Ding Weihua, You Zerong, Shen Shiqian, Yang Jinsheng, Lim Grewo, Doheny Jason T, Chen Lucy, Zhu Shengmei, Mao Jianren
Department of Anesthesia, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China; Hangzhou First People's Hospital, Hangzhou, China.
MGH Center for Translational Pain Research, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
J Pain. 2017 Aug;18(8):899-907. doi: 10.1016/j.jpain.2017.02.427. Epub 2017 Feb 24.
The number of studies on trigeminal nerve injury using animal models remains limited. A rodent model of trigeminal neuropathic pain was first developed in 1994, in which chronic constriction injury (CCI) is induced by ligation of the infraorbital nerve (IoN). This animal model has served as a major tool to study trigeminal neuropathic pain. Unfortunately, the surgical procedure in this model is complicated and far more difficult than ligation of peripheral nerves (eg, sciatic nerve). The aim of this study was to improve on the current surgical procedure of IoN ligation to induce trigeminal neuropathic pain in rats. We show that the IoN can be readily accessed through a small facial incision. CCI can be induced by ligation of a segment at the distal IoN (dIoN). This dIoN-CCI procedure is simple, minimally invasive, and time-saving. Our data show that the dIoN-CCI procedure consistently induced acute as well as chronic nociceptive behaviors in rats. Daily gabapentin treatment attenuated mechanical allodynia and reduced face-grooming episodes in dIoN-CCI rats.
The orofacial pain caused by trigeminal nerve damage is severe and perhaps more debilitating than other types of neuropathic pain. However, studies on trigeminal neuropathic pain remain limited. This is largely because of the lack of proper animal models because of the complexity of the existing surgical procedures required to induce trigeminal nerve injury. Our improved dIoN-CCI model is likely to make it more accessible to study the cellular and molecular mechanisms of neuropathic pain caused by trigeminal nerve damage.
使用动物模型研究三叉神经损伤的研究数量仍然有限。1994年首次建立了啮齿动物三叉神经病理性疼痛模型,其中通过结扎眶下神经(IoN)诱导慢性压迫性损伤(CCI)。这种动物模型一直是研究三叉神经病理性疼痛的主要工具。不幸的是,该模型中的手术操作复杂,远比周围神经(如坐骨神经)结扎困难得多。本研究的目的是改进当前结扎IoN以诱导大鼠三叉神经病理性疼痛的手术操作。我们发现通过一个小的面部切口可以很容易地触及IoN。可以通过结扎IoN远端的一段(dIoN)来诱导CCI。这种dIoN-CCI手术操作简单、微创且省时。我们的数据表明,dIoN-CCI手术持续诱导大鼠出现急性和慢性伤害性反应行为。每日给予加巴喷丁治疗可减轻dIoN-CCI大鼠的机械性异常性疼痛并减少面部梳理发作次数。
三叉神经损伤引起的口面部疼痛严重,可能比其他类型的神经病理性疼痛更使人衰弱。然而,对三叉神经病理性疼痛的研究仍然有限。这主要是因为缺乏合适的动物模型,因为诱导三叉神经损伤所需的现有手术操作复杂。我们改进的dIoN-CCI模型可能会使研究三叉神经损伤引起的神经病理性疼痛的细胞和分子机制变得更容易。