电针对链脲佐菌素诱导的糖尿病神经病理性疼痛大鼠通过 TRPV1 介导的 CaMKII/CREB 通路的缓解作用。

Electroacupuncture Alleviates Streptozotocin-Induced Diabetic Neuropathic Pain via the TRPV1-Mediated CaMKII/CREB Pathway in Rats.

机构信息

Key Laboratory of Acupuncture and Neurology of Zhejiang Province, Zhejiang Chinese Medical University, Hangzhou, China.

The Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.

出版信息

J Mol Neurosci. 2024 Aug 20;74(3):79. doi: 10.1007/s12031-024-02256-w.

Abstract

Diabetic neuropathic pain (DNP) is a diabetic complication that causes severe pain and deeply impacts the quality of the sufferer's daily life. Currently, contemporary clinical treatments for DNP generally exhibit a deficiency in effectiveness. Electroacupuncture (EA) is recognized as a highly effective and safe treatment for DNP with few side effects. Regrettably, the processes via which EA alleviates DNP are still poorly characterized. Transient receptor potential vanilloid 1 (TRPV1) and phosphorylated calcium/calmodulin-dependent protein kinase II (p-CaMKII) are overexpressed on spinal cord dorsal horn (SCDH) in DNP rats, and co-localization is observed between them. Capsazepine, a TRPV1 antagonist, effectively reduced nociceptive hypersensitivity and downregulated the overexpression of phosphorylated CaMKIIα in rats with DNP. Conversely, the CaMKII inhibitor KN-93 did not have any impact on TRPV1. EA alleviated heightened sensitivity to pain caused by nociceptive stimuli and downregulated the level of TRPV1, p-CaMKIIα, and phosphorylated cyclic adenosine monophosphate response element-binding protein (p-CREB) in DNP rats. Intrathecal injection of capsaicin, on the other hand, reversed the above effects of EA. These findings indicated that the CaMKII/CREB pathway on SCDH is located downstream of TRPV1 and is affected by TRPV1. EA alleviates DNP through the TRPV1-mediated CaMKII/CREB pathway.

摘要

糖尿病性神经病理性疼痛(DNP)是一种糖尿病并发症,可引起严重疼痛,严重影响患者的日常生活质量。目前,DNP 的现代临床治疗方法通常表现出疗效不足。电针(EA)被认为是一种治疗 DNP 有效且安全的方法,副作用较少。遗憾的是,EA 缓解 DNP 的过程仍未得到充分描述。瞬时受体电位香草素 1(TRPV1)和磷酸化钙/钙调蛋白依赖性蛋白激酶 II(p-CaMKII)在 DNP 大鼠脊髓背角(SCDH)过度表达,并且它们之间存在共定位。TRPV1 拮抗剂辣椒素可有效减轻 DNP 大鼠的痛觉过敏,并下调 p-CaMKIIα的过度表达。相反,CaMKII 抑制剂 KN-93 对 TRPV1 没有影响。EA 减轻了 DNP 大鼠对伤害性刺激引起的疼痛敏感性增高,并下调了 TRPV1、p-CaMKIIα 和磷酸化环腺苷酸反应元件结合蛋白(p-CREB)的水平。另一方面,鞘内注射辣椒素逆转了 EA 的上述作用。这些发现表明,SCDH 上的 CaMKII/CREB 通路位于 TRPV1 下游,并受 TRPV1 影响。EA 通过 TRPV1 介导的 CaMKII/CREB 通路缓解 DNP。

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