Yoo Sie Hyeon, Lee Sung Hyun, Lee Seunghwan, Park Jae Hong, Lee Seunghyeon, Jin Heecheol, Park Hue Jung
Department of Anesthesiology and Pain Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.
Department of Anesthesiology and Pain Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean J Pain. 2020 Jan 1;33(1):23-29. doi: 10.3344/kjp.2020.33.1.23.
Neuropathic pain (NP) is considered a clinically incurable condition despite various treatment options due to its diverse causes and complicated disease mechanisms. Since the early 2000s, multipotent human mesenchymal stem cells (hMSCs) have been used in the treatment of NP in animal models. However, the effects of hMSC injections have not been studied in chronic post-ischemia pain (CPIP) mice models. Here, we investigated whether intrathecal (IT) and intrapaw (IP) injections of hMSCs can reduce mechanical allodynia in CPIP model mice.
Seventeen CPIP C57/BL6 mice were selected and randomized into four groups: IT sham (n = 4), IT stem (n = 5), IP sham (n = 4), and IP stem (n = 4). Mice in the IT sham and IT stem groups received an injection of 5 μL saline and 2 × 10 hMSCs, respectively, while mice in the IP sham and IP stem groups received an injection of 5 μL saline and 2 × 10 hMSCs, respectively. Mechanical allodynia was assessed using von Frey filaments from pre-injection to 30 days post-injection. Glial fibrillary acidic protein (GFAP) expression in the spinal cord and dorsal root ganglia were also evaluated.
IT and IP injections of hMSCs improved mechanical allodynia. GFAP expression was decreased on day 25 post-injection compared with the sham group. Injections of hMSCs improved allodynia and GFAP expression was decreased compared with the sham group.
These results suggested that hMSCs may be also another treatment modality in NP model by ischemia-reperfusion.
尽管有多种治疗选择,但由于其病因多样且疾病机制复杂,神经性疼痛(NP)被认为是一种临床无法治愈的疾病。自21世纪初以来,多能人间充质干细胞(hMSCs)已被用于动物模型中NP的治疗。然而,hMSC注射在慢性缺血后疼痛(CPIP)小鼠模型中的效果尚未得到研究。在此,我们研究了鞘内(IT)和爪内(IP)注射hMSCs是否能减轻CPIP模型小鼠的机械性异常性疼痛。
选择17只CPIP C57/BL6小鼠并随机分为四组:IT假手术组(n = 4)、IT干细胞组(n = 5)、IP假手术组(n = 4)和IP干细胞组(n = 4)。IT假手术组和IT干细胞组的小鼠分别接受5 μL生理盐水和2×10 hMSCs的注射,而IP假手术组和IP干细胞组的小鼠分别接受5 μL生理盐水和2×10 hMSCs的注射。使用von Frey细丝从注射前到注射后30天评估机械性异常性疼痛。还评估了脊髓和背根神经节中胶质纤维酸性蛋白(GFAP)的表达。
IT和IP注射hMSCs可改善机械性异常性疼痛。与假手术组相比,注射后第25天GFAP表达降低。与假手术组相比,hMSCs注射改善了异常性疼痛且GFAP表达降低。
这些结果表明,hMSCs可能也是缺血再灌注NP模型中的另一种治疗方式。