Department of Anesthesiology, Weihai Central Hospital, No.3, West Mt. East Road, Wendeng District, Weihai City, 264400, Shandong, China.
BMC Anesthesiol. 2019 Jul 19;19(1):131. doi: 10.1186/s12871-019-0801-z.
Dexmedetomidine (DEX) has been used as an anesthetic for decades. The present investigation aimed to elucidate the analgesic impact of DEX on 2,4,6-Trinitrobenzenesulfonic acid (TNBS)-induced chronic inflammatory visceral pain (CIVP) in rats.
TNBS with or without DEX to Male Sprague-Dawley SD rats were randomly divided into four groups: normal, CIVP, DEX, and vehicle. Pain behaviors were assessed and the abdominal withdrawal reflex, mechanical withdrawal threshold, and thermal withdrawal latency were recorded. Quantitative polymerase chain reaction data showed increased expressions of pro-inflammatory cytokines (IL-6, IL-1β and TNF-α) in the spinal cord tissues of rats.
RNA microarray and quantitative polymerase chain reaction results indicated that miR-34a was downregulated by TNBS induction, but it was upregulated by DEX administration. Further studies showed that transfection of adenovirus-miR-34a inhibitor reversed the effect of DEX on the pain behaviors and spinal-cord pro-inflammatory-cytokine generation in CIVP rats. Additionally, we found that miR-34a targeted the 3'-UTR of the HDAC2 gene, as evinced by the increased HDAC2 expression in the CIVP and DEX + miR-34a inhibitor groups, and decreased HDAC2 signaling in the DEX group. Moreover, knock-down of HDAC2 restored DEX-attenuated pain behaviors and reduced pro-inflammatory cytokine production.
DEX thus exhibited an analgesic effect on CIVP rats through the miR-34a-mediated HDAC2 pathway and suppressed visceral hypersensitivity.
右美托咪定(DEX)已被用作麻醉剂数十年。本研究旨在阐明 DEX 对大鼠 2,4,6-三硝基苯磺酸(TNBS)诱导的慢性炎症性内脏痛(CIVP)的镇痛作用。
TNBS 联合或不联合 DEX 被随机分配给雄性 Sprague-Dawley SD 大鼠,分为四组:正常组、CIVP 组、DEX 组和载体组。评估疼痛行为,并记录腹壁回缩反射、机械退缩阈值和热退缩潜伏期。定量聚合酶链反应数据显示大鼠脊髓组织中促炎细胞因子(IL-6、IL-1β 和 TNF-α)表达增加。
RNA 微阵列和定量聚合酶链反应结果表明,miR-34a 被 TNBS 诱导下调,但被 DEX 给药上调。进一步的研究表明,腺病毒-miR-34a 抑制剂转染逆转了 DEX 对 CIVP 大鼠疼痛行为和脊髓促炎细胞因子产生的影响。此外,我们发现 miR-34a 靶向 HDAC2 基因的 3'-UTR,CIVP 和 DEX+miR-34a 抑制剂组中 HDAC2 表达增加,DEX 组中 HDAC2 信号降低。此外,敲低 HDAC2 恢复了 DEX 减弱的疼痛行为和减少促炎细胞因子的产生。
DEX 因此通过 miR-34a 介导的 HDAC2 途径对 CIVP 大鼠表现出镇痛作用,并抑制内脏高敏性。