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.     

甲醛炎性痛诱导大鼠海马神经元凋亡

目的：观察甲醛炎性痛是否可诱导大鼠海马神经元凋亡。方法：采用行为学方法观察大鼠自发痛反应,流式细胞术检测海马神经元凋亡率,免疫组织化学法检测海马神经元p53蛋白的表达。结果：与正常对照组相比,大鼠足底皮下注射甲醛后海马神经元凋亡率显著增高,海马各区p53蛋白表达明显增加,二者均于注射甲醛后3d达高峰;足底两次注射甲醛和一次注射甲醛组比较,大鼠自发痛反应增强,并且海马神经元凋亡率进一步增加。结论：甲醛炎性痛可诱导大鼠海马神经元凋亡,这种改变具有一定的时程特征;海马神经元凋亡率与疼痛强度有关;p53蛋白的表达增加可能参与了伤害性信息传入对神经元凋亡的诱导。     

鞘内注射MK-801对炎性痛大鼠海马NOS表达及NO含量的影响

目的：观察鞘内给予N-甲基-D-天门冬氨酸（NMDA）受体拮抗剂MK-801对足底注射甲醛诱导的自发痛反应和海马一氧化氮合酶（NOS）表达及一氧化氮（N0）含量的影响,探讨炎性痛诱导海马NO产生增多的机制。方法：通过观察舔足反射时间反映大鼠自发痛程度;采用NADPH—d组织化学法测定大鼠海马NOS表达;硝酸还原酶法测定海马组织NO含量。结果：足底注射甲醛后动物即出现舔、咬、摇动注射侧脚掌等自发痛相关表现,预先鞘内注射MK-801可使大鼠第二时相自发病程度显著降低,但对第一时相痛反应程度无明显影响。注射甲醛后12h时,海马CA1、CA2～3区及DG区NOS阳性细胞数目、阳性细胞染色深度均显著增加,海马组织NO含量显著增加;预先鞘内注射MK-801,可使甲醛炎性痛大鼠海马各区NOS阳性细胞数目明显减少,阳性细胞染色深度明显变浅,海马NO含量明显降低。结论：鞘内注射MK-801可逆转甲醛炎性痛诱导的海马NOS表达及NO产生的增加,表明甲醛炎性痛诱导的海马NO产生增加主要是由于伤害性信息传入所引起。     

HO/CO在甲醛炎性痛大鼠脊髓痛传导及痛觉过敏产生中的作用

目的:探讨血红素氧合酶/一氧化碳(HO/CO)在甲醛诱导的大鼠自发痛和痛觉过敏形成中的作用。方法:采用鞘内注射的方法,在甲醛炎性痛大鼠和正常大鼠分别给予HO抑制剂Znpp和HO激动剂Hemin;采用加权积分法对痛反应进行评分以代表痛反应程度;采用观察热辐射缩足潜伏期和机械刺激缩足反射阈值表示热和机械性痛觉过敏的程度。结果:Znpp各剂量组与单纯甲醛组相比,大鼠痛反应评分明显降低,且Znpp剂量越大,对大鼠痛反应的抑制作用越明显;与单纯甲醛组相比,Znpp各剂量组大鼠注射足热辐射缩足潜伏期和机械刺激缩足反射阈值均无明显变化,而非注射足热辐射缩足潜伏期和机械刺激缩足反射阈值均明显升高,且Znpp的剂量越大,这种改变越明显。正常大鼠鞘内注射HO的激动剂Hemin后,双侧足热辐射缩足潜伏期和机械刺激缩足反射阈值均明显降低。结论:鞘内给予HO抑制剂可明显抑制甲醛诱导的自发痛反应及热和机械性痛觉过敏程度;正常大鼠鞘内给予HO激动剂可诱发热和机械性痛觉过敏的产生,提示HO/CO系统参与脊髓伤害性信息的传导和痛觉过敏的形成过程。     

