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[电针对慢性炎症性疼痛大鼠不同脑区γ-氨基丁酸受体mRNA表达的影响]

[Effect of electroacupuncture on expression of GABA receptor mRNA in different brain regions in rats with chronic inflammatory pain].

作者信息

Du Jun-Ying, Xu Zi-Tong, Shao Fang-Bing, Xu Ying-Ling, Shao Xiao-Mei, Liang Yi, Fang Jian-Qiao, Fang Jun-Fan

机构信息

Third College of Clinical Medicine, Zhejiang Chinese Medical University, Zhejiang Key Laboratory of Acupuncture Neurology, Hangzhou 310053, China.

出版信息

Zhongguo Zhen Jiu. 2020 Feb 12;40(2):173-8. doi: 10.13703/j.0255-2930.20190129-k00054.

Abstract

OBJECTIVE

To observe the expression of GABA receptor mRNA in different brain regions of the central nervous system in chronic inflammatory pain rats and the intervention effect of electroacupuncture (EA).

METHODS

A total of 48 SPF male SD rats were randomly divided into a blank control group, a model control group, an EA group and a sham EA group, 12 rats in each group. The model of chronic inflammatory pain was established by injecting Freund's complete adjuvant into the foot. The EA group was treated with EA 28 days after the model establishment. The "Housanli" (ST 36) and "Kunlun" (BL 60) were selected and treated with dilatational wave, 2 Hz/100 Hz in frequency, 0.5-1.5 mA for 30 min; EA was given only once. In the sham EA group, the same acupoints were selected but the needles were only inserted into subcutaneous area; EA was connected for 30 min without electrical stimulation. The behavior changes of mechanical pain threshold and thermal pain threshold before model establishment, 1 day, 3 days, 7 days, 14 days, 21 days and 28 days after the model establishment as well as emotional behavior 29 days after the model establishment were observed; the relative expressions of GABA receptor mRNA in anterior cingulate cortex, amygdala and hypothalamus were observed.

RESULTS

Compared with the blank control group, the change rates of mechanical pain threshold and thermal pain threshold in the model control group were decreased significantly 1 day, 3 days, 7 days, 14 days, 21 days, 28 days after model establishment (<0.01); 29 days after model establishment, the movement distance and staying time in the central area of open field test in the model control group were decreased significantly (<0.05). After EA intervention, compared with the model control group and the sham EA group, the change rates of mechanical pain threshold and thermal pain threshold, as well as the movement distance and the staying time of central area were significantly increased in the EA group (<0.01, <0.05). Twenty-nine days after model establishment, the expression of GABA receptor mRNA in anterior cingulate cortex and hypothalamus was not significantly different among all groups (>0.05). Compared with the blank control group, the expression of GABA receptor mRNA in the amygdala was decreased significantly in the model control group (<0.01); compared with the model control group and the sham EA group, the expression of GABA receptor mRNA in amygdala was increased after intervention in the EA group (<0.01).

CONCLUSION

Single treatment of EA could significantly increase the mechanical pain threshold and thermal pain threshold, improve abnormal emotional behavior in rats with chronic inflammatory pain, which may be related to the increasing of expression of GABA receptor mRNA in the amygdala.

摘要

目的

观察慢性炎性疼痛大鼠中枢神经系统不同脑区γ-氨基丁酸(GABA)受体mRNA的表达及电针(EA)的干预作用。

方法

将48只SPF级雄性SD大鼠随机分为空白对照组、模型对照组、电针组和假电针组,每组12只。通过向足跖注射弗氏完全佐剂建立慢性炎性疼痛模型。造模28天后电针组进行电针治疗,选取“足三里”(ST 36)和“昆仑”(BL 60),采用疏密波,频率为2 Hz/100 Hz,电流强度0.5~1.5 mA,留针30 min;电针仅治疗1次。假电针组选取相同穴位,但仅将针插入皮下;连接电针30 min,无电刺激。观察造模前、造模后1天、3天、7天、14天、21天、28天的机械痛阈和热痛阈行为变化以及造模后29天的情绪行为;观察前扣带回皮质、杏仁核和下丘脑GABA受体mRNA的相对表达。

结果

与空白对照组比较,模型对照组造模后1天、3天、7天、14天、21天、28天的机械痛阈和热痛阈变化率显著降低(<0.01);造模后29天,模型对照组旷场试验中央区域的运动距离和停留时间显著减少(<0.05)。电针干预后,与模型对照组和假电针组比较,电针组的机械痛阈和热痛阈变化率以及中央区域的运动距离和停留时间显著增加(<0.01,<0.05)。造模后29天,各组前扣带回皮质和下丘脑GABA受体mRNA表达差异无统计学意义(>0.05)。与空白对照组比较,模型对照组杏仁核GABA受体mRNA表达显著降低(<0.01);与模型对照组和假电针组比较,电针组干预后杏仁核GABA受体mRNA表达增加(<0.01)。

结论

单次电针治疗可显著提高慢性炎性疼痛大鼠的机械痛阈和热痛阈,改善异常情绪行为,其机制可能与杏仁核GABA受体mRNA表达增加有关。

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