右美托咪定鞘内注射对慢性神经痛模型大鼠行为能力、疼痛程度和脊髓背角蛋白激酶C表达的影响
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Effect of intrathecal injection of dexmedetomidine on the behavioral activity, pain degree and expression of protein kinase C in the spinal dorsal horn in rat models of chronic neuropathic pain
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    目的 分析右美托咪定鞘内注射对于慢性神经痛模型鼠的行为、疼痛程度脊髓背角蛋白激酶C(protein kinase C,即PKC)的影响,初步探讨右美托咪定的镇痛机制。方法 将50只成功建立模型的大鼠随机分为观察组、模型组,另选取25只健康大鼠作为对照组,观察组和模型组大鼠建立慢性坐骨神经损伤模型,在建模后,观察组应用右美托咪定鞘内注射干预,模型组应用生理盐水注射,对照组不接受干预,在建模前、给药后3、5、7、14 d时分别进行行为能力评价(累积评分法和运动功能评价)和疼痛程度评价(机械性缩足反射法和热缩足反射潜伏期法检测痛阈值),同时进行PKC免疫染色评分(免疫组化SABC法)、PKCmRNA检测(RT-PCR法)和PKC蛋白(Western blot法)表达,利用统计方法分析组间数据。结果 (1)建模前,各组大鼠行为累积评分、运动功能评分、机械性缩足反射法(MWT)、热缩足反射潜伏期法(TWL)差异无显著性(P>0.05),在建模后,模型组和观察组大鼠累积评分和运动功能评分显著升高,MWT和TWL明显下降,其中观察组变化幅度显著低于模型组,建模后,组间累积评分、运动功能评分、MWT、TWL具有明显差异(P<0.05);(2)对照组PKC为阴性表达,模型组PKC呈强阳性表达,观察组建模后初期PKC为强阳性,随着治疗时间延长,PKC表达强度降低,第14天时PKC为弱阳性表达;(3)建模后,观察组和模型组PKCmRNA和PKC蛋白表达水平显著高于对照组(P<0.05);随着不断给药,观察组PKCmRNA和PKC下降,在给药14 d时,PKCmRNA和PKC接近对照组,建模后3 d起,在相同时间点,观察组PKC表达量显著低于模型组(P<0.05)。结论 右美托咪定鞘内注射能够改善慢性神经痛模型大鼠行为能力、降低疼痛程度,可能与其抑制脊髓背角蛋白激酶C的表达相关。

    Abstract:

    Objective To analyze the effect of intrathecal injection of dexmedetomidine on the behavioral activity, pain degree and expression of protein kinase C in spinal dorsal horn of rat models of chronic neuropathic pain, and to investigate the analgesic mechanism of dexmedetomidine. Methods 75 healthy male rats were randomly divided into observation group, model group and control group, 25 rats in each group. Chronic sciatic nerve injury model was established in the observation group and model group. After modeling, intrathecal dexmedetomidine intervention was used in the observation group. The model group was treated with saline injection and there was no intervention in the control group. Before the modeling (BM)and at 3(D3), 5(D5), 7(D7), and 14 (D14)days after medicine administration, the behavioral capacity was evaluated by cumulative evaluation method and movement function evaluation, and the assessment of pain degree (mechanical withdrawal method and thermal withdrawal latency pain threshold detection method), PKC staining score (immunohistochemical SABC method), PKC mRNA assay (RT-PCR method) and PKC protein expression (Western blot) were conducted and the data were statistically analyzed. Results ① Before modeling, the behavior, the cumulative scores of motor function, MWT, and TWL showed no significant differences between the different groups (P>0.05). After modeling, the model group and observation group showed that the cumulative scores and motor function scores were increased significantly, MWT and TWL decreased significantly, and the changes in the observation group were significantly lower than those in the model group (P<0.05). After modeling, the cumulative scores, motor function scores, MWT, and TWL were significantly different between the groups (P<0.05). ② The expression of PKC was negative in the control group and positive in the model group. In the observation group, after the initial establishment of model, the PKC was strongly positive, and along with the prolonged treatment, the PKC expression intensity was decreased, and only weakly positively expressed at 14 d. ③ After modeling, the observation group and model group showed that the PKC mRNA and PKC protein expression levels were significantly higher than that of the control group (P<0.05). With the continuous drug administration, the PKC mRNA and PKC in the observation group were decreasing, and reached a level close to that of the control group at 14 d of drug administration. From the third day after modeling, at the same time points, the amount of PKC expression in the observation group was significantly lower than that in the model group (P<0.05). Conclusions Intrathecal injection of dexmedetomidine can improve the behavior of rat models with chronic neuropathic pain, and reduce the degree of pain. It may be related to the inhibition of protein kinase C expression in the spinal dorsal horn.

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孙虎,张亮,徐志新.右美托咪定鞘内注射对慢性神经痛模型大鼠行为能力、疼痛程度和脊髓背角蛋白激酶C表达的影响[J].中国比较医学杂志,2017,27(6):6~11,32.

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  • 最后修改日期:2016-11-23
  • 在线发布日期: 2017-07-08
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