Liu Shuyun, Zhu Rujia, Zhang Yuan, Jiang Zongming, Chen Yonghao, Song Qiliang, Wang Fei
Department of Anesthesiology, Shaoxing People's Hospital, Shaoxing, China.
School of Medicine, Shaoxing University, Shaoxing, China.
Ann Med Surg (Lond). 2025 Mar 19;87(4):1985-1994. doi: 10.1097/MS9.0000000000003206. eCollection 2025 Apr.
To investigate the effects of targeting the PI3K-mTOR signaling pathway in the anterior cingulate cortex (ACC) on pain responses, locomotor activity, and emotional behavior in rats with bone cancer pain.
Bone cancer pain was induced by implanting Walker 256 cells into the rat. Pain responses were assessed using paw withdrawal threshold and latency measurements, while locomotor activity and negative mood were evaluated through open field and conditioned place aversion tests, respectively.
The results showed that the bone cancer pain model led to allodynia, hyperalgesia, decreased ambulation, and ACC microglial activation. Morphine treatment improved pain responses but did not affect locomotor activity or mTOR protein expression. In contrast, rapamycin treatment reduced pain, improved locomotor activity, and decreased negative mood. It also downregulated PI3K-mTOR protein expression. Furthermore, inhibiting the PI3K-mTOR pathway with a PI3K inhibitor or rapamycin not only improved pain responses and locomotor activity but also reduced depression and anxiety-like behaviors. These effects were accompanied by changes in paw withdrawal threshold, latency, static time, and PI3K-mTOR protein expression.
Targeting the PI3K-mTOR signaling pathway in the ACC effectively alleviates pain-related symptoms and emotional disturbances in rats with bone cancer pain. This approach holds promise for alleviating pain and allaying negative emotion after further study.
研究靶向扣带回前部(ACC)的PI3K-mTOR信号通路对骨癌痛大鼠疼痛反应、运动活动及情绪行为的影响。
将Walker 256细胞植入大鼠体内诱导骨癌痛。通过测量 paw withdrawal threshold和潜伏期评估疼痛反应,分别通过旷场试验和条件性位置厌恶试验评估运动活动和负面情绪。
结果显示,骨癌痛模型导致痛觉过敏、痛觉超敏、活动减少及ACC小胶质细胞激活。吗啡治疗改善了疼痛反应,但不影响运动活动或mTOR蛋白表达。相比之下,雷帕霉素治疗减轻了疼痛,改善了运动活动,并减轻了负面情绪。它还下调了PI3K-mTOR蛋白表达。此外,用PI3K抑制剂或雷帕霉素抑制PI3K-mTOR通路不仅改善了疼痛反应和运动活动,还减少了抑郁和焦虑样行为。这些效应伴随着 paw withdrawal threshold、潜伏期、静止时间和PI3K-mTOR蛋白表达的变化。
靶向ACC中的PI3K-mTOR信号通路可有效减轻骨癌痛大鼠的疼痛相关症状和情绪障碍。经过进一步研究,这种方法有望减轻疼痛并缓解负面情绪。