甲醛炎性痛对大鼠脊髓HO-1表达的影响

目的:观察足底注射甲醛引起的外周组织炎性疼痛是否可诱导大鼠脊髓血红素氧合酶-1(HO-1)表达发生改变以及变化的时程特征。方法:健康雄性SD大鼠随机分为7组(n=6):对照组(control组)、甲醛6 h组(F6 h组)、甲醛12 h(F12 h组)、甲醛1 d组(F1 d组)、甲醛2 d组(F2 d组)、甲醛3 d组(F3 d组)和甲醛7 d组(F7 d组)。采用足底注射甲醛溶液复制炎性痛模型,采用免疫组织化学方法检测左、右两侧脊髓后角以及中央管周围灰质HO-1蛋白的表达。结果:Control组大鼠HO-1免疫反应阳性细胞在脊髓后角及中央管周围灰质仅有少量分布,且这些细胞染色较浅。足底注射甲醛后6 h,L5节段双侧脊髓后角和中央管周围灰质HO-1免疫反应阳性细胞数目即有所增多,足底注射甲醛后12 h时,双侧脊髓后角和中央管周围灰质HO-1免疫反应阳性细胞数目进一步增多,阳性细胞染色明显加深,1 d时阳性细胞数目和染色深度均达到高峰,7 d时仍高于control组水平。各时间点双侧脊髓后角比较,阳性细胞数目和阳性细胞染色深度均无明显差异。结论:大鼠足底注射甲醛引起的炎性痛可诱导双侧脊髓后角和中央管周围灰质HO-1表达增多,以注射甲醛后1 d时增多最为明显。     

促肾上腺皮质激素对慢痛大鼠脊髓生长抑素、c-fos表达及痛反应的影响

本研究应用免疫组化、原位杂交和痛级均数测定法,探讨鞘内注射促肾上腺皮质激素（ＡＣＴＨ）对甲醛引起大鼠脊髓内生长抑素（Ｓｏｍ）、ｃｆｏｓ表达及痛反应的影响。结果表明,足底注射甲醛可使大鼠脊髓内ｃｆｏｓ样免疫反应（ＦＬＩ）、Ｓｏｍ样免疫反应（ＳｏｍＬＩ）、ＦＬＩ／ＳｏｍＬＩ及前Ｓｏｍ原ｍＲＮＡ（ＰＰＳｍＲＮＡ）神经元数目显著增多以及痛级均数（ＰＩＲ）显著升高。而鞘内注射ＡＣＴＨ可显著抑制甲醛引起的大鼠脊髓内ＦＬＩ、ＳｏｍＬＩ、ＦＬＩ／ＳｏｍＬＩ及ＰＰＳｍＲＮＡ增多和ＰＩＲ升高效应。鞘内预先注射赛庚啶可阻断ＡＣＴＨ的抑制效应,而荷包牡丹碱、纳洛酮则无影响。结果提示,５羟色胺受体可能参与ＡＣＴＨ抑制甲醛引起的痛反应。     

甲醛炎性痛增强大鼠海马NOS表达和NO生成

目的：观察甲醛炎性痛过程中大鼠痛行为、海马一氧化氮合酶（NOS）活性及一氧化氮（NO）含量的变化以及变化的时程及区域特征。方法：采用辐射热甩尾法测定大鼠痛阈变化;采用NADPH—d组织化学法和硝酸还原酶法分别测定大鼠海马NOS表达和No含量。结果：皮下注射甲醛溶液后,大鼠出现伤害性感受反应及痛阈降低。注射甲醛后6h,海马CA1、CA2～3区及DG区NOS阳性细胞数目、阳性细胞染色深度均显著增加。海马NO含量亦显著增加;注射甲醛后12h时这些改变最为显著,48h时恢复至对照组水平。结论：甲醛炎性痛可诱导海马NOS活性增强及NO生成增多．这种改变可发生在海马各区．并具有一定的时程特征。     

甲醛炎性痛及痛过敏诱导大鼠脊髓后角环氧化酶-2表达的变化

目的:观察甲醛炎性痛及痛过敏过程中脊髓后角环氧化酶-2 (COX-2)表达的变化及其时间特征.方法:采用大鼠甲醛疼痛模型,用免疫组化法观察脊髓COX-2表达的变化.结果:与对照组相比,注射甲醛后4 h,1 d及3 d组脊髓后角Ⅰ-Ⅵ板层COX-2免疫反应阳性细胞的数目及染色深度均显著增加,以1 d组增加最为明显.结论:脊髓后角COX-2参与甲醛炎性痛及痛过敏.     

