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伏隔核内多巴胺能系统调节持续性炎症痛应激诱发的抗伤害行为。

Intra-accumbal dopaminergic system modulates the restraint stress-induced antinociceptive behaviours in persistent inflammatory pain.

机构信息

Neuroscience Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Physiology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.

出版信息

Eur J Pain. 2021 Apr;25(4):862-871. doi: 10.1002/ejp.1716. Epub 2021 Jan 2.

Abstract

BACKGROUND

Stress activates several neural pathways that inhibit pain sensation. Nucleus accumbens (NAc), as an important component of the mesolimbic dopaminergic system, has a major role in pain modulation and is differentially affected by stress. Based on the nature of stressors, the direction of this effect is controversial. We previously showed that forced swim stress-induced analgesia through activation of NAc dopamine receptors. In this study, we aimed to examine the role of dopamine receptors within the NAc in restraint stress (RS)-induced analgesia.

METHODS

Male Wistar rats weighing 230-250 g were unilaterally implanted with a cannula into the NAc. D1-like dopamine receptor antagonist, SCH-23390 (0.25, 1 and 4 µg/0.5 µL saline), or D2-like dopamine receptor antagonist, Sulpiride (0.25, 1 and 4µg/0.5µl DMSO), were microinjected into NAc in two separate super groups 5 min prior to exposure to RS. Their control groups just received intra-accumbal saline or DMSO (0.5 µl) respectively. The formalin test was performed after animals were subjected to RS using Plexiglas tubes.

RESULTS

The results demonstrated that RS produces analgesia in both phases of the formalin test. Intra-NAc injection of SCH-23390 equally reduced RS-induced analgesia in both early and late phases of the formalin test, while Sulpiride reduced RS-induced analgesia just at the late phase.

CONCLUSIONS

These findings suggest that the dopaminergic system might act as a potential endogenous pain control system in stress conditions. However, the lack of evaluation of the role of the dopaminergic system in RS-induced antinociception in acute pain conditions is considered as a limitation for this study. In addition, a comprehensive evaluation of this endogenous pain control system in animal and clinical studies will guide future efforts for developing more effective medication.

SIGNIFICANCE

Restraint stress (RS) induces the antinociceptive behaviors in both phases of formalin test. Blockade of intra-accumbal dopamine receptors impresses the antinociception induced by RS. Blockade of D1-like dopamine receptor equally reduced RS-induced analgesia in both early and late phases of the formalin test. Blockade of D2-like dopamine receptor reduced RS-induced analgesia just at the late phase.

摘要

背景

应激激活了几种抑制疼痛感觉的神经通路。伏隔核(NAc)作为中脑边缘多巴胺能系统的重要组成部分,在疼痛调节中起着重要作用,并且受到应激的不同影响。基于应激源的性质,这种影响的方向存在争议。我们之前的研究表明,通过激活 NAc 多巴胺受体,强迫游泳应激会引起镇痛。在这项研究中,我们旨在研究 NAc 内多巴胺受体在束缚应激(RS)诱导的镇痛中的作用。

方法

体重为 230-250g 的雄性 Wistar 大鼠单侧植入 NAc 中的一根套管。SCH-23390(0.25、1 和 4µg/0.5µL 生理盐水)或 Sulpiride(0.25、1 和 4µg/0.5µl DMSO)这两种多巴胺 D1 样受体拮抗剂,在暴露于 RS 之前的 5 分钟,分别在两个单独的超级组中被微注射到 NAc 中。它们的对照组仅分别接受 NAc 内的生理盐水或 DMSO(0.5µl)。使用有机玻璃管对动物进行 RS 后,进行福尔马林试验。

结果

结果表明,RS 在福尔马林试验的两个阶段均产生镇痛作用。NAc 内注射 SCH-23390 同样减少了福尔马林试验早期和晚期的 RS 诱导的镇痛作用,而 Sulpiride 仅减少了晚期的 RS 诱导的镇痛作用。

结论

这些发现表明,多巴胺能系统可能在应激条件下作为潜在的内源性疼痛控制系统发挥作用。然而,本研究认为,在急性疼痛条件下,缺乏对 RS 诱导的抗伤害作用中多巴胺能系统作用的评估是一个局限性。此外,在动物和临床研究中对这种内源性疼痛控制系统的全面评估将指导未来开发更有效的药物的努力。

意义

束缚应激(RS)诱导福尔马林试验的两个阶段的抗伤害行为。阻断 NAc 内的多巴胺受体可增强 RS 诱导的抗伤害作用。DA1 样多巴胺受体阻断剂同样减少了福尔马林试验早期和晚期的 RS 诱导的镇痛作用。D2 样多巴胺受体阻断剂仅在晚期减少了 RS 诱导的镇痛作用。

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