鞘内注射U0126对吗啡戒断大鼠脊髓神经元磷酸化CREB表达的影响

目的：研究鞘内注射细胞外信号调节激酶（ERK）抑制剂U0126对吗啡依赖大鼠纳洛酮催促戒断反应、脊髓磷酸化cAMP反应元件结合蛋白（p-CREB）表达的影响。方法：建立大鼠吗啡依赖和戒断模型,分为正常对照组、吗啡依赖组、吗啡戒断组、U0126组、溶媒（DMSO）组,采用行为学（n=8）、免疫组织化学（n=6）和Western blot（n=4）方法观察鞘内应用U0126对吗啡依赖大鼠纳洛酮催促戒断反应、脊髓p-CREB表达的影响。结果：①鞘内注射u0126可明显减轻吗啡依赖大鼠戒断症状,戒断组戒断症状评分为28．6±4．89,U0126组为22．5±4．09（P〈0．05）;戒断组促诱发痛评分（TEAscore）为13．5±2．55,U0126组为10．0±2．76（P〈0．05）。②鞘内注射U0126可明显减少胸腰段脊髓背角p-CREB阳性神经元的数目,U0126组为287±54,低于戒断组（380±71,P〈0．05）。 ③westem blot结果显示：鞘内注射U0126明显抑制吗啡戒断期间脊髓p-CREB表达的增加。结论：鞘内注射U0126能明显抑制吗啡戒断大鼠脊髓神经元p-CREB的表达。     

MEK抑制剂抑制吗啡依赖及戒断大鼠脊髓神经元NOS的表达

目的：观察鞘内注射丝裂原活化蛋白激酶抑制剂U0126对吗啡依赖及戒断大鼠戒断症状和痛敏行为以及脊髓神经元NOS表达的影响。方法：采用吗啡依赖及戒断模型,分为正常对照组、依赖组、戒断组（戒断1h）、U0126组,分别作行为学评分（n=8）、免疫组织化学（n=6）和免疫印迹检测（n=4）。结果：①鞘内注射U0126可明显减轻吗啡依赖大鼠戒断症状,戒断组戒断症状评分为28．6±4．89,U0126组为22．5±4．09（P〈0．05）;戒断组TEA评分为13．5±2．55,U0126组为10．0±2．76（P〈0．05）;②鞘内注射U0126可明显减少L5节段脊髓背角Fos阳性神经元的数目,U0126组为287±54,低于戒断组（380±71,P〈0．05）;③U0126组nNOS和iNOS阳性神经元的数目分别为180±32、10．8±2．8,均低于戒断组（239±45,16．8±5．1,P〈0．05）,两给药组脊髓NOS蛋白的表达也显著减少。结论：MEK抑制剂能减轻吗啡依赖及戒断大鼠的戒断症状和在脊髓水平抑制NOS的表达,表明ERK可能参与调控NOS的表达。     

脊髓水平细胞外信号调节激酶激活参与吗啡依赖的形成及戒断反应的表达

在大鼠吗啡依赖和戒断模型上,采用行为学、免疫组织化学和Western blot方法观察吗啡依赖及戒断大鼠脊髓神经元磷酸化细胞外信号调节激酶（phospho-extracellular signal-regulated kinase,pERK）表达的变化,及鞘内注射促分裂原活化蛋白激酶激酶（mitogen-activated protein kinase kinase,MEK）抑制剂U0126或ERK反义寡核苷酸对吗啡依赖大鼠纳洛酮催促戒断反应、触诱发痛及脊髓神经元pERK表达的影响,探讨脊髓水平pERK在介导吗啡依赖和戒断过程中的作用。结果显示：（1）在吗啡依赖形成过程中,大鼠脊髓胞浆与胞核非磷酸化ERK表达没有改变,但pERK表达逐渐增加,纳洛酮催促戒断后,仍有进一步增加的趋势,戒断1h后,其表达量明显下降,但仍高于对照组。（2）鞘内预先注射MEK抑制剂U0126或ERK反义寡核苷酸能明显抑制吗啡戒断反应和戒断引起的痛觉异常;与行为学结果一致,脊髓背角pERK阳性神经元表达与脊髓胞浆和胞核pERK表达也明显降低。上述结果提示,脊髓水平ERK激活和核转位参与吗啡依赖的形成及戒断反应的表达。     

