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下丘脑室旁核中的小电导钙激活钾通道2促成新生大鼠结肠扩张诱导的内脏高敏感性。

Small-Conductance Ca-Activated K Channels 2 in the Hypothalamic Paraventricular Nucleus Precipitates Visceral Hypersensitivity Induced by Neonatal Colorectal Distension in Rats.

作者信息

Ji Ning-Ning, Du Lei, Wang Ying, Wu Ke, Chen Zi-Yang, Hua Rong, Zhang Yong-Mei

机构信息

Jiangsu Province Key Laboratory of Anesthesiology, Xuzhou Medical University, Xuzhou, China.

Anesthesiology Department of the Nanjing Children's Hospital, Nanjing, China.

出版信息

Front Pharmacol. 2021 Jan 27;11:605618. doi: 10.3389/fphar.2020.605618. eCollection 2020.

Abstract

Visceral hypersensitivity is one of the pivotal pathophysiological features of visceral pain in irritable bowel syndrome (IBS). Small-conductance Ca-activated K channel (SK) is critical for a variety of functions in the central nervous system (CNS), nonetheless, whether it is involved in the pathogenesis of visceral hypersensitivity remain elusive. In this study, we examined mechanism of SK2 in hypothalamic paraventricular nucleus (PVN) in the pathogenesis of visceral hypersensitivity induced by neonatal colorectal distension (CRD). Rats undergoing neonatal CRD presented with visceral hypersensitivity as well as downregulated membrane SK2 channel and p-PKA. Intra-PVN administration of either the membrane protein transport inhibitor dynasore or the SK2 activator 1-EBIO upregulated the expression of membrane SK2 in PVN and mitigated visceral hypersensitivity. In addition, 1-EBIO administration reversed the increase in neuronal firing rates in PVN in rats undergoing neonatal CRD. On the contrary, intra-PVN administration of either the SK2 inhibitor apamin or PKA activator 8-Br-cAMP exacerbated the visceral hypersensitivity. Taken together, these findings demonstrated that visceral hypersensitivity is related to the downregulation of membrane SK2 in PVN, which may be attributed to the activation of PKA; pharmacologic activation of SK2 alleviated visceral hypersensitivity, which brings prospect of SK2 activators as a new intervention for visceral pain.

摘要

内脏高敏感性是肠易激综合征(IBS)内脏痛的关键病理生理特征之一。小电导钙激活钾通道(SK)对中枢神经系统(CNS)的多种功能至关重要,然而,其是否参与内脏高敏感性的发病机制仍不清楚。在本研究中,我们探讨了下丘脑室旁核(PVN)中SK2在内脏高敏感性发病机制中的作用,该内脏高敏感性由新生大鼠结肠扩张(CRD)诱导。经历新生大鼠CRD的大鼠表现出内脏高敏感性以及膜SK2通道和p-PKA的下调。向PVN内注射膜蛋白转运抑制剂dynasore或SK2激活剂1-EBIO可上调PVN中膜SK2的表达并减轻内脏高敏感性。此外,给予1-EBIO可逆转经历新生大鼠CRD的大鼠PVN中神经元放电频率的增加。相反,向PVN内注射SK2抑制剂蜂毒明肽或PKA激活剂8-Br-cAMP会加剧内脏高敏感性。综上所述,这些发现表明内脏高敏感性与PVN中膜SK2的下调有关,这可能归因于PKA的激活;SK2的药理学激活减轻了内脏高敏感性,这为SK2激活剂作为内脏痛的新干预措施带来了前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55b4/7873043/cfda56978f0c/fphar-11-605618-g001.jpg

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