Hoffmann T, Negri L, Maftei D, Lattanzi R, Reeh P W
Institute for Physiology and Pathophysiology, University of Erlangen-Nuremberg, Germany.
Department of Physiology and Pharmacology, Sapienza University of Rome, Italy.
Eur J Pain. 2016 Sep;20(8):1326-34. doi: 10.1002/ejp.857. Epub 2016 Feb 23.
Injection of the noxious peptide Bv8 has previously been shown to induce a biphasic thermal hyperalgesia in rodents, the first peak presumably due to peripheral sensitization. This hypothesis has never been directly confirmed. We have assessed whether Bv8 can indeed sensitize peripheral nerve fibres in the mouse to heat.
We used recordings from single cutaneous fibres, cutaneous calcitonin gene-related peptide (CGRP) release and immunostaining in nerves and plantar skin to evaluate the Bv8 effects on cutaneous nerves.
Application of Bv8 at nanomolar concentrations (30-310 nmol/L) to skin preparations significantly increased the heat-induced discharge, the heat-induced afterdischarge and reduced threshold temperature of single unmyelinated polymodal fibres. Furthermore, application of Bv8 to hind-paw skin flaps or trigeminal ganglia significantly elevated their heat-induced CGRP release. Capsaicin-induced and to a lesser extent also KCl-induced CGRP releases were also augmented after Bv8 treatment. Immunohistochemistry revealed co-localization of prokineticin 2 (Bv8 ortholog in rodents) and CGRP in both plantar skin and nerve tissues. These results confirm that Bv8 sensitizes cutaneous nerve endings to heat, partly, although not exclusively through TRPV1 activation.
Our results thus support the hypothesis that the first hyperalgesic phase to follow Bv8 injection to hind paws of intact animals is due to peripheral sensitization of nociceptors. WHAT DOES THIS STUDY ADD?: Our data provide mechanistic insights into the effect Bv8 application exerts on afferent nerve endings and into the concomitant development of thermal hyperalgesia.
先前已表明,注射有害肽Bv8可在啮齿动物中诱导双相性热痛觉过敏,第一个峰值可能归因于外周敏化。这一假设从未得到直接证实。我们评估了Bv8是否真的能使小鼠外周神经纤维对热敏感。
我们使用单根皮肤纤维记录、皮肤降钙素基因相关肽(CGRP)释放以及神经和足底皮肤中的免疫染色来评估Bv8对皮肤神经的影响。
将纳摩尔浓度(30 - 310 nmol/L)的Bv8应用于皮肤制剂,可显著增加热诱导放电、热诱导后放电,并降低单根无髓多模式纤维的阈值温度。此外,将Bv8应用于后爪皮瓣或三叉神经节可显著提高其热诱导的CGRP释放。在Bv8处理后,辣椒素诱导的以及在较小程度上KCl诱导的CGRP释放也增加。免疫组织化学显示,前动力蛋白2(啮齿动物中的Bv8直系同源物)和CGRP在足底皮肤和神经组织中均共定位。这些结果证实,Bv8使皮肤神经末梢对热敏感,部分是通过TRPV1激活,但并非完全如此。
因此,我们的结果支持以下假设,即向完整动物后爪注射Bv8后,第一个痛觉过敏阶段是由于伤害感受器的外周敏化。本研究补充了什么?:我们的数据为Bv8应用对传入神经末梢的作用以及伴随的热痛觉过敏的发展提供了机制性见解。