Zhu Xichun, Yue Lihui, Fan Chunyan, Liu Yuting, Wang Yong, Zhao Hongwei
Department of Pain Management, Hebei General Hospital Shijiazhuang 050051, Hebei Province, China.
Am J Transl Res. 2021 Mar 15;13(3):1075-1084. eCollection 2021.
Currently, there is no favorable treatment plan for inflammatory pain, so exploring new analgesics is still a research hotspot in this area. Cyclin-dependent protein kinase 5 (Cdk5) is a pain-related protein kinase, but its mechanism in inflammatory pain has not been clarified. This research aimed to explore the mechanism of Cdk5-synaptophysin (Syn)-soluble N-ethylmaleimide-sensitivity factor (NSF) attachment protein receptor (SNARE) in acute and chronic inflammatory pain.
Rat models of acute and chronic inflammatory pain were induced by formalin and complete Freund's adjuvant (CFA), separately, and some rats injected with normal saline through intraplantar injection were divided into a control group. Thirty minutes before modeling, rats were given Cdk5 inhibitor (Roscovitine, Ros), SNARE scavenger (botulinum toxin A, BTTA), glutamate receptor inhibitor (MK801), and dimethyl sulfoxide (DMSO) through spinal canals, and the paw withdrawal threshold (PWT) and thermal withdrawal latency (PWL) at difference time points were compared.
Compared with rats in the control group, those in the rat models of acute and chronic inflammatory pain showed lower PWT and PWL, higher Cdk5 enzyme level, tight correlation of Cdk5 with Syn, SNARE, p25 proteins, and higher levels of Cdk5, Syn and SNARE. And the above situation was dramatically reversed under intervention of Ros, BTTA and MK801.
Cdk5-Syn-SNARE pathway is a therapeutic target for inflammatory pain. Blocking the activation of this pathway is beneficial to exert analgesic effect.
目前,炎性疼痛尚无理想的治疗方案,因此探索新型镇痛药仍是该领域的研究热点。细胞周期蛋白依赖性蛋白激酶5(Cdk5)是一种与疼痛相关的蛋白激酶,但其在炎性疼痛中的作用机制尚未阐明。本研究旨在探讨Cdk5-突触素(Syn)-可溶性N-乙基马来酰亚胺敏感因子(NSF)附着蛋白受体(SNARE)在急慢性炎性疼痛中的作用机制。
分别用福尔马林和完全弗氏佐剂(CFA)诱导大鼠急慢性炎性疼痛模型,将部分经足底注射生理盐水的大鼠作为对照组。建模前30分钟,通过椎管给予大鼠Cdk5抑制剂(Roscovitine,Ros)、SNARE清除剂(肉毒杆菌毒素A,BTTA)、谷氨酸受体抑制剂(MK801)和二甲基亚砜(DMSO),比较不同时间点的 paw withdrawal threshold(PWT)和热缩足潜伏期(PWL)。
与对照组大鼠相比,急慢性炎性疼痛模型大鼠的PWT和PWL较低,Cdk5酶水平较高,Cdk5与Syn、SNARE、p25蛋白紧密相关,Cdk5、Syn和SNARE水平较高。在Ros、BTTA和MK801干预下,上述情况得到显著逆转。
Cdk5-Syn-SNARE通路是炎性疼痛的治疗靶点。阻断该通路的激活有利于发挥镇痛作用。