脑源性神经营养因子在大鼠后足切割疼痛中的作用

目的:观察脑源性神经营养因子(BDNF)对大鼠后足切割疼痛的影响。方法:采用纵行切割大鼠后足作为疼痛模型,运用免疫组织化学与免疫荧光双标记方法,观察大鼠后足切割后不同时间点(1-72hr)BDNF在相应节段背根神经节与脊髓内表达的变化。腹腔或鞘内注射BDNF抗体中和内源性BDNF后,以Von Frey尼龙纤维刺激后足行机械痛敏评价。结果:大鼠后足切割后1-24hr内,BDNF在切割侧L42-L5脊髓后角表达明增加,BDNF主要位于后角神经元内与神经末梢,星形胶质细胞与小胶质细胞内未见明显表达;在L42-L5背根神经节,BNDF免疫阳性细胞百分比在切割后1-24hr内也明显增加,增加的主要为大直经神经元;鞘内给予BDNF抗体可明显增加大鼠后足切割后的缩足阈值,而腹腔给予BDNF抗体对大鼠的缩足阈值影响较小。结论:BDNF参与了大鼠后足切割后机械痛敏的过程。     

糖尿病大鼠脊髓内高迁移率族蛋白-1参与调节机械性痛敏的机制

目的:观察高迁移率族蛋白-1(high mobility group box-1,HMGB1)在糖尿病大鼠脊髓内的表达变化,探索其参与糖尿病性机械性痛觉过敏的具体机制,进一步阐明糖尿病性痛的机制,为糖尿病疼痛的治疗提供新的思路。方法:(1)36只SD大鼠随机分成6组(n=6),分别为正常大鼠组、糖尿病大鼠对照组、糖尿病7 d组、14 d、21 d和28 d组。通过Real-time PCR法检测各组大鼠脊髓内HMGB1 m RNA的表达情况。(2)24只SD大鼠分成4组(n=6)制作糖尿病大鼠模型,在造模后第28 d鞘内给予生理盐水、HMGB1的中和抗体10、30和100μg,检测糖尿病大鼠模型在各时间点的机械性缩足阈值。(3)30只SD大鼠随机分成5组(n=6),其中4组给予链尿佐菌素制作糖尿病大鼠模型。模型制作28 d后鞘内给予生理盐水、HMGB1的中和抗体10、30和100μg。另一组大鼠腹腔给予生理盐水,作为糖尿病大鼠的对照组。检测各组大鼠脊髓的TNF-α、IL-1β和IL-6 m RNA的表达。结果:(1)糖尿病大鼠模型制作21 d和28 d,脊髓内HMGB1 m RNA的表达显著上调(P0.05)。(2)糖尿病大鼠鞘内给予HMGB1中和抗体30和100μg后,可以在长达24 h的时间内扭转模型大鼠的机械性痛敏(P0.05)。(3)糖尿病大鼠造模28 d后,鞘内给予HMGB1的中和抗体30和100μg可以明显逆转糖尿病大鼠脊髓内的TNF-α、IL-1β和IL-6 m RNA的表达(P0.05)。结论:糖尿病大鼠脊髓内HMGB1显著上调,鞘内给予HMGB1的中和抗体可以通过抑制脊髓内TNF-α等细胞因子的表达而扭转糖尿病大鼠的机械性痛敏。以上结果提示,脊髓HMGB1可能参与了糖尿病机械性痛敏状态的维持过程。我们的研究对脊髓HMGB1参与糖尿病大鼠的疼痛的机制进行初步的探讨,为糖尿病性痛的治疗提供新的思路。     

cAMP反应元件结合蛋白介导磷酸化细胞外信号调节激酶在神经病理性痛形成中的作用

采用行为学、免疫组织化学和Western blot方法,观察鞘内注射细胞外信号调节激酶(extracellular signal-regulate kinase,ERK)信号转导通路阻滞剂对慢性压迫性损伤(chronic constriction injury,CCI)大鼠痛行为及脊髓背角内磷酸化cAMP反应元件结合蛋白(phosphorylated cAMP response-element binding protein,pCREB)和Fos表达变化的影响,探讨ERK／CREB转导通路在神经病理性疼痛中的作用。结果表明,CCI可明显增加双侧脊髓背角pCREB、损伤侧脊髓背角浅层Fos阳性神经元表达,以CCI后3与5d时尤为显著。鞘内沣射促分裂原活化蛋白激酶激酶(mitogen-activated protein kinase kinase,MEK)阻滞剂U0126及ERK反义寡核苷酸在减轻大鼠痛行为的同时,能明显抑制双侧脊髓背角内pCREB的表达,同时,Fos阳性神经元的表达也明显减少。大鼠痛行为及脊髓背角pCREB和Fos的表达在时相上一致。上述结果提示pCREB参与pERK介导的神经病理性疼痛。     

