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向大鼠腰大肌内注射 α 肾上腺素能受体激动剂对完全弗氏佐剂诱导的炎症性疼痛的影响。

Effects of administration of α adrenergic receptor agonist into psoas major muscle on inflammatory pain induced by injection of complete Freund's adjuvant in rats.

机构信息

Division of Anesthesiology, Department of Cardiovascular Surgery, Guangdong Institute of Cardiovascular, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.

Department of Anesthesiology, Guangdong Provincial People's Hospital, (Zhuhai Golden Bay Center Hospital), Zhuhai, China.

出版信息

Mol Pain. 2022 Apr;18:17448069221107810. doi: 10.1177/17448069221107810.

Abstract

α adrenergic agonists are widely used in clinical anesthesia and ICU sedation owing to their effective sedative and analgesic effects. Lumbago and leg pain is the most common clinical pain disease. Studies have reported that lumbago and leg pain is associated with dysregulation of paravertebral muscles, especially psoas major muscles. In the present study, a unilateral lower extremity chronic inflammation and pain model was established by subcutaneous administration of low-dose complete Fredrin's adjuvant (CFA) into the posterior paw of rats. α adrenalin receptor agonist was then injected into the psoas major muscle. Behavioral tests were conducted for 21 days. Psoas major muscle tissue was harvested for evaluation of biochemical indexes related to pain. The effect of α adrenergic receptor agonist injected into psoas major muscle on chronic inflammatory pain of lower extremities in rats was explored. The results showed that injection of α adrenergic receptor agonist into the psoas major muscle relieved CFA-induced mechanical hyperalgesia. Administration of α adrenergic receptor antagonist yohimbine reversed the analgesic effect of α adrenergic receptor agonists. Administration of dexmedetomidine into psoas major muscle downregulated the levels of norepinephrine, interleukin-6 and tumor necrosis factor-α in tissues. The findings of the present study show that administration of α adrenoceptor agonists into the psoas major muscle relieves chronic inflammatory pain induced by CFA. Local injection of dexmedetomidine also exerted anti-inflammatory and anti-sympathetic effect by activating α-adrenoceptor in the psoas major muscle.

摘要

α 肾上腺素能激动剂由于其有效的镇静和镇痛作用,广泛应用于临床麻醉和 ICU 镇静。腰痛和腿痛是最常见的临床疼痛疾病。研究报道腰痛和腿痛与椎旁肌肉失调有关,尤其是腰大肌。在本研究中,通过向大鼠后爪皮下注射低剂量完全弗氏佐剂(CFA)建立单侧下肢慢性炎症和疼痛模型,然后向腰大肌注射α肾上腺素能受体激动剂。进行了 21 天的行为测试。采集腰大肌组织,评估与疼痛相关的生化指标。探讨了向腰大肌注射α肾上腺素能受体激动剂对大鼠下肢慢性炎性疼痛的影响。结果表明,向腰大肌注射α肾上腺素能受体激动剂可缓解 CFA 诱导的机械性痛觉过敏。α肾上腺素能受体拮抗剂育亨宾的给药逆转了α肾上腺素能受体激动剂的镇痛作用。向腰大肌注射右美托咪定可下调组织中去甲肾上腺素、白细胞介素-6 和肿瘤坏死因子-α 的水平。本研究结果表明,向腰大肌注射α肾上腺素能受体激动剂可缓解 CFA 诱导的慢性炎症性疼痛。局部注射右美托咪定也通过激活腰大肌中的α-肾上腺素能受体发挥抗炎和抗交感作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c522/9358342/78489798d50d/10.1177_17448069221107810-fig1.jpg

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