Laboratory and Clinical Research Institute for Pain, The University of Hong Kong, China; Department of Anaesthesiology, The University of Hong Kong, China.
Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Harvard University, Boston, MA, USA.
Br J Anaesth. 2018 Jun;120(6):1356-1367. doi: 10.1016/j.bja.2018.01.016. Epub 2018 Feb 19.
Adiponectin, a cytokine secreted by adipocytes, plays an important role in regulating glucose and lipid metabolism. However, the role of adiponectin in pain conditions is largely unknown. This study aimed to identify the role and mechanism of adiponectin in nociceptive sensitivity under physiological and pathological states utilising adiponectin knockout (KO) mice.
Wild type (WT) and adiponectin KO mice were subjected to partial sciatic nerve ligation (pSNL) or sham operation. Pain-like behavioural tests, including thermal allodynia, hyperalgesia, and mechanical allodynia, were performed before and after pSNL from Day 3-21. Dorsal root ganglions (DRGs), lumbar spinal segments at L3-5, and somatosensory cortex were collected for protein measurement via western blotting and immunofluorescence staining.
Compared with WT mice, KO mice had significantly lower (40-50%) paw withdrawal latency to innocuous and noxious stimuli before and after pSNL. In DRG neurones from KO mice, where adiponectin receptor (AdipoR) 2 is located, phosphorylated p38 mitogen-activated protein kinase (p-p38 MAPK) and heat-sensitive transient receptor potential cation channel subfamily V member 1 (TRPV1) were significantly higher (by two- to three-fold) than from WT mice. In spinal microglia and somatosensory cortical neurones, where AdipoR1 is mainly located, p-p38 MAPK and TRPV1 were also higher (by two- to three-fold) in KO compared with WT mice, and altered signalling of these molecules was exacerbated (1.2- to 1.3-fold) by pSNL.
Our results show that adiponectin regulates thermal nociceptive sensitivity by inhibiting activation of DRG neurones, spinal microglia, and somatosensory cortical neurones in physiological and neuropathic pain states. This study has relevance for patients with adiponectin disorders, such as obesity and diabetes.
脂联素是脂肪细胞分泌的细胞因子,在调节糖和脂质代谢中发挥重要作用。然而,脂联素在疼痛状态下的作用在很大程度上尚不清楚。本研究旨在利用脂联素敲除(KO)小鼠,鉴定脂联素在生理和病理状态下对痛觉敏感性的作用和机制。
野生型(WT)和脂联素 KO 小鼠接受部分坐骨神经结扎(pSNL)或假手术。在 pSNL 后第 3-21 天,进行热痛觉过敏、痛觉过敏和机械性痛觉过敏等痛觉行为测试。通过 Western 印迹和免疫荧光染色,从背根神经节(DRG)、L3-5 腰椎节段和体感皮层收集蛋白质进行测量。
与 WT 小鼠相比,KO 小鼠在 pSNL 前后对无害和有害刺激的足底退缩潜伏期明显降低(40-50%)。在 KO 小鼠的 DRG 神经元中,脂联素受体(AdipoR)2 所在的位置,磷酸化 p38 丝裂原活化蛋白激酶(p-p38 MAPK)和热敏瞬时受体电位阳离子通道亚家族 V 成员 1(TRPV1)的水平明显升高(两到三倍)。在脊髓小胶质细胞和体感皮层神经元中,AdipoR1 主要位于此处,KO 小鼠中的 p-p38 MAPK 和 TRPV1 也高于 WT 小鼠(两到三倍),并且这些分子的信号改变在 pSNL 后加剧(1.2-1.3 倍)。
我们的结果表明,脂联素通过抑制 DRG 神经元、脊髓小胶质细胞和体感皮层神经元的激活来调节热痛觉敏感性,在生理和神经病理性疼痛状态下均如此。本研究与脂联素紊乱(如肥胖症和糖尿病)患者相关。