脊髓水平给予胍丁胺对鞘内吗啡镇痛的影响

目的：观察脊髓水平给予胍丁胺对鞘内吗啡镇痛作用的影响。方法：30只sD大鼠随机分为3组（n=10）：C1组：鞘内注射生理盐水（10出）;M1组：鞘内注射吗啡（15μg／10μl）;AMI组：鞘内同时给予吗啡15μg＋胍丁胺12．5μg／10出。所有大鼠均于鞘内给药后5min于跖部皮下注射蜜蜂毒50m（0．2mg）致痛,观察并纪录1h内大鼠的自发缩足反射次数。另30只SD大鼠分组为C2,M2和AM2（n=10）,每组给药分别同前,用来测定机械痛阈和热刺激阈值。结果：与C1组比较,M1组1h内大鼠的自发缩足反射次数显著减少,提示鞘内注射吗啡对蜜蜂毒诱致的自发痛具有显著性抑制作用（P〈0．05）;鞘内同时给予吗啡和胍丁胺（AM1组）,大鼠自发缩足反射次数进一步减少,与M1组比较具有显著性意义（P〈0．05）。与对照组C2组比较,M2组大鼠的热刺激闽值和机械性痛闽明显提高;AM2组热刺激潜伏期显著延长,机械刺激阈值显著提高;AM2组与M2组比较热刺激潜伏期和机械刺激阈值有统计学差异（P〈0．05）。结论：鞘内胍丁胺和吗啡联合用药可显著增强吗啡对蜜蜂毒诱致自发痛的抑制作用,具有加强效应。     

IFN-γ参与右美托咪定在单关节炎大鼠模型中的镇痛作用

目的:探讨IFN-γ是否参与了右美托咪定在大鼠单关节炎模型中的镇痛作用。方法:选用完全弗氏佐剂(CFA)诱导的大鼠单关节炎模型,应用Von Frey纤毛检测大鼠造模以后以及造模并且鞘内连续给予右美托咪定后大鼠后足机械痛敏的变化。应用免疫荧光组织化学实验检测大鼠脊髓背角IFN-γ的定位;应用蛋白质免疫印迹检测大鼠脊髓背角IFN-γ表达的变化。结果:大鼠单关节炎模型建立后,脊髓背角IFN-γ的表达显著上调;大鼠脊髓IFN-γ定位于脊髓背角浅层;鞘内连续给予右美托咪定抑制了单关节炎大鼠的机械痛敏,并且减少了单关节炎大鼠脊髓背角IFN-γ的表达。结论:脊髓背角IFN-γ的表达水平与右美托咪定对单关节炎大鼠的镇痛作用有关。     

环氧合酶-1抑制剂对术后疼痛大鼠脊髓中ERK表达的影响

目的：探讨术前鞘内注射选择性环氧合酶-1（cyclooxygenase-1）抑制剂SC-560对术后疼痛大鼠机械痛觉超敏以及脊髓中磷酸化ERK（p-ERK）蛋白表达的影响。方法：采用术后疼痛模型,于术后1h通过观察机械缩足反射阈值（MwT）测定术后痛觉超敏情况、免疫组化染色和免疫印迹检测脊髓中p-ERK表达的变化。结果：①术后疼痛大鼠术后1h出现明显痛觉超敏反应,术前鞘内注射SC-560 100μg可以明显抑制术后痛觉超敏;②术后1h大鼠腰段脊髓背角浅层p-ERK免疫组化染色阳性细胞数较正常对照组明显增加,鞘内注射SC-560可明显减少p-ERK阳性细胞数（P〈0．01）;术后1h大鼠腰段脊髓Western blot检测,p-ERK1／2蛋白的表达较正常大鼠均明显增加,鞘内注射9G560可以抑制p-ERK1／2蛋白的表达。结论：鞘内注射CO3X-1抑制剂可以抑制术后疼痛大鼠术后痛觉超敏反应,脊髓水平Ⅱ水可能介导其上述作用。     