PKC激动剂佛波醇酯诱导大鼠伤害性感受并促进脊髓NO产生

目的:观察PKC激动剂PMA诱导大鼠伤害性感受作用及对脊髓NOS表达和NO生成的影响.方法:采用行为学方法观察大鼠痛反应;热甩尾法测定大鼠痛阈变化;采用NADPH-d组织化学法和硝酸还原酶法分别测定大鼠脊髓内NOS表达和NO含量.结果:鞘内注射PMA后,大鼠出现伤害性感受反应及痛阈降低,脊髓后角浅层和中央管周围灰质内NOS阳性细胞数目、阳性细胞胞体及突起的染色深度明显增加,脊髓NO含量亦明显增加.给予PKC选择性抑制剂CH预处理可阻断鞘内注射PMA诱导的上述改变.结论:脊髓神经元内PKC激活可诱导大鼠产生伤害性感受及热痛觉过敏,并可促进NO产生,其对NO产生的促进作用可能是其诱导痛觉过敏产生的机制之一.     

中缝背核微量注射L-N-硝基精氨酸甲酯抑制大鼠乙状结肠痛

用Fos免疫组织化学、烟酰胺腺嘌呤二核苷酸磷酸黄递酶(nicotinamide adenine dinucleotide phosphate—di—aphorase,NADPH-d)组织化学及微量注射技术,观察大鼠乙状结肠注射甲醛(5％)诱发的大鼠乙状结肠炎性痛过程中中缝背核一氧化氮合酶(nitric oxide synthase,NOS)神经元的变化,同时观察中缝背核微量注射L-N-硝基精氨酸甲酯(LNAME)对乙状结肠痛的调控作用。结果表明,(1)乙状结肠注射甲醛后,大鼠出现明显的内脏痛反应,中缝背核NOS神经元表达明显增多,中缝背核内出现大量Fos蛋白,在整个中缝背核内均有分布,并且出现Fos／NOS双标神经元,约占中缝背核NOS神经元总数的8％,与生理盐水对照组相比差异有显著性;(2)中缝背核注射L-NAME后,可以明显减少乙状结肠炎性痛大鼠的疼痛学评分及脊髓相应节段Fos蛋白。上述结果提示,中缝背核NOS神经元参与调控大鼠乙状结肠痛,NO在中缝背核促进内脏伤害性信息的传递。     

Involvement of subtypes γ and ε of protein kinase C in colon pain induced by formalin injection

Protein kinase C (PKC) has been widely reported to participate in somatic pain; however, its role in visceral pain remains largely unclear. Using a colon inflammatory pain model by intracolonic injection of formalin in rats, the present study was to examine the role of PKC in visceral pain and determine which subtypes may be involved. The colon pain behavior induced by formalin injection could be enhanced by intrathecal pretreatment with a PKC activator (PMA), and alleviated by a PKC inhibitor (H-7). Wide dynamic range (WDR) neurons in the L6-S1 spinal dorsal horn that were responsive to colorectal distension were recorded extracellularly. It was found that neuronal activity was greatly increased following formalin injection. Microdialysis of PMA near the recorded neuron in the spinal dorsal horn facilitated the enhanced responsive activity induced by formalin injection, while H-7 inhibited significantly the enhanced response induced by formalin injection. Western blot analysis revealed that membrane translocation of PKC-γ and PKC-ε, but not other subtypes, in the spinal cord was obviously increased following formalin injection. Therefore, our findings suggest that PKC is actively involved in the colon pain induced by intracolonic injection of formalin. PKC-γ and PKC-ε subtypes seem to significantly contribute to this process.     

免疫复合物致疼痛与甲醛致炎性痛的大鼠模型比较及巨噬细胞游走抑制因子在两组模型中的表达

目的 比较免疫复合物所致疼痛模型与甲醛致炎性疼痛模型的大鼠疼痛行为、局部炎症反应及巨噬细胞游走抑制因子在不同模型不同部位的表达,探讨免疫复合物所致疼痛的病理机制.方法 成年SD清洁级大鼠15只,随机分为正常对照组,甲醛组及免疫复合物组,每组5只.分别在大鼠右后足底注入20 μL PBS、甲醛及免疫复合物.于30 min、1h、2h、4h、8h、12 h测定疼痛行为.并于12 h后采血、取大鼠局部皮肤及脊髓测定巨噬细胞游走抑制因子(MIF)表达.结果 疼痛行为变化:在甲醛致炎后大鼠立刻出现明显的自发痛,疼痛阈值明显下降,注射足高度肿胀并于1h达高峰后逐渐缓解.免疫复合物组的疼痛阈值低峰在4h后,并持续至8h后逐渐缓解,注射足肿胀不明显.皮肤及脊髓的MIF表达在甲醛组明显增加(P＜0.05),在免疫复合物组中无明显改变.结论 MIF参与炎症性疼痛病理过程,但无证据参与免疫复合物所致疼痛.抗原抗体复合物所致疼痛与甲醛炎性痛病理机制有一定区别.     

