Jiangsu Province Key Laboratory of Anesthesiology, School of Anesthesiology, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China.
Jiangsu Province Key Laboratory of Anesthesiology, School of Anesthesiology, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China; Anesthesiology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221002, China.
Neurosci Lett. 2020 Apr 1;723:134774. doi: 10.1016/j.neulet.2020.134774. Epub 2020 Jan 23.
Brain function relies on the capacity of neurons to locally modulate each other at the level of synapses. Therefore, the exosomal pathway may constitute a well-designed mechanism for local and systemic interneuronal transfer of information within functional brain networks. Exosomes bind to and are endocytosed by neurons of different brain regions to play a definite role. The medial prefrontal cortex (mPFC) and nucleus accumbens (NAc) brain regions are known to involve in pain modulation. Our study observes the roles of exosomal activity in these two dominant regions of the pain-related pathway, and there influence on the analgesic effects in CCI mice.
We induced pain exosomes in the mPFC and NAc in the mice of chronic constriction injury of the sciatic nerve model to produce neuropathic pain, and assessed changes that might affect analgesic behaviors. These changes were measured through a combination of behavioral, surgical, and other cellular testings.
Our study found that pain expression was elevated in mice given exogenous exosomes isolated from CCI mice, especially at the 2 h and 4 h time interval, in mice given exosomes at the mPFC and NAc, respectively. We also found that inhibiting formation of pain exosomes through GW4869 within the mPFC and NAc can elevate the pain threshold.
Results from our study supported the idea that the release of mPFC and NAc exosomes of CCI model has elevated the pain sensations in the subjected mice. This study will further help in designing new clinical trials, and will revolutionize the drug-induced anesthetic responses.
脑功能依赖于神经元在突触水平上相互局部调节的能力。因此,外泌体途径可能构成了在功能脑网络中进行局部和全身神经元间信息传递的精心设计的机制。外泌体与不同脑区的神经元结合并被内吞,从而发挥特定的作用。已知内侧前额叶皮质(mPFC)和伏隔核(NAc)脑区参与疼痛调节。我们的研究观察了外泌体活性在与疼痛相关通路的这两个主要区域中的作用,以及它们对CCI 小鼠镇痛效果的影响。
我们在慢性坐骨神经缩窄损伤模型的小鼠的 mPFC 和 NAc 中诱导疼痛外泌体,以产生神经病理性疼痛,并评估可能影响镇痛行为的变化。这些变化通过行为、手术和其他细胞测试的组合进行测量。
我们的研究发现,给予源自 CCI 小鼠的外泌体的小鼠的疼痛表达增加,尤其是在给予 mPFC 和 NAc 外泌体的 2 小时和 4 小时时间间隔内。我们还发现,通过 GW4869 在 mPFC 和 NAc 内抑制疼痛外泌体的形成可以提高疼痛阈值。
我们的研究结果支持这样一种观点,即 CCI 模型的 mPFC 和 NAc 外泌体的释放增加了受试小鼠的疼痛感觉。这项研究将有助于设计新的临床试验,并将彻底改变药物诱导的麻醉反应。