Mazzitelli Mariacristina, Ponomareva Olga, Presto Peyton, John Julia, Neugebauer Volker
Department of Pharmacology and Neuroscience, School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, United States.
Center of Excellence for Translational Neuroscience and Therapeutics, Texas Tech University Health Sciences Center, Lubbock, TX, United States.
Front Pharmacol. 2024 Mar 21;15:1368634. doi: 10.3389/fphar.2024.1368634. eCollection 2024.
Pain is a clinically relevant health care issue with limited therapeutic options, creating the need for new and improved analgesic strategies. The amygdala is a limbic brain region critically involved in the regulation of emotional-affective components of pain and in pain modulation. The central nucleus of amygdala (CeA) serves major output functions and receives nociceptive information via the external lateral parabrachial nucleus (PB). While amygdala neuroplasticity has been linked causally to pain behaviors, non-neuronal pain mechanisms in this region remain to be explored. As an essential part of the neuroimmune system, astrocytes that represent about 40-50% of glia cells within the central nervous system, are required for physiological neuronal functions, but their role in the amygdala remains to be determined for pain conditions. In this study, we measured time-specific astrocyte activation in the CeA in a neuropathic pain model (spinal nerve ligation, SNL) and assessed the effects of astrocyte inhibition on amygdala neuroplasticity and pain-like behaviors in the pain condition. Glial fibrillary acidic protein (GFAP, astrocytic marker) immunoreactivity and mRNA expression were increased at the chronic (4 weeks post-SNL), but not acute (1 week post-SNL), stage of neuropathic pain. In order to determine the contribution of astrocytes to amygdala pain-mechanisms, we used fluorocitric acid (FCA), a selective inhibitor of astrocyte metabolism. Whole-cell patch-clamp recordings were performed from neurons in the laterocapsular division of the CeA (CeLC) obtained from chronic neuropathic rats. Pre-incubation of brain slices with FCA (100 µM, 1 h), increased excitability through altered hyperpolarization-activated current (I) functions, without significantly affecting synaptic responses at the PB-CeLC synapse. Intra-CeA injection of FCA (100 µM) had facilitatory effects on mechanical withdrawal thresholds (von Frey and paw pressure tests) and emotional-affective behaviors (evoked vocalizations), but not on facial grimace score and anxiety-like behaviors (open field test), in chronic neuropathic rats. Selective inhibition of astrocytes by FCA was confirmed with immunohistochemical analyses showing decreased astrocytic GFAP, but not NeuN, signal in the CeA. Overall, these results suggest a complex modulation of amygdala pain functions by astrocytes and provide evidence for beneficial functions of astrocytes in CeA in chronic neuropathic pain.
疼痛是一个具有临床相关性的医疗保健问题,治疗选择有限,因此需要新的和改进的镇痛策略。杏仁核是边缘脑区,在疼痛的情绪情感成分调节和疼痛调制中起关键作用。杏仁核中央核(CeA)发挥主要输出功能,并通过外侧臂旁核(PB)接受伤害性信息。虽然杏仁核神经可塑性已被因果关联到疼痛行为,但该区域的非神经元疼痛机制仍有待探索。作为神经免疫系统的重要组成部分,星形胶质细胞约占中枢神经系统中胶质细胞的40 - 50%,是生理神经元功能所必需的,但其在杏仁核中对疼痛状态的作用仍有待确定。在本研究中,我们在神经性疼痛模型(脊髓神经结扎,SNL)中测量了CeA中特定时间的星形胶质细胞激活,并评估了星形胶质细胞抑制对疼痛状态下杏仁核神经可塑性和疼痛样行为的影响。在神经性疼痛的慢性期(SNL后4周)而非急性期(SNL后1周),胶质纤维酸性蛋白(GFAP,星形胶质细胞标志物)免疫反应性和mRNA表达增加。为了确定星形胶质细胞对杏仁核疼痛机制的贡献,我们使用了氟柠檬酸(FCA),一种星形胶质细胞代谢的选择性抑制剂。对从慢性神经性大鼠获得的CeA外侧囊部(CeLC)的神经元进行全细胞膜片钳记录。用FCA(100µM,1小时)预孵育脑片,通过改变超极化激活电流(I)功能增加了兴奋性,而对PB - CeLC突触的突触反应没有显著影响。在慢性神经性大鼠中,向CeA内注射FCA(100µM)对机械撤针阈值(von Frey和爪压力测试)和情绪情感行为(诱发发声)有促进作用,但对面部 grimace评分和焦虑样行为(旷场试验)没有影响。通过免疫组织化学分析证实了FCA对星形胶质细胞的选择性抑制,显示CeA中星形胶质细胞GFAP信号降低,但NeuN信号未降低。总体而言,这些结果表明星形胶质细胞对杏仁核疼痛功能有复杂的调制作用,并为CeA中星形胶质细胞在慢性神经性疼痛中的有益功能提供了证据。
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