Laboratório de Farmacologia da Dor e Neuromodulação: Investigações Pré-Clínicas, Centro de Pesquisa Experimental, Hospital de Clínicas de Porto Alegre, 90035-007 Porto Alegre, Brazil; Programa de Pós-Graduação em Ciências Biológicas: Fisiologia, Instituto de Ciências Básicas da Saúde, (ICBS), Universidade Federal do Rio Grande do Sul (UFRGS), 90050-170 Porto Alegre, Brazil.
Laboratório de Farmacologia da Dor e Neuromodulação: Investigações Pré-Clínicas, Centro de Pesquisa Experimental, Hospital de Clínicas de Porto Alegre, 90035-007 Porto Alegre, Brazil; Programa de Pós-Graduação em Ciências Biológicas: Farmacologia e Terapêutica, Universidade Federal Rio Grande do Sul, 90050-170 Porto Alegre, Brazil; Programa de Pós-Graduação em Saúde e Desenvolvimento Humano, Universidade La Salle, 92010-000 Canoas, Brazil.
Behav Brain Res. 2021 Apr 23;404:113173. doi: 10.1016/j.bbr.2021.113173. Epub 2021 Feb 9.
Anxiety disorders cause distress and are commonly found to be comorbid with chronic pain. Both are difficult-to-treat conditions for which alternative treatment options are being pursued. This study aimed to evaluate the effects of transcranial direct current stimulation (tDCS), treadmill exercise, or both, on anxiety-like behavior and associated growth factors and inflammatory markers in the hippocampus and sciatic nerve of rats with neuropathic pain. Male Wistar rats (n = 216) were subjected to sham-surgery or sciatic nerve constriction for pain induction. Fourteen days following neuropathic pain establishment, either bimodal tDCS, treadmill exercise, or a combination of both was used for 20 min a day for 8 consecutive days. The elevated plus-maze test was used to assess anxiety-like behavior and locomotor activity during the early (24 h) or late (7 days) phase after the end of treatment. BDNF, TNF-ɑ, and IL-10 levels in the hippocampus, and BDNF, NGF, and IL-10 levels in the sciatic nerve were assessed 48 h or 7 days after the end of treatment. Rats from the pain groups developed an anxiety-like state. Both tDCS and treadmill exercise provided ethological and neurochemical alterations induced by pain in the early and/or late phase, and a modest synergic effect between tDCS and exercise was observed. These results indicate that non-invasive neuromodulatory approaches can attenuate both anxiety-like status and locomotor activity and alter the biochemical profile in the hippocampus and sciatic nerve of rats with neuropathic pain and that combined interventions may be considered as a treatment option.
焦虑症会引起痛苦,并且常与慢性疼痛并存。这两种疾病都难以治疗,因此正在寻求替代治疗方法。本研究旨在评估经颅直流电刺激(tDCS)、跑步机运动或两者结合对神经病理性疼痛大鼠焦虑样行为以及海马和坐骨神经中相关生长因子和炎症标志物的影响。雄性 Wistar 大鼠(n = 216)接受假手术或坐骨神经结扎以诱发疼痛。神经病理性疼痛建立 14 天后,每天进行 20 分钟的双模态 tDCS、跑步机运动或两者结合,连续 8 天。高架十字迷宫测试用于评估治疗结束后早期(24 小时)或晚期(7 天)焦虑样行为和运动活动。治疗结束后 48 小时或 7 天评估海马中 BDNF、TNF-ɑ 和 IL-10 水平以及坐骨神经中 BDNF、NGF 和 IL-10 水平。疼痛组大鼠出现焦虑样状态。tDCS 和跑步机运动均在早期和/或晚期提供了疼痛引起的行为和神经化学改变,并且观察到 tDCS 和运动之间存在适度的协同作用。这些结果表明,非侵入性神经调节方法可以减轻神经病理性疼痛大鼠的焦虑样状态和运动活动,并改变其海马和坐骨神经中的生化特征,联合干预可能被视为一种治疗选择。
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