Laboratory of Experimental Endocrinology, Pavlov Institute of Physiology, Russian Academy of Sciences, nab. Makarova 6, St. Petersburg, 199034, Russia.
Inflammopharmacology. 2018 Apr;26(2):305-318. doi: 10.1007/s10787-018-0445-5. Epub 2018 Feb 5.
The corticotropin-releasing factor (CRF) is involved in somatic pain regulation and may produce an analgesic effect in humans and animals, although the mechanisms of the CRF-induced analgesia remain unclear. CRF action is mediated by the CRF receptors of subtypes 1 and 2 (CRF-R1 and CRF-R2, respectively). Activation of the hypothalamic -pituitary -adrenocortical axis (HPA) is provided by CRF-R1; but CRF-R2 are also involved in the regulation of the HPA axis, and, respectively, glucocorticoids, the end hormones of the HPA axis, also participate in somatic pain regulation. Additionally, opioids may contribute to the CRF-induced analgesia. This article serves as an overview of the role of CRF-R1 and CRF-R2, as well as glucocorticoid and opioid receptors in peripheral CRF-induced analgesia in conscious rats, while we focused on the data obtained under normal (non-pathological) conditions including results of our studies in rats. The involvement of CRF-R1 and CRF-R2, glucocorticoids and opioid receptors was studied under the same experimental conditions following pretreatment with appropriate antagonists: NBI 27914, astressin-B, naltrexone and RU 38486, respectively. Somatic pain sensitivity was measured by the tail flick latencies induced by thermal stimulus (tail flick test). Peripheral administration of the CRF caused both an increase in the tail flick latencies (analgesic effect) and plasma corticosterone levels. Pretreatment with NBI 27914, astressin-B, naltrexone or RU 38486 attenuated the peripheral CRF-induced analgesia. The results obtained suggest that the peripheral CRF-induced analgesic effect may be mediated through the involvement of CRF-R1 and CRF-R2 as well as opioid and glucocorticoid receptors, including CRF-R2 and opioid receptors within periaqueductal gray matter of the midbrain.
促肾上腺皮质释放因子(CRF)参与躯体疼痛调节,可能在人类和动物中产生镇痛作用,尽管 CRF 诱导的镇痛机制尚不清楚。CRF 作用是通过其亚型 1 和 2 受体(CRF-R1 和 CRF-R2)介导的。下丘脑-垂体-肾上腺皮质轴(HPA)的激活是由 CRF-R1 提供的;但 CRF-R2 也参与 HPA 轴的调节,相应地,HPA 轴的终末激素糖皮质激素也参与躯体疼痛调节。此外,阿片类药物可能有助于 CRF 诱导的镇痛。本文综述了 CRF-R1 和 CRF-R2 以及糖皮质激素和阿片受体在清醒大鼠外周 CRF 诱导镇痛中的作用,同时我们重点关注了在正常(非病理)条件下获得的数据,包括我们在大鼠中的研究结果。在使用适当的拮抗剂进行预处理后,在相同的实验条件下研究了 CRF-R1 和 CRF-R2、糖皮质激素和阿片受体的参与情况:NBI 27914、astressin-B、纳曲酮和 RU 38486。通过热刺激(尾巴拍打试验)引起的尾巴拍打潜伏期来测量躯体疼痛敏感性。外周给予 CRF 会导致尾巴拍打潜伏期(镇痛作用)和血浆皮质酮水平增加。用 NBI 27914、astressin-B、纳曲酮或 RU 38486 预处理可减弱外周 CRF 诱导的镇痛作用。研究结果表明,外周 CRF 诱导的镇痛作用可能是通过涉及 CRF-R1 和 CRF-R2 以及阿片类和糖皮质激素受体介导的,包括中脑导水管周围灰质中的 CRF-R2 和阿片受体。