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未受伤的背根神经节神经元体中 N 型钙通道的上调通过增加外周神经损伤后的神经元兴奋性,导致神经性疼痛。

Upregulation of N-type calcium channels in the soma of uninjured dorsal root ganglion neurons contributes to neuropathic pain by increasing neuronal excitability following peripheral nerve injury.

机构信息

Pain Research Center and Department of Physiology, Zhongshan School of Medicine of Sun Yat-sen University, 74 Zhongshan Rd. 2, Guangzhou 510080, China.

Department of Anesthesiology, Cancer Center, Sun Yat-sen University, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, East 651 Dongfeng Rd, Guangzhou 510060, China.

出版信息

Brain Behav Immun. 2018 Jul;71:52-65. doi: 10.1016/j.bbi.2018.04.016. Epub 2018 Apr 27.

Abstract

N-type voltage-gated calcium (Cav2.2) channels are expressed in the central terminals of dorsal root ganglion (DRG) neurons, and are critical for neurotransmitter release. Cav2.2 channels are also expressed in the soma of DRG neurons, where their function remains largely unknown. Here, we showed that Cav2.2 was upregulated in the soma of uninjured L4 DRG neurons, but downregulated in those of injured L5 DRG neurons following L5 spinal nerve ligation (L5-SNL). Local application of specific Cav2.2 blockers (ω-conotoxin GVIA, 1-100 μM or ZC88, 10-1000 μM) onto L4 and 6 DRGs on the operated side, but not the contralateral side, dose-dependently reversed mechanical allodynia induced by L5-SNL. Patch clamp recordings revealed that both ω-conotoxin GVIA (1 μM) and ZC88 (10 μM) depressed hyperexcitability in L4 but not in L5 DRG neurons of L5-SNL rats. Consistent with this, knockdown of Cav2.2 in L4 DRG neurons with AAV-Cav2.2 shRNA substantially prevented L5-SNL-induced mechanical allodynia and hyperexcitability of L4 DRG neurons. Furthermore, in L5-SNL rats, interleukin-1 beta (IL-1β) and IL-10 were upregulated in L4 DRGs and L5 DRGs, respectively. Intrathecal injection of IL-1β induced mechanical allodynia and Cav2.2 upregulation in bilateral L4-6 DRGs of naïve rats, whereas injection of IL-10 substantially prevented mechanical allodynia and Cav2.2 upregulation in L4 DRGs in L5-SNL rats. Finally, in cultured DRG neurons, Cav2.2 was dose-dependently upregulated by IL-1β and downregulated by IL-10. These data indicate that the upregulation of Cav2.2 in uninjured DRG neurons via IL-1β over-production contributes to neuropathic pain by increasing neuronal excitability following peripheral nerve injury.

摘要

N 型电压门控钙(Cav2.2)通道在背根神经节(DRG)神经元的中枢末端表达,对于神经递质的释放至关重要。Cav2.2 通道也在 DRG 神经元的体部表达,但其功能在很大程度上尚不清楚。在这里,我们发现 L4 背根神经节神经元的未受伤体部中的 Cav2.2 上调,但在 L5 脊神经结扎(L5-SNL)后的受伤 L5 DRG 神经元中下调。局部应用特异性 Cav2.2 阻滞剂(ω-芋螺毒素 GVIA,1-100 μM 或 ZC88,10-1000 μM)到手术侧的 L4 和 6 背根神经节,但不是对侧,剂量依赖性地逆转了由 L5-SNL 引起的机械性痛觉过敏。膜片钳记录显示,ω-芋螺毒素 GVIA(1 μM)和 ZC88(10 μM)均抑制了 L5-SNL 大鼠 L4 和 L5 DRG 神经元的过度兴奋,但对 L5 DRG 神经元没有抑制作用。与此一致的是,用 AAV-Cav2.2 shRNA 敲低 L4 DRG 神经元中的 Cav2.2 可显著防止 L5-SNL 诱导的机械性痛觉过敏和 L4 DRG 神经元的过度兴奋。此外,在 L5-SNL 大鼠中,白细胞介素-1β(IL-1β)和白细胞介素-10(IL-10)分别在上部 L4 和 L5 DRG 中上调。鞘内注射 IL-1β可在正常大鼠的双侧 L4-6 DRG 中诱导机械性痛觉过敏和 Cav2.2 上调,而在 L5-SNL 大鼠中,注射 IL-10 可显著防止机械性痛觉过敏和 L4 DRG 中的 Cav2.2 上调。最后,在培养的 DRG 神经元中,IL-1β 剂量依赖性地上调 Cav2.2,IL-10 下调 Cav2.2。这些数据表明,外周神经损伤后,通过过度产生的 IL-1β,未受伤的 DRG 神经元中的 Cav2.2 上调导致神经元兴奋性增加,从而导致神经病理性疼痛。

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