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前交叉韧带横断加内侧半月板切除术大鼠模型中创伤性骨关节炎诱导的持续性机械性痛觉过敏

Traumatic osteoarthritis-induced persistent mechanical hyperalgesia in a rat model of anterior cruciate ligament transection plus a medial meniscectomy.

作者信息

Tsai Hsiao-Chien, Chen Ta-Liang, Chen Yu-Pin, Chen Ruei-Ming

机构信息

Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan.

Department of Anesthesiology, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.

出版信息

J Pain Res. 2017 Dec 22;11:41-50. doi: 10.2147/JPR.S154038. eCollection 2018.

Abstract

BACKGROUND

Osteoarthritis (OA) is a degenerative joint disease characterized by progressive cartilage degeneration, subchondral bone changes, osteophyte formation, and synovitis. A major symptom is pain that is triggered by peripheral and central changes within the pain pathways. Some surgery-induced joint instability rat models of OA were described to mimic traumatic OA. Several behavioral tests were developed to access OA-induced pain. However, follow-up in most studies usually only occurred for about 4 weeks. Since traumatic OA is a chronic disease which gradually develops after trauma, the pattern of pain might differ between early and late stages after the trauma.

PURPOSE

To observe the time-dependent development of hypersensitivity after traumatic OA and to determine the best timing and methods to investigate traumatic OA-induced pain.

METHODS

Anterior cruciate ligament transection plus medial meniscectomy was used to induce traumatic OA in Sprague-Dawley rats. Traumatic OA-induced pain was evaluated using four different behavioral tests for 15 weeks.

RESULTS

A significant difference in mechanical hypersensitivity developed throughout the observational period. It was worst in the first 3 weeks after the operation, then became less significant after 5 weeks but persisted. There were no differences in thermal hyperalgesia or motor coordination.

CONCLUSION

Traumatic OA induced mechanical hyperalgesia but did not cause thermal hyperalgesia or influence motor coordination. Furthermore, to investigate chronic pain induced by OA, the observational period should be at least 5 weeks after the intervention. These findings may help in further research and improve our understanding of traumatic OA-induced pain mechanisms.

摘要

背景

骨关节炎(OA)是一种退行性关节疾病,其特征为软骨进行性退变、软骨下骨改变、骨赘形成和滑膜炎。主要症状是由疼痛通路中的外周和中枢变化引发的疼痛。一些手术诱导的OA关节不稳定大鼠模型被描述用于模拟创伤性OA。已开发了几种行为测试来评估OA引起的疼痛。然而,大多数研究的随访通常仅持续约4周。由于创伤性OA是创伤后逐渐发展的慢性疾病,创伤后早期和晚期的疼痛模式可能不同。

目的

观察创伤性OA后超敏反应的时间依赖性发展,并确定研究创伤性OA引起疼痛的最佳时机和方法。

方法

采用前交叉韧带切断术加内侧半月板切除术诱导Sprague-Dawley大鼠发生创伤性OA。使用四种不同的行为测试对创伤性OA引起的疼痛进行15周的评估。

结果

在整个观察期内,机械性超敏反应存在显著差异。术后前3周最严重,5周后则不那么显著但仍持续存在。热痛觉过敏或运动协调性方面无差异。

结论

创伤性OA诱发机械性痛觉过敏,但不引起热痛觉过敏或影响运动协调性。此外,为研究OA引起的慢性疼痛,观察期应在干预后至少5周。这些发现可能有助于进一步研究并增进我们对创伤性OA疼痛机制的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/247b/5743113/33430a9a1dfc/jpr-11-041Fig1.jpg

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