Department of Gastroenterology, The Affiliated Hospital of Xuzhou Medical University, 99 West Huaihai Road, Xuzhou 221002, Jiangsu Province, China; Institute of Digestive Diseases, Xuzhou Medical University, 84 West Huaihai Road, Xuzhou 221002, Jiangsu Province, China.
Department of Anesthesiology, Xuzhou Central Hospital, 199 Jiefang South Road, Xuzhou 221009, Jiangsu Province, China.
Life Sci. 2021 May 15;273:119308. doi: 10.1016/j.lfs.2021.119308. Epub 2021 Mar 2.
Brain-derived neurotrophic factor (BDNF) is vital in the pathogenesis of mechanical allodynia with a paucity of reports available regarding diabetic neuropathy pain (DNP). Herein we identified the involvement of BDNF in driving mechanical allodynia in DNP rats via the activation of transient receptor potential canonical 6 (TRPC6) channel.
The DNP rat model was established via streptozotocin (STZ) injection, and allodynia was assessed by paw withdrawal mechanical threshold (PWMT) and paw withdrawal thermal latency (PWTL). The expression profiles of BDNF and TRPC6 in dorsal root ganglia (DRG) and spinal cord were illustrated by immunofluorescence and Western blotting. Intrathecal administration of K252a or TrkB-Fc was performed to inhibit BNDF/TrkB expression, and respective injection of GsMTX-4, BTP2 and TRPC6 antisense oligodeoxynucleotides (TRPC6-AS) was likewise conducted to inhibit TRPC6 expression in DNP rats. Calcium influx in DRG was monitored by calcium imaging.
The time-dependent increase of BDNF and TRPC6 expression in DRG and spinal cord was observed since the 7th post-STZ day, correlated with the development of mechanical allodynia in DNP rats. Intrathecal administration of K252a, TrkB-Fc, GsMTX-4 and BTP2 prevented mechanical allodynia in DNP rats. Pre-treatment of TRPC6-AS reversed the BDNF-induced pain-like responses in DNP rats rather than the naïve rats. In addition, the TRPC6-AS reversed BDNF-induced increase of calcium influx in DRG neurons in DNP rats.
The intrathecal inhibition of TRPC6 alleviated the BDNF-induced mechanical allodynia in DNP rat model. This finding may validate the application of TRPC6 antagonists as interesting strategy for DNP management.
脑源性神经营养因子(BDNF)在机械性痛觉过敏的发病机制中至关重要,但关于糖尿病神经痛(DNP)的报道很少。本文通过证实 BDNF 可通过瞬时受体电位经典型 6(TRPC6)通道的激活来驱动 DNP 大鼠的机械性痛觉过敏,从而确定了 BDNF 在其中的作用。
通过链脲佐菌素(STZ)注射建立 DNP 大鼠模型,并通过足底撤回机械阈值(PWMT)和足底撤回热潜伏期(PWTL)评估痛觉过敏。通过免疫荧光和 Western blot 显示背根神经节(DRG)和脊髓中 BDNF 和 TRPC6 的表达谱。鞘内给予 K252a 或 TrkB-Fc 以抑制 BDNF/TrkB 表达,并且在 DNP 大鼠中分别给予 GsMTX-4、BTP2 和 TRPC6 反义寡核苷酸(TRPC6-AS)以抑制 TRPC6 表达。通过钙成像监测 DRG 中的钙内流。
自 STZ 后第 7 天起,观察到 DRG 和脊髓中 BDNF 和 TRPC6 表达的时间依赖性增加,这与 DNP 大鼠机械性痛觉过敏的发展相关。鞘内给予 K252a、TrkB-Fc、GsMTX-4 和 BTP2 可预防 DNP 大鼠的机械性痛觉过敏。TRPC6-AS 的预处理逆转了 DNP 大鼠而非正常大鼠中 BDNF 引起的痛觉过敏反应。此外,TRPC6-AS 逆转了 DNP 大鼠 DRG 神经元中 BDNF 诱导的钙内流增加。
TRPC6 的鞘内抑制减轻了 DNP 大鼠模型中 BDNF 诱导的机械性痛觉过敏。这一发现可能验证了 TRPC6 拮抗剂作为 DNP 治疗的一种有前途的策略。