脊髓肿瘤坏死因子-alpha(TNF-α)促进切割损伤导致的痛觉过敏

目的:研究脊髓肿瘤坏死因子-alpha(TNF-α)在急性切割损伤导致的痛觉过敏中的作用;方法:在异氟醚麻醉下纵行切割大鼠后足,在手术不同时段观察大鼠切割足500缩足阈值,并取腰髓节段采用实时定量RT-PCR观察TNF-α的mRNA水平.另外一组实验,鞘内给予可溶性TNF受体蛋白(依那西普,Etanercept)察其切割后足大鼠的痛觉行为学改变.结果:大鼠后足切割导致其同侧腰段脊髓TNF-α基因水平上调,鞘内注射依那西普显著抑制切割损伤引起的机械性痛觉过敏.结论:脊髓内TNF-α参与了切割损伤导致的痛觉过敏,抑制上调的TNF-有可能成为临床上治疗术后疼痛的新方法.     

Role of spinal cord alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors in complete Freund's adjuvant-induced inflammatory pain

Background

Honeybee's sting on human skin can induce ongoing pain, hyperalgesia and inflammation. Injection of bee venom (BV) into the intraplantar surface of the rat hindpaw induces an early onset of spontaneous pain followed by a lasting thermal and mechanical hypersensitivity in the affected paw. The underlying mechanisms of BV-induced thermal and mechanical hypersensitivity are, however, poorly understood. In the present study, we investigated the role of mitogen-activated protein kinase (MAPK) in the generation of BV-induced pain hypersensitivity.

Results

We found that BV injection resulted in a quick activation of p38, predominantly in the L4/L5 spinal dorsal horn ipsilateral to the inflammation from 1 hr to 7 d post-injection. Phosphorylated p38 (p-p38) was expressed in both neurons and microglia, but not in astrocytes. Intrathecal administration of the p38 inhibitor, SB203580, prevented BV-induced thermal hypersensitivity from 1 hr to 3 d, but had no effect on mechanical hypersensitivity. Activated ERK1/2 was observed exclusively in neurons in the L4/L5 dorsal horn from 2 min to 1 d, peaking at 2 min after BV injection. Intrathecal administration of the MEK inhibitor, U0126, prevented both mechanical and thermal hypersensitivity from 1 hr to 2 d. p-ERK1/2 and p-p38 were expressed in neurons in distinct regions of the L4/L5 dorsal horn; p-ERK1/2 was mainly in lamina I, while p-p38 was mainly in lamina II of the dorsal horn.

Conclusion

The results indicate that differential activation of p38 and ERK1/2 in the dorsal horn may contribute to the generation and development of BV-induced pain hypersensitivity by different mechanisms.     

ERK MAP Kinase Activation in Spinal Cord Regulates Phosphorylation of Cdk5 at Serine 159 and Contributes to Peripheral Inflammation Induced Pain/Hypersensitivity

Cyclin-dependent kinase 5 is a proline-directed serine/threonine kinase and its activity participates in the regulation of nociceptive signaling. Like binding with the activators (P35 or P25), the phosphorylation of Cdk5 plays a critical role in Cdk5 activation. However, it is still unclear whether Cdk5 phosphorylation (p-Cdk5) contributes to pain hyperalgesia. The aim of our current study was to identify the roles of p-Cdk5 and its upstream regulator in response to peripheral inflammation. Complete Freund''s adjuvant (CFA) injection induced acute peripheral inflammation and heat hyperalgesia, which was accompanied by sustained increases in phospho-ERK1/2 (p-ERK1/2) and phospho-Cdk5^S159 (p-Cdk5^S159) in the spinal cord dorsal horn (SCDH). CFA-induced p-ERK primarily colocalized with p-Cdk5^S159 in superficial dorsal horn neurons. Levels in p-ERK and p-Cdk5 were also increased in the 2^nd phase of hyperalgesia induced by formalin injection, which can produce acute and tonic inflammatory pain. MAP kinase kinase inhibitor U0126 intrathecal delivery significantly suppressed the elevation of p-Cdk5^S159, Cdk5 activity and pain response behavior (Heat hyperalgesia, Spontaneous flinches) induced by CFA or formalin injection. Cdk5 inhibitor roscovitine intrathecal administration also suppressed CFA-induced heat hyperalgesia and Cdk5 phosphorylation, but did not attenuate ERK activation. All these findings suggested that p-Cdk5^S159 regulated by ERK pathway activity may be a critical mechanism involved in the activation of Cdk5 in nociceptive spinal neurons contributes to peripheral inflammatory pain hypersensitivity.     

