Department of Pharmacy and Biotechnology, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Genes Brain Behav. 2019 Jul;18(6):e12467. doi: 10.1111/gbb.12467. Epub 2018 Mar 15.
The dynorphinergic system is involved in pain transmission at spinal level, where dynorphin exerts antinociceptive or pronociceptive effects, based on its opioid or non-opioid actions. Surprisingly, little evidence is currently available concerning the supraspinal role of the dynorphinergic system in pain conditions. The present study aimed to investigate whether neuropathic pain is accompanied by prodynorphin (Pdyn) and κ-opioid receptor (Oprk1) gene expression alterations in selected mouse brain areas. To this end, mice were subjected to chronic constriction injury of the right sciatic nerve and neuropathic pain behavioral signs were ascertained after 14 days. At this interval, a marked increase in Pdyn mRNA in the anterior cingulate cortex (ACC) and prefrontal cortex (PFC) was observed. Oprk1 gene expression was increased in the PFC, and decreased in the ACC and nucleus accumbens (NAc). No changes were observed in the other investigated regions. Because of the relationship between dynorphin and the brain-derived neurotrophic factor, and the role of this neurotrophin in chronic pain-related neuroplasticity, we investigated brain-derived neurotrophic factor gene (Bdnf) expression in the areas showing Pdyn or Oprk1 mRNAs changes. Bdnf mRNA levels were increased in both the ACC and PFC, whereas no changes were assessed in the NAc. Present data indicate that the dynorphinergic system undergoes quite selective alterations involving the corticostriatal circuitry during neuropathic pain, suggesting a contribution to the negative affective component of pain. Moreover, parallel increases in Pdyn and Bdnf mRNA at cortical level suggest the occurrence of likely interactions between these systems in neuropathic pain maladaptive neuroplasticity.
内啡肽能系统参与脊髓水平的疼痛传递,内啡肽通过其阿片样或非阿片样作用发挥抗伤害或促伤害效应。令人惊讶的是,目前关于疼痛条件下内啡肽能系统的中枢作用的证据很少。本研究旨在探讨神经病理性疼痛是否伴有选定小鼠脑区的前脑啡肽原(Pdyn)和κ-阿片受体(Oprk1)基因表达改变。为此,将小鼠右侧坐骨神经慢性缩窄损伤,并在 14 天后确定神经病理性疼痛行为迹象。在这个时间间隔内,观察到前扣带回皮质(ACC)和前额叶皮质(PFC)中的 Pdyn mRNA 显著增加。Oprk1 基因表达在 PFC 中增加,在 ACC 和伏隔核(NAc)中减少。在其他研究区域未观察到变化。由于内啡肽与脑源性神经营养因子之间的关系,以及这种神经营养因子在慢性疼痛相关神经可塑性中的作用,我们研究了显示 Pdyn 或 Oprk1 mRNA 变化的区域中的脑源性神经营养因子基因(Bdnf)表达。在 ACC 和 PFC 中均观察到 Bdnf mRNA 水平增加,而在 NAc 中未评估到变化。目前的数据表明,在神经病理性疼痛期间,内啡肽能系统经历了相当选择性的改变,涉及皮质纹状体回路,提示其参与疼痛的消极情感成分。此外,皮质水平上 Pdyn 和 Bdnf mRNA 的平行增加表明这些系统在神经病理性疼痛适应性神经可塑性中可能存在相互作用。