5-fluorouracil (150 mg/kg) and further behavioural analyses undertaken. An assessment of enrichment interaction was also made by determining the mass of a plastic chew toy gnawed both pre- and post-chemotherapy injection. Behavioural scoring was performed 1, 6, 12, 24 and 48 h after injection, with facial expression being scored at the 12, 24 and 48 h time-points. Sociability testing was performed once during the post-injection period. No significant differences were found in grimace scores between baseline and later daily measures. Behaviours similar to those previously reported post-laparotomy were observed. Writhing, twitching and back-arching behaviours were most evident in rats affected by mucositis and were increased in frequency (respective P values: 0.002, 0.004 and 0.008) 48 h after chemotherapy injection compared with baseline, implying that pain onset occurred around this time-point. Social investigatory behaviour was also increased (P = 0.002) following disease onset. Each day, rats post-5FU injection gnawed a greater percentage of their Nylabone enrichment by weight than the saline-injected control rats (P = 0.046). These data suggest that, of the tools tested, behavioural assessment scoring may find greatest utility in rodent models of intestinal mucositis and should be investigated further.

摘要

肠道黏膜炎是化疗治疗常见的副作用。许多肿瘤学研究项目旨在确定针对这种令人痛苦病症的新疗法,且这些项目经常使用大鼠模型。对于这些模型中疼痛的存在和进展以及如何通过镇痛疗法进行最佳治疗,人们了解甚少。我们使用了多种基于行为的疼痛评估方法来确定哪些工具最适合用于疼痛识别。通过分析连续记录的视频数据和应用的社交互动测试(n = 16)来确定行为评估、大鼠 grimace 评分和社交能力的基线测量值。然后通过腹腔注射 5-氟尿嘧啶(150 mg/kg)诱导黏膜炎,并进行进一步的行为分析。还通过确定化疗注射前后啃咬的塑料咀嚼玩具的质量来评估丰富互动情况。在注射后 1、6、12、24 和 48 小时进行行为评分,在 12、24 和 48 小时时间点对面部表情进行评分。在注射后期间进行一次社交能力测试。在基线和后续每日测量之间,grimace 评分未发现显著差异。观察到与先前报道的剖腹术后相似的行为。受黏膜炎影响的大鼠中扭体、抽搐和弓背行为最为明显,与基线相比,化疗注射后 48 小时这些行为的频率增加(各自的 P 值:0.002、0.004 和 0.008),这意味着疼痛在这个时间点左右开始出现。疾病发作后社交探究行为也增加了(P = 0.002)。每天,注射 5-氟尿嘧啶后的大鼠按重量计算啃咬其 Nylabone 丰富物的百分比高于注射生理盐水的对照大鼠(P = 0.046)。这些数据表明,在所测试的工具中,行为评估评分在肠道黏膜炎的啮齿动物模型中可能最有用,应进一步研究。

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