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在 vmPFC 中 S-亚硝基化增强 AMPAR 依赖性突触传递导致慢性炎症痛诱导的小鼠持续性焦虑。

Enhanced AMPAR-dependent synaptic transmission by S-nitrosylation in the vmPFC contributes to chronic inflammatory pain-induced persistent anxiety in mice.

机构信息

Department of Pharmacology, School of Pharmacy, Nanjing Medical University, Nanjing, 211166, China.

The First Affiliated Hospital of Fujian Medical University, Longyan, 364000, China.

出版信息

Acta Pharmacol Sin. 2023 May;44(5):954-968. doi: 10.1038/s41401-022-01024-z. Epub 2022 Dec 2.

Abstract

Chronic pain patients often have anxiety disorders, and some of them suffer from anxiety even after analgesic administration. In this study, we investigated the role of AMPAR-mediated synaptic transmission in the ventromedial prefrontal cortex (vmPFC) in chronic pain-induced persistent anxiety in mice and explored potential drug targets. Chronic inflammatory pain was induced in mice by bilateral injection of complete Freund's adjuvant (CFA) into the planta of the hind paws; anxiety-like behaviours were assessed with behavioural tests; S-nitrosylation and AMPAR-mediated synaptic transmission were examined using biochemical assays and electrophysiological recordings, respectively. We found that CFA induced persistent upregulation of AMPAR membrane expression and function in the vmPFC of anxious mice but not in the vmPFC of non-anxious mice. The anxious mice exhibited higher S-nitrosylation of stargazin (an AMPAR-interacting protein) in the vmPFC. Inhibition of S-nitrosylation by bilaterally infusing an exogenous stargazin (C302S) mutant into the vmPFC rescued the surface expression of GluA1 and AMPAR-mediated synaptic transmission as well as the anxiety-like behaviours in CFA-injected mice, even after ibuprofen treatment. Moreover, administration of ZL006, a small molecular inhibitor disrupting the interaction of nNOS and PSD-95 (20 mg·kg·d, for 5 days, i.p.), significantly reduced nitric oxide production and S-nitrosylation of AMPAR-interacting proteins in the vmPFC, resulting in anxiolytic-like effects in anxious mice after ibuprofen treatment. We conclude that S-nitrosylation is necessary for AMPAR trafficking and function in the vmPFC under chronic inflammatory pain-induced persistent anxiety conditions, and nNOS-PSD-95 inhibitors could be potential anxiolytics specific for chronic inflammatory pain-induced persistent anxiety after analgesic treatment.

摘要

慢性疼痛患者常伴有焦虑症,其中一些患者在给予镇痛剂后仍患有焦虑症。在这项研究中,我们研究了 AMPAR 介导的突触传递在慢性痛诱导的持续性焦虑的小鼠腹内侧前额叶皮质(vmPFC)中的作用,并探索了潜在的药物靶点。通过双侧向小鼠后爪足底注射完全弗氏佐剂(CFA)诱导慢性炎症性疼痛;通过行为测试评估焦虑样行为;使用生化测定和电生理记录分别检测 S-亚硝基化和 AMPAR 介导的突触传递。我们发现 CFA 诱导焦虑小鼠 vmPFC 中 AMPAR 膜表达和功能持续上调,但在非焦虑小鼠中则没有。焦虑小鼠 vmPFC 中 stargazin(一种 AMPAR 相互作用蛋白)的 S-亚硝基化水平较高。通过将外源性 stargazin(C302S)突变体双侧注入 vmPFC 抑制 S-亚硝基化,可挽救 CFA 注射小鼠的 GluA1 表面表达和 AMPAR 介导的突触传递以及焦虑样行为,即使在给予布洛芬治疗后也是如此。此外,ZL006(一种破坏 nNOS 和 PSD-95 相互作用的小分子抑制剂)的给药(20mg·kg·d,腹腔注射,连续 5 天)可显著减少 vmPFC 中一氧化氮产生和 AMPAR 相互作用蛋白的 S-亚硝基化,导致布洛芬治疗后焦虑小鼠出现抗焦虑样作用。我们得出结论,S-亚硝基化是慢性炎症性疼痛诱导的持续性焦虑条件下 vmPFC 中 AMPAR 转运和功能所必需的,nNOS-PSD-95 抑制剂可能是镇痛治疗后慢性炎症性疼痛诱导的持续性焦虑的潜在特异性抗焦虑药。

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