Xue Yan, Dai Sailin, Liang Jiexian, Ji Wenjin
Division of Anesthesiology, Department of Cardiovascular Surgery, Guangdong Institute of Cardiovascular, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, School of Medicine, South China University of Technology, Guangzhou, China.
Department of Anesthesiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Mol Pain. 2020 Jan-Dec;16:1744806920929246. doi: 10.1177/1744806920929246.
Lower limb pain is a common clinical disease that affects millions of people worldwide. It is found in previous studies that reactive oxygen species is closely related to neuropathic, cancer, chemotherapy, and inflammatory pain, which can be relieved by reactive oxygen species scavengers. Furthermore, acupuncture or electroacupuncture on the psoas major muscle has a great effect on adjuvant-induced arthritis and lower back pain. In our study, we investigated the function of reactive oxygen species scavengers locally injecting into the ipsilateral psoas major muscle on complete Freund's adjuvant-induced inflammatory pain. Our results demonstrated that in the development of complete Freund's adjuvant-induced inflammatory pain, early local continuous application of N-tert-Butyl-α-phenylnitrone (PBN, 1 and 5 mg/kg/0.2 ml) on the ipsilateral psoas major muscle effectively reduced mechanical and cold hyperalgesia. However, intraperitoneal injection of PBN (1 and 5 mg/kg) or local injection of PBN (1 and 5 mg/kg/0.2 ml) into contralateral psoas major muscle, ipsilateral quadratus lumborum, and ipsilateral erector spinae showed limited effect. In the developed inflammatory pain model, local injection of PBN into the ipsilateral psoas major muscle also alleviated pain and paw edema. In addition, reactive oxygen species level increased in ipsilateral psoas major muscle at seven days after complete Freund's adjuvant injection. In general, PBN reduces complete Freund's adjuvant-evoked inflammatory pain by inhibiting reactive oxygen species in the psoas major muscle.
下肢疼痛是一种常见的临床疾病,影响着全球数百万人。先前的研究发现,活性氧与神经病理性疼痛、癌痛、化疗性疼痛和炎性疼痛密切相关,活性氧清除剂可缓解这些疼痛。此外,对腰大肌进行针刺或电针治疗对佐剂诱导的关节炎和下背部疼痛有显著效果。在我们的研究中,我们调查了向同侧腰大肌局部注射活性氧清除剂对完全弗氏佐剂诱导的炎性疼痛的作用。我们的结果表明,在完全弗氏佐剂诱导的炎性疼痛发展过程中,早期在同侧腰大肌局部持续应用N-叔丁基-α-苯基硝酮(PBN,1和5mg/kg/0.2ml)可有效减轻机械性和冷痛觉过敏。然而,腹腔注射PBN(1和5mg/kg)或向对侧腰大肌、同侧腰方肌和同侧竖脊肌局部注射PBN(1和5mg/kg/0.2ml)效果有限。在已建立的炎性疼痛模型中,向同侧腰大肌局部注射PBN也可减轻疼痛和爪部水肿。此外,在完全弗氏佐剂注射后7天,同侧腰大肌中的活性氧水平升高。总体而言,PBN通过抑制腰大肌中的活性氧来减轻完全弗氏佐剂诱发的炎性疼痛。