Department of Pharmacology, National Defense Medical Center, Taipei, Taiwan; Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan; Department of Pharmacy Practice, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan; Department of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Peptides. 2021 Feb;136:170455. doi: 10.1016/j.peptides.2020.170455. Epub 2020 Nov 27.
Alcohol can increase the sensitivity to painful stimulation or convert insensibility to pain at different stages. We hypothesized that chronic alcohol consumption changes the level of LVV-hemorphin-7 (abbreviated as LVV-H7, an opioid-like peptide generated from hemoglobin β-chain), thereby affecting pain sensation. We established a chronic alcohol-exposed rat model to investigate the effects of LVV-H7. Adult male Sprague-Dawley rats were subjected to daily intraperitoneal injection of 10 % ethanol (w/v) at 0.5 g/kg for 15 days and subsequent alcohol withdrawal for 5 days. Using different pharmacological strategies to affect the LVV-H7 level, we investigated the correlation between LVV-H7 and pain-related behavior. Tail-flick and hot plate tests were employed to investigate alcohol-induced pain-related behavioral changes. The serum level of LVV-H7 was determined by ELISA. Our results showed that alcohol first induced an analgesia followed by a hyperalgesia during alcohol withdrawal, which could be driven by the quantitative change of LVV-H7. A positive correlation between the level of LVV-H7 and Δtail-flick latency (measured latency minus basal latency) confirmed this finding. Moreover, we revealed that the LVV-H7 levels were determined by the activity of cathepsin D and red blood cell/hemoglobin counts, which could be affected by alcohol. These results suggest that the deterioration of anti-nociception induced by alcohol is correlated to the decreased level of LVV-H7, and this could be due to alcohol-induced anemia. This study may help to develop LVV-H7 structure-based novel analgesics for treating alcohol-induced pain disorders and thus ameliorate the complications in alcoholics.
酒精在不同阶段既可以增加对疼痛刺激的敏感性,也可以使机体对疼痛不敏感。我们假设慢性酒精摄入会改变 LVV-血红蛋白衍生七肽(简称 LVV-H7,一种从血红蛋白β链生成的类阿片肽)的水平,从而影响疼痛感知。我们建立了慢性酒精暴露大鼠模型来研究 LVV-H7 的作用。成年雄性 Sprague-Dawley 大鼠每天接受 10%乙醇(w/v)0.5 g/kg 腹膜内注射,共 15 天,随后进行 5 天的酒精戒断。我们使用不同的药理学策略来影响 LVV-H7 水平,研究 LVV-H7 与疼痛相关行为之间的相关性。采用甩尾和热板试验来研究酒精引起的疼痛相关行为变化。通过 ELISA 测定 LVV-H7 的血清水平。结果显示,酒精在戒断期间首先引起镇痛,然后引起痛觉过敏,这可能是由 LVV-H7 的定量变化驱动的。LVV-H7 水平与Δ甩尾潜伏期(测量潜伏期减去基础潜伏期)之间存在正相关,证实了这一发现。此外,我们揭示了 LVV-H7 水平由组织蛋白酶 D 活性和红细胞/血红蛋白计数决定,而这两个因素都会受到酒精的影响。这些结果表明,酒精引起的抗伤害感受能力下降与 LVV-H7 水平降低有关,这可能是由于酒精引起的贫血所致。本研究可能有助于开发基于 LVV-H7 结构的新型镇痛药,用于治疗酒精引起的疼痛障碍,从而改善酗酒者的并发症。