a Department of Pain Management, The First Affiliated Hospital of Jinan University , Guangzhou , Guangdong Province , China.
b Department of Anesthesology, Affiliated Foshan Hospital of the Southern Medical University and The Second People's Hospital of Foshan City , Foshan , Guangdong Province , China.
Artif Cells Nanomed Biotechnol. 2019 Dec;47(1):2948-2956. doi: 10.1080/21691401.2019.1642208.
Neurotoxicity of local anesthetics is often reported in the clinic, more and more people pay attention to them. CaMKIIβ, a subtype of CaMKII, is detected in the central nervous system. Previous study found that CaMKIIβ mRNA are up-regulated in DRG neurons treated with ropivacaine hydrochloride, as well as inhibition of Cav3.2 and Cav3.3 expression can improve the local anesthetics neurotoxicity. In this study, we observed the effect of CaMKIIβ on neurotoxicity injury induced by ropivacaine hydrochloride with DRG cell . We first constructed the pAd-shRNA-CaMKIIβ-DRG to inhibit CaMKIIβ mRNA expression and detected the cell viability, cell apoptosis rate, CaMKIIβ, Cav3.2 and Cav3.3 expression. The results showed that ropivacaine hydrochloride caused the DRG cell injury with cell viability decreased and cell apoptosis rate increased, CaMKIIβ, Cav3.2 and Cav3.3 expression up-regulated. Interestingly, inhibition of CaMKIIβ expression protected the DRG cell from the neurotoxicity injury induced by ropivacaine hydrochloride, increased the cell viability and decreased the apoptosis rate, as well as inhibition of CaMKIIβ expression down-regulated Cav3.2 and Cav3.3 expression. In other words, CaMKIIβ is involved with the DRG injury induced by ropivacaine hydrochloride. Inhibition CaMKIIβ expression improved DRG injury, increased the cell viability and decreased cell apoptosis rate.
局麻药的神经毒性在临床上经常被报道,越来越多的人开始关注这一问题。CaMKIIβ是 CaMKII 的一个亚型,在中枢神经系统中被检测到。先前的研究发现,在接受盐酸罗哌卡因处理的 DRG 神经元中 CaMKIIβ mRNA 上调,并且抑制 Cav3.2 和 Cav3.3 的表达可以改善局麻药的神经毒性。在这项研究中,我们通过 DRG 细胞观察 CaMKIIβ 对盐酸罗哌卡因诱导的神经毒性损伤的影响。我们首先构建了 pAd-shRNA-CaMKIIβ-DRG 来抑制 CaMKIIβ mRNA 的表达,并检测了细胞活力、细胞凋亡率、CaMKIIβ、Cav3.2 和 Cav3.3 的表达。结果表明,盐酸罗哌卡因导致 DRG 细胞损伤,细胞活力降低,细胞凋亡率增加,CaMKIIβ、Cav3.2 和 Cav3.3 表达上调。有趣的是,抑制 CaMKIIβ 的表达可保护 DRG 细胞免受盐酸罗哌卡因诱导的神经毒性损伤,增加细胞活力,降低细胞凋亡率,并抑制 CaMKIIβ 的表达下调 Cav3.2 和 Cav3.3 的表达。换句话说,CaMKIIβ 参与了盐酸罗哌卡因诱导的 DRG 损伤。抑制 CaMKIIβ 的表达可改善 DRG 损伤,增加细胞活力,降低细胞凋亡率。