Adult spinal opioid receptor μ1 expression after incision is altered by early life repetitive tactile and noxious procedures in rats

Clinical and experimental data suggests that noxious stimulation at critical stages of development results in long‐term changes on nociceptive processing in later life. Here, we use an established, well‐documented rat model of repetitive noxious procedures closely mimicking the clinical situation in the NICU. In order to understand molecular changes underlying the long‐term consequences of repetitive stimulation of the developing nociceptive system the present study aims to analyze the presence of the µ‐opioid‐receptor‐1 (OPRM1). Neonatal rats received either four needle pricks per day in the left hind‐paw from postnatal day 0–7 as a model of procedural pain in infancy. Control pups were handled in the same way but were instead tactile stimulated, or were left undisturbed. At the age of 8 weeks, all animals received an ipsilateral hind‐paw incision as a model for post‐operative pain, and mechanical sensitivity was tested at multiple time‐points. Before, and 1 or 5 days post‐incision, spinal cord tissue was collected for immunostaining of opioid receptor OPRM1. Semi‐quantitative immunocytochemical analysis of superficial laminae in lumbar spinal dorsal horn revealed that: (1) early life repetitive tactile or noxious procedures do not alter baseline levels of OPRM1 staining intensity and (2) early life repetitive tactile or noxious procedures lead to a decrease in OPRM1 staining intensity 5 days after incision in adulthood compared to undisturbed controls. We conclude that early life repetitive tactile or noxious procedures affect the intensity of OPRM1‐immunoreactivity in the lumbar superficial spinal cord dorsal horn after adulthood injury, without affecting baseline intensity. © 2018 The Authors. Developmental Neurobiology Published by Wiley Periodicals, Inc. Develop Neurobiol 78: 417–426, 2018     

MK—801降低炎性痛在鼠脊髓NOS表达和NO含量

用NADPH-d组织化学法,观察鞘内注射NMDA受体拮抗剂MK-801对大鼠右后掌皮下注射甲醛诱发的炎症性痛及痛过敏过程中脊髓后角一氧化氮合酶(NOS)表达的影响,同时测定一氧化氮(NO)代谢终产物     

Activation of extracellular signal-regulated protein kinases 5 in primary afferent neurons contributes to heat and cold hyperalgesia after inflammation

Heat and cold hyperalgesia is a common feature of inflammatory pain. To investigate whether activation of extracellular signal-regulated protein kinase 5 (ERK5), also known as big mitogen-activated protein kinase 1, in primary sensory neurons participates in inflammatory pain, we examined the phosphorylation of ERK5 in the dorsal root ganglion (DRG) after peripheral inflammation. Inflammation induced by complete Freund's adjuvant produced heat and cold hyperalgesia on the ipsilateral hind paw and induced an increase in the phosphorylation of ERK5, mainly in tyrosine kinase A-expressing small- and medium-size neurons. In contrast, there was no change in ERK5 phosphorylation in the spinal dorsal horn. ERK5 antisense, but not mismatch, oligodeoxynucleotide decreased the activation of ERK5 and suppressed inflammation-induced heat and cold hyperalgesia. Furthermore, the inhibition of ERK5 blocked the induction of transient receptor potential channel TRPV1 and TRPA1 expression in DRG neurons after peripheral inflammation. Our results show that ERK5 activated in DRG neurons contribute to the development of inflammatory pain. Thus, blocking ERK5 signaling in sensory neurons that has the potential for preventing pain after inflammation.     

CGRP受体拮抗剂CGRP8-37对甲醛炎性痛大鼠自发痛反应及脊髓后角NOS表达和NO含量的影响

目的:探讨CGRP受体拮抗剂CGRP8-37对甲醛炎性痛大鼠自发痛反应及脊髓后角NOS表达和NO含量的影响.方法:大鼠足底注射甲醛制造炎性痛模型;计数缩足反射次数反映自发痛程度;NADPH-d组织化学法观察脊髓后角NOS表达;硝酸还原酶法测定NO-3/NO-2含量以反映NO含量.结果:足底注射甲醛后,动物出现自发痛反应行为.足底注射甲醛后24 h,双侧脊髓后角NOS表达及NO含量明显增加.预先鞘内注射CGRP8-37可使甲醛诱导的自发性缩足反射次数明显减少,并可明显抑制甲醛炎性痛诱导的脊髓后角NOS表达及NO含量的增加.结论:甲醛炎性痛时,脊髓后角CGRP受体激活可促进NOS活性表达及NO的产生.     

