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电针通过调节颈部切口痛大鼠脊髓CB1受体减轻痛觉过敏

Electroacupuncture Alleviates Hyperalgesia by Regulating CB1 Receptor of Spinal Cord in Incisional Neck Pain Rats.

作者信息

Wang Junying, Zhang Jinling, Gao Yonghui, Chen Yu, Duanmu Chenglin, Liu Junling

机构信息

Department of Physiology, Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.

出版信息

Evid Based Complement Alternat Med. 2021 Dec 18;2021:5880690. doi: 10.1155/2021/5880690. eCollection 2021.

Abstract

Acupuncture therapy is effective in relieving postoperative pain of neck surgery, but its underlying mechanisms remain largely unknown. This study, in the incisional neck pain rat model, was designed to explore whether the endocannabinoid receptor 1 (CB1) in the cervical spinal cord is involved in the analgesic effect of electroacupuncture (EA) or not.The incisional neck pain model was established by making a longitudinal incision and applied EA treatment of Futu (LI18), Hegu-Neiguan (LI4-PC6), or Zusanli-Yanglingquan (ST36-GB34) for pain relief. The results showed that EA LI18 and EA LI4-PC6 effectively relieve allodynia caused by neck incision, which was obviously better than EA ST34-GB34 ( < 0.05). After EA, the expression levels of CB1 mRNA at 4h in the EALI18 group, and 24 and 48h in both EALI18 and EALI4-PC6 groups, and those of CB1 protein at 4, 24, and 48h in the EALI18 group, and the immunoactivity of CB1 in both EALI18 and EALI4-PC6 groups at 4h were significantly upregulated in contrast to those of the model group ( < 0.05). EA of either acupoint group had no effect on the expression of CB2 protein ( > 0.05). Moreover, the antinociceptive effect of EA was reversed by AM251 (CB1 antagonist). Immunofluorescence dual staining showed that CB1 expressed in astrocytes in the superficial layer (laminae I and II) of dorsal horns of the cervical spinal cord. Therefore, the findings of this study revealed that upregulation of CB1 expression in the cervical spinal cord contributes to the analgesic effect of EA in incisional neck pain rats. The CB1 receptor expresses on astrocytes.

摘要

针刺疗法在缓解颈部手术后疼痛方面有效,但其潜在机制仍大多未知。本研究在颈部切口疼痛大鼠模型中,旨在探究颈脊髓中的内源性大麻素受体1(CB1)是否参与电针(EA)的镇痛作用。通过纵向切口建立颈部切口疼痛模型,并应用伏兔(LI18)、合谷-内关(LI4-PC6)或足三里-阳陵泉(ST36-GB34)进行电针治疗以缓解疼痛。结果显示,电针LI18和电针LI4-PC6能有效缓解颈部切口引起的痛觉过敏,明显优于电针ST34-GB34(<0.05)。电针后,电针LI18组4小时、电针LI18组和电针LI4-PC6组24小时及48小时时CB1 mRNA的表达水平,电针LI18组4小时、24小时及48小时时CB1蛋白的表达水平,以及电针LI18组和电针LI4-PC6组4小时时CB1的免疫活性与模型组相比均显著上调(<0.05)。任一穴位组的电针对CB2蛋白表达均无影响(>0.05)。此外,AM251(CB1拮抗剂)可逆转电针的镇痛作用。免疫荧光双标显示,CB1在颈脊髓背角浅层(I层和II层)的星形胶质细胞中表达。因此,本研究结果表明,颈脊髓中CB1表达上调有助于电针缓解颈部切口疼痛大鼠的疼痛。CB1受体在星形胶质细胞上表达。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6085/8710158/cbffba9cb7ae/ECAM2021-5880690.001.jpg

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