Dieb Wisam, Ouachikh Omar, Alves Sofia, Boucher Yves, Durif Franck, Hafidi Aziz
UFR Odontologie, Université Paris Diderot, Paris, France.
Centre de Psychiatrie et Neurosciences, INSERM U894, Paris, France.
J Headache Pain. 2016;17:11. doi: 10.1186/s10194-016-0607-z. Epub 2016 Feb 17.
This study investigated mesencephalic dopamine depletion effects on static mechanical allodynia (SMA) elicited by chronic constriction of the infraorbitary nerve (CCI-IoN).
Dopamine depletion (6-OHDA administration into the medial forebrain bundle) effects on CCI-IoN-induced SMA were explored using behavioral (nocifensive behavior score upon non-noxious stimuli using von Frey filament), pharmacological (bromocriptine injections) and immunohistochemical (PKCγ and pERK1/2) techniques.
The central dopamine depletion increased significantly the SMA score. Intraperitoneal and intracisternal injections of bromocriptine alleviated the allodynic behavior observed in both CCI-IoN and CCI-IoN + 6-OHDA animal groups. At the cellular level, dopamine depletion induced a significant increase in PKCγ expression in the medullary dorsal horn (MDH) in rat with CCI-IoN + 6-OHDA when compared to sham animals (CCI-IoN only). Similarly, after static non-noxious stimuli, the expression of pain marker proteins pERK1/2 within the MDH revealed significantly a higher number of positive cells in CCI-IoN + 6-OHDA rats when compared to the CCI-IoN group.
This study demonstrates that nigrostriatal dopamine depletion exacerbates the neuropathic pain resulting from CCI-IoN. This effect is probably due to an action through descending pain inhibitory systems which increased pain sensitization at the MDH level. It demonstrates also an analgesic effect elicited by D2R activation at the segmental level.
本研究调查了中脑多巴胺耗竭对眶下神经慢性缩窄(CCI-IoN)诱发的静态机械性异常性疼痛(SMA)的影响。
采用行为学(使用von Frey细丝对非伤害性刺激的防御性反应评分)、药理学(注射溴隐亭)和免疫组织化学(PKCγ和pERK1/2)技术,探讨多巴胺耗竭(向内侧前脑束注射6-羟基多巴胺)对CCI-IoN诱导的SMA的影响。
中枢多巴胺耗竭显著增加了SMA评分。腹腔注射和脑池内注射溴隐亭减轻了在CCI-IoN组和CCI-IoN + 6-OHDA动物组中观察到的异常性疼痛行为。在细胞水平上,与假手术动物(仅CCI-IoN)相比,多巴胺耗竭导致CCI-IoN + 6-OHDA大鼠延髓背角(MDH)中PKCγ表达显著增加。同样,在静态非伤害性刺激后,与CCI-IoN组相比,MDH内疼痛标记蛋白pERK1/2的表达在CCI-IoN + 6-OHDA大鼠中显示出明显更多的阳性细胞。
本研究表明黑质纹状体多巴胺耗竭会加剧CCI-IoN所致的神经性疼痛。这种效应可能是由于通过下行疼痛抑制系统起作用,从而增加了MDH水平的疼痛敏感性。它还证明了D2R激活在节段水平上引起的镇痛作用。