氟比洛芬酯对手术致痛大鼠脊髓Fos蛋白表达的影响

目的：探讨氟比洛芬酯对手术致痛大鼠脊髓Fos蛋白表达的影响。方法：48只SD大鼠醉,按Brennan法手术,建立大鼠手术切口疼痛模型。20min后,对照（D）组大鼠经尾静脉注入生理盐水,另5组注入氟比洛芬酯注射液,K1组为2mg/kg,K2组为4mg/kg,K3组为8mg/kg,K4组为16mg/kg。每组在尾静脉注射后2h时,以3%戊巴比妥钠100mg/kg腹腔注射深麻醉下迅速切取脊髓L4-S1节段,SP法进行免疫组化染色,观察脊髓背角Fos样免疫反应（FLI）阳性细胞在脊髓上的变化情况。结果：外科手术刀口诱发的FLI阳性神经元主要位于与痛刺激同侧的脊髓浅层（Ⅰ-Ⅱ层）,各剂量组同D2组比较,脊髓背角浅层FLI阳性细胞数目呈剂量依赖性减少（P〈0.05）。结论：氟比洛芬酯可抑制脊髓Fos蛋白的表达,并呈一定的剂量依赖性。     

Neonatal repetitive needle pricking: Plasticity of the spinal nociceptive circuit and extended postoperative pain in later life

Repetitive exposure of neonates to noxious events is inherent to their health status monitoring in neonatal intensive care units (NICU). Altered basal nociception in the absence of an injury in later life has been demonstrated in ex‐NICU children, but the impact on pain hypersensitivity following an injury in later life is unknown. Also, underlying mechanisms for such long‐term changes are relatively unknown. The objective of this study is to investigate acute and long‐term effects of neonatal repetitive painful skin‐breaking procedures on nociception and to investigate plasticity of the nociceptive circuit. The repetitive needle prick animal model was used in which neonatal rats received four needle pricks into the left hind paw per day during the first postnatal week and control animals received nonpainful tactile stimuli. Repetitive needle pricking during the first week of life induced acute hypersensitivity to mechanical stimuli. At the age of 8 weeks, increased duration of postoperative hypersensitivity to mechanical stimuli after ipsilateral hind paw incision was shown in needle prick animals. Basal nociception from 3 to 8 weeks of age was unaffected by neonatal repetitive needle pricking. Increased calcitonin gene‐related peptide expression was observed in the ipsilateral and contralateral lumbar spinal cord but not in the hind paw of needle prick animals at the age of 8 weeks. Innervation of tactile Aβ‐fibers in the spinal cord was not affected. Ourresults indicate both acute and long‐term effects of repetitive neonatal skin breaking procedures on nociception and long‐term plasticity of spinal but not peripheral innervation of nociceptive afferents. © 2012 Wiley Periodicals, Inc. Develop Neurobiol, 2013     

靶向毁损触液核对大鼠痛行为及脊髓背角5-HT和c-Fos表达的影响

目的：观察缺失触液核（CSF-contacting nucleus）对大鼠痛行为及脊髓背角痛相关物质5-羟色胺（5-HT）和c—Fas表达的影响,为触液核参与疼痛调制及机制提供实验依据。方法：成年雄性SD大鼠随机分为正常组（Control）,假手术组（Sham）,霍乱毒素亚单位B与辣根过氧化酶复合物（CB—HRP）组和毁损触液核组（Damage）。以机械缩足阈值（MWT）和热缩足潜伏期（耶儿）测定大鼠痛行为。免疫荧光法检测脊髓背角5-HT和c—Fos表达,并进行痛行为阈值与物质变化趋势的相关分析。结果：与Control、Sham和CB—HRP组相比,Damage组大鼠MWT和TWL明显降低（P〈0．05）。免疫荧光结果显示,正常大鼠触液核神经元高表达5-HT;Damage组大鼠触液核神经元数量随毁损天数延续逐渐减少,且在给予毁损剂CB—SAP第10天完全消失。与此同时脊髓背角5-HT和c—Fos表达量日趋增加,且与痛行为阈值变化趋势成负相关。结论：CB—SAP能科学可靠靶向毁损触液核,缺失触液核可致大鼠痛行为阈值减低,而脊髓背角5-HT和c—Fos表达量增加。本研究提示触液核参与了疼痛调制,且5-HT和c—Fos在此调制中发挥了重要作用。