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在大鼠中鞘内注射头蛋白可暂时改善由慢性压迫性损伤诱导的机械性异常性疼痛。

Intrathecal Noggin administration in rats temporally ameliorates mechanical allodynia induced by a chronic constriction injury.

作者信息

Hashimoto Masayuki, Koda Masao, Furuya Takeo, Murata Atsushi, Yamazaki Masashi, Takahashi Kazuhisa

机构信息

Department of Orthopaedic Surgery, Seikeikai Chiba Medical Center, 1-7-1, Minami-Cho, Chuo-Ku, Chiba 2600842, Japan.

Department of Orthopaedic Surgery, Chiba University Graduate School of Medicine, Japan.

出版信息

eNeurologicalSci. 2016 Mar 16;4:4-9. doi: 10.1016/j.ensci.2016.03.001. eCollection 2016 Sep.

Abstract

Chronic intractable neuropathic pain after central or peripheral nervous system injury remains refractory to therapeutic intervention. Using microarray and RT-qPCR methods, we found that Noggin mRNA is downregulated in the lumbar enlargement 2 weeks after chronic constriction injury (CCI) in rats. Eight-week-old female Sprague Dawley rats were used for the CCI model. Two weeks after CCI, rats underwent a laminectomy at L5 under halothane anesthesia, and a silicone tube connected to an osmotic minipump was inserted intrathecally for 14 days. Rats were administered Noggin ranging from 10 ng/ml to 10 μg/ml. Phosphate buffered saline (PBS) was used as a control. The time course of mechanical allodynia was assessed for 5 weeks using von Frey filaments. An ANOVA showed that rats administered Noggin at 2 μg/ml had significantly less mechanical allodynia compared with controls. We next compared the effect of intrathecal administration (14 days) of Noggin (2 μg/ml), bone morphogenetic protein 4 (BMP4; 2 μg/ml), or BMP4 (μg/ml) + Noggin (μg/ml) with controls. Only Noggin administration significantly reduced mechanical allodynia in the CCI model. Fluorescence immunohistochemistry indicated that Noggin administration decreased astrocyte accumulation in the dorsal horn compared with PBS after administration for one week. BMP4-driven conversion of oligodendrocyte progenitor cells (OPCs) to type 2 astrocytes is inhibited by Noggin Hampton et al. (2007) . We speculated that Noggin administration inhibits the conversion of OPCs to astrocytes, and decreases glial fibrillar acidic protein expression. This histological condition could decrease neuropathic pain.

摘要

中枢或外周神经系统损伤后出现的慢性顽固性神经性疼痛对治疗干预仍具有难治性。通过微阵列和RT-qPCR方法,我们发现,在大鼠慢性压迫性损伤(CCI)后2周,延髓中Noggin信使核糖核酸(mRNA)表达下调。采用8周龄雌性斯普拉格-道利大鼠建立CCI模型。CCI后2周,大鼠在氟烷麻醉下接受L5椎板切除术,并将连接渗透微型泵的硅胶管鞘内插入14天。给大鼠施用浓度范围为10纳克/毫升至10微克/毫升的Noggin。使用磷酸盐缓冲盐水(PBS)作为对照。使用von Frey细丝评估5周的机械性异常性疼痛的时间进程。方差分析显示,与对照组相比,施用2微克/毫升Noggin的大鼠机械性异常性疼痛明显减轻。接下来,我们比较了鞘内注射(14天)Noggin(2微克/毫升)、骨形态发生蛋白4(BMP4;2微克/毫升)或BMP4(微克/毫升)+Noggin(微克/毫升)与对照组的效果。在CCI模型中,只有施用Noggin能显著减轻机械性异常性疼痛。荧光免疫组织化学表明,与施用PBS一周后的情况相比,施用Noggin后背角中的星形胶质细胞积聚减少。Noggin抑制Hampton等人(2007年)发现的BMP4驱动的少突胶质前体细胞(OPC)向2型星形胶质细胞的转化。我们推测,施用Noggin可抑制OPC向星形胶质细胞的转化,并降低胶质纤维酸性蛋白的表达。这种组织学状态可减轻神经性疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63e7/5803104/16225d1213f1/gr1.jpg

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