Lipid Mediators, Inflammation and Pain Unit, Laboratory of Clinical Investigation, National Institute on Aging, NIH, Baltimore, MD, United States.
National Center for Complementary and Integrative Health, NIH, Bethesda, MD, United States.
Prostaglandins Leukot Essent Fatty Acids. 2018 Aug;135:128-136. doi: 10.1016/j.plefa.2018.07.015. Epub 2018 Jul 23.
Chronic pain is both a global public health concern and a serious source of personal suffering for which current treatments have limited efficacy. Recently, oxylipins derived from linoleic acid (LA), the most abundantly consumed polyunsaturated fatty acid in the modern diet, have been implicated as mediators of pain in the periphery and spinal cord. However, oxidized linoleic acid derived mediators (OXLAMs) remain understudied in the brain, particularly during pain states. In this study, we employed a mouse model of chronic inflammatory pain followed by a targeted lipidomic analysis of the animals' amygdala and periaqueductal grey (PAG) using LC-MS/MS to investigate the effect of chronic inflammatory pain on oxylipin concentrations in these two brain nuclei known to participate in pain sensation and perception. From punch biopsies of these brain nuclei, we detected twelve OXLAMs in both the PAG and amygdala and one arachidonic acid derived mediator, 15-HETE, in the amygdala only. In the amygdala, we observed an overall decrease in the concentration of the majority of OXLAMs detected, while in the PAG the concentrations of only the epoxide LA derived mediators, 9,10-EpOME and 12,13-EpOME, and one trihydroxy LA derived mediator, 9,10,11-TriHOME, were reduced. This data provides the first evidence that OXLAM concentrations in the brain are affected by chronic pain, suggesting that OXLAMs may be relevant to pain signaling and adaptation to chronic pain in pain circuits in the brain and that the current view of OXLAMs in nociception derived from studies in the periphery is incomplete.
慢性疼痛既是一个全球性的公共健康问题,也是个人承受的严重痛苦的根源,而目前的治疗方法疗效有限。最近,亚油酸(LA)衍生的氧化脂质(OXLAMs)已被认为是外周和脊髓疼痛的介质。然而,在大脑中,特别是在疼痛状态下,氧化亚油酸衍生的介质(OXLAMs)仍未得到充分研究。在这项研究中,我们采用了慢性炎症性疼痛的小鼠模型,然后使用 LC-MS/MS 对动物的杏仁核和导水管周围灰质(PAG)进行靶向脂质组学分析,以研究慢性炎症性疼痛对这两个已知参与疼痛感觉和感知的脑核中亚油酸浓度的影响。从这些脑核的穿刺活检中,我们在 PAG 和杏仁核中检测到了十二种 OXLAMs,而在杏仁核中仅检测到一种花生四烯酸衍生的介质 15-HETE。在杏仁核中,我们观察到大多数检测到的 OXLAMs 浓度总体下降,而在 PAG 中,只有环氧亚油酸衍生的介质 9,10-EpOME 和 12,13-EpOME 以及一种三羟基亚油酸衍生的介质 9,10,11-TriHOME 的浓度降低。这一数据首次提供了证据表明,大脑中的 OXLAM 浓度受慢性疼痛影响,这表明 OXLAMs 可能与大脑疼痛回路中的疼痛信号传递和对慢性疼痛的适应有关,而目前对来自外周疼痛研究的 OXLAMs 的认识是不完整的。