Antinociceptive effect of intrathecal administration of hypotaurine in rat models of inflammatory and neuropathic pain

Hypotaurine is an intermediate in taurine biosynthesis from cysteine in astrocytes. Although hypotaurine functions as an antioxidant and organic osmolyte, its physiological role in the central nervous system remains unclear. This study used behavioral assessments to determine whether hypotaurine influenced nociceptive transmission in acute, inflammatory, and neuropathic pain. The tail flick, paw pressure, and formalin tests were performed in male Sprague-Dawley rats to examine the effects of the intrathecal administration of hypotaurine (100, 200, 400, 600?μg) on thermal, mechanical, and chemical nociception. Chronic constriction injury (CCI) to the sciatic nerve was induced in the rats, and the electronic von Frey test and plantar test were performed to assess the effects on neuropathic pain. To determine which neurotransmitter pathway(s) was involved in the action of hypotaurine, in this study, we examined how the antagonists of spinal pain processing receptors altered the effect of 600?μg hypotaurine. To explore whether hypotaurine affected motor performance, the Rotarod test was conducted. Hypotaurine had antinociceptive effects on thermal, mechanical, and chemical nociception in the spinal cord. In CCI rats, hypotaurine alleviated mechanical allodynia and thermal hyperalgesia. These effects were reversed completely by pretreatment with an intrathecal injection of strychnine, a glycine receptor antagonist. Conversely, hypotaurine did not affect motor performance. This study demonstrated that intrathecal hypotaurine suppressed acute, inflammatory, and neuropathic pain. Hypotaurine may regulate nociceptive transmission physiologically by activating glycinergic neurons in the spinal cord, and it is a promising candidate for treating various pain states.     

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     

The glutamate transporter GLAST is involved in spinal nociceptive processing

GLAST and GLT-1 are the most abundant glutamate transporters in the CNS and protect neurons from glutamate neurotoxicity. Here, we investigated the role of GLAST in spinal nociceptive processing. GLAST protein expression was not altered after treatment of rats with either formalin or zymosan. Surprisingly, knock-down of GLAST in the spinal cord using antisense-oligonucleotides decreased glutamate concentrations in cerebrospinal fluid (CSF) and reduced the nociceptive behaviour in the rat formalin assay. However, it did not influence thermal hyperalgesia in the zymosan-induced paw inflammation model indicating that GLAST is associated with spontaneous rather than inflammatory nociception. Mechanisms that might explain the decreased response in the formalin assay may include compensatory activation of other glutamate transporters, inhibition of glutamate release or disturbance of glutamate recycling. In conclusion, these data suggest that inhibition of GLAST expression in the spinal cord reduces excitatory synaptic activity and thereby spontaneous responses after nociceptive stimulation of the paw.     

Fluorocitrate,an Inhibitor of Glial Metabolism,Inhibits the Up-Regulation of NOS Expression,Activity and NO Production in the Spinal Cord Induced by Formalin Test in Rats

Previous experiments have suggested that nitric oxide plays an important role in nociceptive transmission in the spinal cord. In order to explore the involvement of glia in the NO-mediated nociceptive transmission, the present study was undertaken to investigate the effect of fluorocitrate (FC), an inhibitor of glial metabolism, on NOS expression and activity and NO production in the spinal cord during the process of peripheral inflammatory pain and hyperalgesia induced by formalin test in rats. Sixty adult male Sprague–Dawley rats were randomly assigned into sham, formalin, formalin + normal saline (NS), and formalin + FC groups. The NOS expression, NOS activity and NO production was detected by NADPH-d histochemistry staining, NOS and NO assay kit, respectively. It was found that formalin test significantly up-regulated NOS expression and activity and NO production in the laminae I–II of the dorsal horn and the grey matter around the central canal in the lumbar spinal cord at 1 h after the formalin test. Selective inhibition of glia metabolism with intrathecal administration of FC (1 nmol) significantly inhibited the up-regulation in NOS expression and activity and NO production normally induced by the formalin test, which was represented with decreases in the number and density of the NADPH-d positive cells in the dorsal horn and grey matter around the central canal, and decrease in density of NADPH-d positive neuropil in the dorsal horn in formalin + FC group compared with formalin group. The results suggested that glia may be involved in the NO-mediated nociceptive transmission in the spinal cord. X.-C. Sun, W.-N. Chen and S.-Q. Li contributed equally to this work.