Chen Qin-Yi, Tan Chao-Yang, Wang Yang, Ma Ke-Tao, Li Li, Si Jun-Qiang
Department of Anesthesiology, First Affiliated Hospital of Shihezi University; Department of Physiology, Medical College of Shihezi University; Key Laboratory of Xinjiang Endemic and Ethnic Disease, Shihezi University School of Medicine, Shihezi, Xinjiang Uygur Autonomous Region, China.
Department of Physiology, Medical College of Shihezi University; Key Laboratory of Xinjiang Endemic and Ethnic Disease, Shihezi University School of Medicine, Shihezi, Xinjiang Uygur Autonomous Region, China.
Neural Regen Res. 2019 Jun;14(6):1091-1098. doi: 10.4103/1673-5374.250631.
Transmembrane member 16A (TMEM16A) is involved in many physiological functions, such as epithelial secretion, sensory conduction, nociception, control of neuronal excitability, and regulation of smooth muscle contraction, and may be important in peripheral pain transmission. To explore the role of TMEM16A in the persistent hyperalgesia that results from chronic constriction injury-induced neuropathic pain, a rat model of the condition was established by ligating the left sciatic nerve. A TMEM16A selective antagonist (10 μg T16Ainh-A01) was intrathecally injected at L5-6. For measurement of thermal hyperalgesia, the drug was administered once at 14 days and thermal withdrawal latency was recorded with an analgesia meter. For measurement of other indexes, the drug was administered at 12 days, once every 6 hours, totally five times. The measurements were performed at 14 days. Western blot assay was conducted to analyze TMEM16A expression in the L4-6 dorsal root ganglion. Immunofluorescence staining was used to detect the immunoreactivity of TMEM16A in the L4-6 dorsal root ganglion on the injured side. Patch clamp was used to detect electrophysiological changes in the neurons in the L4-6 dorsal root ganglion. Our results demonstrated that thermal withdrawal latency was shortened in the model rats compared with control rats. Additionally, TMEM16A expression and the number of TMEM16A positive cells in the L4-6 dorsal root ganglion were higher in the model rats, which induced excitation of the neurons in the L4-6 dorsal root ganglion. These findings were inhibited by T16Ainh-A01 and confirm that TMEM16A plays a key role in persistent chronic constriction injury-induced hyperalgesia. Thus, inhibiting TMEM16A might be a novel pharmacological intervention for neuropathic pain. All experimental protocols were approved by the Animal Ethics Committee at the First Affiliated Hospital of Shihezi University School of Medicine, China (approval No. A2017-170-01) on February 27, 2017.
跨膜蛋白16A(TMEM16A)参与多种生理功能,如上皮分泌、感觉传导、痛觉感受、神经元兴奋性控制和平滑肌收缩调节,并且可能在外周疼痛传递中起重要作用。为了探究TMEM16A在慢性压迫性损伤诱导的神经性疼痛所致持续性痛觉过敏中的作用,通过结扎大鼠左侧坐骨神经建立了该病症的大鼠模型。在腰5-6水平鞘内注射TMEM16A选择性拮抗剂(10μg T16Ainh-A01)。为了测量热痛觉过敏,在第14天给药一次,并用镇痛仪记录热缩足潜伏期。为了测量其他指标,在第12天给药,每6小时一次,共给药五次。在第14天进行测量。采用蛋白质免疫印迹法分析腰4-6背根神经节中TMEM16A的表达。利用免疫荧光染色检测损伤侧腰4-6背根神经节中TMEM16A的免疫反应性。采用膜片钳技术检测腰4-6背根神经节神经元的电生理变化。我们的结果表明,与对照大鼠相比,模型大鼠的热缩足潜伏期缩短。此外,模型大鼠腰4-6背根神经节中TMEM16A的表达及TMEM16A阳性细胞数量增加,这导致腰4-6背根神经节神经元兴奋。这些结果被T16Ainh-A01抑制,证实TMEM16A在慢性压迫性损伤诱导的持续性痛觉过敏中起关键作用。因此,抑制TMEM16A可能是一种治疗神经性疼痛的新型药物干预措施。所有实验方案均于2017年2月27日获得中国石河子大学医学院第一附属医院动物伦理委员会批准(批准号:A2017-170-01)。