Guo Jinhui, Wang Chaowei, Niu Xiaolu, Zhou Fang, Li Huiling, Gao Weifang
Department of Pharmaceutics, the First Affiliated Hospital of Xinxiang Medical University, No. 88 Jiankang Road, Weihui, 453100, Henan, People's Republic of China.
Department of Neurology, the First Affiliated Hospital of Xinxiang Medical University, Weihui, 453100, Henan, People's Republic of China.
Acta Neurol Belg. 2021 Apr;121(2):365-372. doi: 10.1007/s13760-019-01126-2. Epub 2019 Apr 15.
Neuropathic pain is a major public health problem because it has a considerable impact on life quality of patients. Neuropathic pain caused by a lesion or disease of the somatosensory nervous system, which causes unpleasant and abnormal sensation (dysesthesia), an increased response to painful stimuli (hyperalgesia), and pain in response to a stimulus that does not normally provoke pain (allodynia). P2X receptors from dorsal root ganglion (DRG) play a crucial role in facilitating pain transmission at peripheral and spinal sites. Resveratrol (Res) has neuroprotective effects and improves the pathological and behavioral outcomes of various types of nerve injury. The present study examined the effects of Res on neuropathic pain. Neuropathic pain animal model was created by partial sciatic nerve ligation (pSNL) surgery. We found that consecutive intraperitoneal administration of Res for 21 days reduced the mechanical and thermal nociceptive responses induced by pSNL in a dose-dependent manner. Moreover, Res administration reversed P2X3 expression and phosphorylation of ERK in DRG neurons after peripheral nerve injury. Our results suggested that Res may ameliorate neuropathic pain by suppressing P2X3 up-regulation and ERK phosphorylation in DRG of neuropathic pain rats. Therefore, we concluded that Res has a significant analgesic effect on alleviating neuropathic pain, and thus may serve as a therapeutic approach for neuropathic pain.
神经性疼痛是一个重大的公共卫生问题,因为它对患者的生活质量有相当大的影响。神经性疼痛由躯体感觉神经系统的损伤或疾病引起,会导致不愉快的异常感觉(感觉异常)、对疼痛刺激的反应增强(痛觉过敏)以及对通常不会引发疼痛的刺激产生疼痛(痛觉超敏)。背根神经节(DRG)中的P2X受体在促进外周和脊髓部位的疼痛传递中起关键作用。白藜芦醇(Res)具有神经保护作用,并能改善各种类型神经损伤的病理和行为结果。本研究考察了Res对神经性疼痛的影响。通过部分坐骨神经结扎(pSNL)手术建立神经性疼痛动物模型。我们发现连续21天腹腔注射Res可剂量依赖性地降低pSNL诱导的机械性和热性伤害性反应。此外,给予Res可逆转外周神经损伤后DRG神经元中P2X3的表达和ERK的磷酸化。我们的结果表明,Res可能通过抑制神经性疼痛大鼠DRG中P2X3的上调和ERK的磷酸化来改善神经性疼痛。因此,我们得出结论,Res对缓解神经性疼痛具有显著的镇痛作用,因而可能成为治疗神经性疼痛的一种方法。