Department of Rehabilitation Medicine, Wakayama Medical University, Wakayama, Japan.
Department of Rehabilitation, Faculty of Wakayama Health Care Sciences, Takarazuka University of Medical and Health Care, Wakayama, Japan.
Sci Rep. 2023 Feb 14;13(1):2645. doi: 10.1038/s41598-023-29849-6.
The exact mechanism of exercise-induced hypoalgesia (EIH) in exercise therapy to improve chronic pain has not been fully clarified. Recent studies have suggested the importance of the ventral hippocampus (vHPC) in inducing chronic pain. We investigated the effects of voluntary running (VR) on FosB cells and GABAergic interneurons (parvalbumin-positive [PV] and somatostatin-positive [SOM]) in the vHPC-CA1 in neuropathic pain (NPP) model mice. VR significantly improved thermal hyperalgesia in the NPP model. The number of the FosB cells was significantly higher in partial sciatic nerve ligation-sedentary mice than in Sham and Naive mice, whereas VR significantly suppressed the FosB cells in the vHPC-CA1. Furthermore, VR significantly increased the proportion of activated PV and SOM interneurons in the vHPC-CA1, and tracer experiments indicated that approximately 24% of neurons projecting from the vHPC-CA1 to the basolateral nucleus of amygdala were activated in NPP mice. These results indicate that feedforward suppression of the activated neurons via VR-induced activation of GABAergic interneurons in the vHPC-CA1 may be a mechanism to produce EIH effects, and suggested that disappearance of negative emotions such as fear and anxiety by VR may play a critical role in improving chronic pain.
运动诱导镇痛(EIH)在运动疗法改善慢性疼痛中的确切机制尚未完全阐明。最近的研究表明,腹侧海马体(vHPC)在诱发慢性疼痛方面的重要性。我们研究了自愿跑步(VR)对神经病理性疼痛(NPP)模型小鼠 vHPC-CA1 中 FosB 细胞和 GABA 能中间神经元(PV 阳性和 SOM 阳性)的影响。VR 显著改善了 NPP 模型的热痛觉过敏。部分坐骨神经结扎-久坐小鼠的 FosB 细胞数量明显高于 Sham 和 Naive 小鼠,而 VR 则显著抑制了 vHPC-CA1 中的 FosB 细胞。此外,VR 显著增加了 vHPC-CA1 中激活的 PV 和 SOM 中间神经元的比例,示踪实验表明,NPP 小鼠中约有 24%从 vHPC-CA1 投射到杏仁核基底外侧核的神经元被激活。这些结果表明,通过 VR 诱导 vHPC-CA1 中 GABA 能中间神经元的激活来抑制激活神经元的前馈抑制可能是产生 EIH 效应的一种机制,并提示 VR 消除恐惧和焦虑等负面情绪可能在改善慢性疼痛中发挥关键作用。