抑制脊髓背角和背根神经节中的 NKCC1 可减轻脊髓挫伤大鼠的神经性疼痛。

Inhibition of NKCC1 in spinal dorsal horn and dorsal root ganglion results in alleviation of neuropathic pain in rats with spinal cord contusion.

机构信息

School of Rehabilitation Medicine, 12517Capital Medical University, Beijing, China.

Department of Spine Surgery, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing, China.

出版信息

Mol Pain. 2023 Jan-Dec;19:17448069231159855. doi: 10.1177/17448069231159855.

Abstract

Previous studies have confirmed the relationship between chloride homeostasis and pain. However, the role of sodium potassium chloride co-transporter isoform 1 (NKCC1) in dorsal horn and dorsal root ganglion neurons (DRGs) in spinal cord injury (SCI)-induced neuropathic pain (NP) remains inconclusive. Therefore, we aimed to explore whether suppression of NKCC1 in the spinal cord and DRGs alleviate the NP of adult rats with thoracic spinal cord contusion. Thirty adult female Sprague-Dawley rats (8 week-old, weighing 250-280 g) were randomly divided into three groups with ten animals in each group (sham, SCI, and bumetanide groups). The paw withdrawal mechanical threshold and paw withdrawal thermal latency were recorded before injury (baseline) and on post-injury days 14, 21, 28, and 35. At the end of experiment, western blotting (WB) analysis, quantitative real-time Polymerase Chain Reaction (PCR) and immunofluorescence were performed to quantify NKCC1 expression. Our results revealed that NKCC1 protein expression in the spinal cord and DRGs was significantly up-regulated in rats with SCI. Intraperitoneal treatment of bumetanide (an NKCC1 inhibitor) reversed the expression of NKCC1 in the dorsal horn and DRGs and ameliorated mechanical ectopic pain and thermal hypersensitivities in the SCI rats. Our study demonstrated the occurrence of NKCC1 overexpression in the spinal cord and DRGs in a rodent model of NP and indicated that changes in the peripheral nervous system also play a major role in promoting pain sensitization after SCI.

摘要

先前的研究已经证实了氯离子稳态与疼痛之间的关系。然而,钠-钾-2 氯共转运蛋白亚型 1(NKCC1)在脊髓损伤(SCI)诱导的神经性疼痛(NP)中背角和背根神经节神经元(DRGs)中的作用仍存在争议。因此,我们旨在探讨抑制脊髓和 DRGs 中的 NKCC1 是否能减轻成年大鼠胸段脊髓挫伤后 NP 的发生。30 只成年雌性 Sprague-Dawley 大鼠(8 周龄,体重 250-280g)被随机分为三组,每组 10 只(假手术组、SCI 组和布美他尼组)。在损伤前(基线)和损伤后第 14、21、28 和 35 天记录大鼠的后爪机械缩足阈值和后爪热缩足潜伏期。实验结束时,进行 Western blot(WB)分析、定量实时聚合酶链反应(qPCR)和免疫荧光检测以定量 NKCC1 表达。我们的结果显示,SCI 大鼠脊髓和 DRGs 中的 NKCC1 蛋白表达明显上调。腹腔内给予布美他尼(NKCC1 抑制剂)可逆转背角和 DRGs 中 NKCC1 的表达,并改善 SCI 大鼠的机械性异位痛和热敏性。本研究在 NP 大鼠模型中证实了 NKCC1 在脊髓和 DRGs 中的过度表达,并表明周围神经系统的变化在后 SCI 中也对促进疼痛敏化起着重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e250/9950615/c0fe39e2ad24/10.1177_17448069231159855-fig1.jpg

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