首页|电针对神经病理性疼痛模型大鼠脊髓背角髓鞘完整性及相关蛋白表达的影响

电针对神经病理性疼痛模型大鼠脊髓背角髓鞘完整性及相关蛋白表达的影响

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目的 探讨电针治疗对神经病理性疼痛模型大鼠脊髓背角Ⅰ-Ⅲ板层髓鞘完整性及其相关分子蛋白表达的影响.方法 32只SPF级Sprague-Dawley大鼠随机分为4组:假手术组、疼痛模型组、假电针组和电针组,每组8只.通过右侧坐骨神经结扎建立神经病理性疼痛模型,造模后1 d开始进行电针刺激环跳穴和阳陵泉穴,30 min/d,持续14 d.分别于造模前、造模后3 d、7 d和14 d进行机械缩足阈值测定.在造模后14 d,通过免疫荧光测定脊髓背角Ⅰ-Ⅲ板层髓鞘碱性蛋白(myelin basic protein,MBP),采用蛋白印迹检测β-分泌酶1(β-secretase 1,BACE1)、神经调节蛋白1亚型Ⅲ(neuregulin 1 type Ⅲ,NRG1 Ⅲ)及磷酸化 ErbB 受体酪氨酸激酶 2(phosphorylated ErbB receptor tyro-sine kinase 2,p-ErbB2)的蛋白表达变化.采用SPSS 24.0进行统计分析,重复测量的方差分析用于行为学结果分析,单因素方差分析用于蛋白印迹和免疫荧光结果的分析,进一步比较采用Bonferroni法.结果 (1)痛行为学检测结果提示,时间和组别对机械缩足阈值影响的交互效应显著(F=29.817,P<0.001),并且时间主效应(F=240.598,P<0.001)与组别主效应(F=304.291,P<0.001)均显著.造模前4组大鼠行为学数据差异无统计学意义(P>0.05).造模后,电针组大鼠的机械缩足阈值在术后 3 d[(16.87±1.82)g]、7 d[(15.09±1.75)g]和 14 d[(15.07±1.49)g]显著高于疼痛模型组大鼠[(11.31±1.36)g,(10.33±0.73)g,(9.87±0.98)g](均 P<0.01).(2)4 组大鼠脊髓背角 Ⅰ-Ⅲ板层MBP染色阳性区域面积百分比差异存在统计学意义(F=92.06,P<0.001).疼痛模型组大鼠脊髓背角Ⅰ-Ⅲ板层MBP染色阳性区域面积百分比[(13.26±1.90)%]低于假手术组[(36.37±0.68)%](P<0.01);电针组大鼠脊髓背角Ⅰ-Ⅲ板层MBP阳性区域面积百分比[(28.21±3.15)%]高于疼痛模型组(P<0.01);(3)4组大鼠脊髓背角Ⅰ-Ⅲ板层BACE1、NRG1 Ⅲ及p-ErbB2的表达均差异有统计学意义(F=31.04,21.20,11.74,均P<0.01).疼痛模型组大鼠脊髓背角Ⅰ-Ⅲ板层BACE1、NRG1Ⅲ及p-ErbB2 蛋白含量与内参比值(0.42±0.09,0.54±0.05,0.73±0.06)低于假手术组(1.16±0.13,1.00±0.10,1.02±0.15)(均P<0.05);而电针组大鼠脊髓背角Ⅰ-Ⅲ板层处BACE1、NRG1 Ⅲ及p-ErbB2蛋白含量与内参的比值(0.86±0.09,0.81±0.05,1.12±0.04)高于疼痛模型组(均P<0.05).结论 电针治疗可以缓解神经病理性疼痛,改善脊髓背角脱髓鞘样变,上调髓鞘相关蛋白的表达.
Effects of electroacupuncture on the integrity of myelin and the expressions of myelin-related proteins in the spinal dorsal horn of neuropathic pain model rat
Objective To investigate the effect of electroacupuncture treatment on the integrity of myelin and the related molecules in the spinal dorsal horn of neuropathic pain model rat.Methods Totally 32 SPF grade Sprague-Dawley rats were randomly divided into 4 groups:sham group,pain model group,electroacupuncture group and sham electroacupuncture group,with 8 rats in each group.Neuropathic pain model was established by right sciatic nerve ligation.Electroacupuncture stimulation of Huantiao point and Yanglingquan point was started from 1 day after surgery,30 min/d,and lasted for 14 days.The paw withdraw mechanical threshold(PWMT)were tested before surgery,3 days,7 days and 14 days after surgery.Immu-nofluorescence was used to detect myelin basic protein(MBP)in the ipsilateral Ⅰ-Ⅲ laminae of spinal dor-sal horn and Western blot was used to measure the expression of β-secreatase 1(BACE1),neuregulin 1 typeⅢ(NRG1 Ⅲ)and phosphorylated ErbB receptor tyrosine kinase 2(p-ErbB2)at 14 days after surgery.SPSS 24.0 was used for statistical analysis.Repeated measurement ANOVA was used for behavioral analysis and one-way ANOVA followed by Bonferroni test was used for Western blot and immunofluorescence data a-nalysis.Results(1)The results of pain behaviors showed that the interaction effect of time and group on PWMT was significant(F=29.817,P<0.001),and both the time main effect(F=240.598,P<0.001)and group main effect(F=304.291,P<0.001)were significant.There were no significant differences among 4 groups before surgery.Compared with pain model group,the PWMT of electroacupuncture group were signifi-cantly increased at 3 days((16.87±1.82)g,(11.31±1.36)g),7 days((15.09±1.75)g,(10.33±0.73)g)and 14 days((15.07±1.49)g,(9.87±0.98)g)after surgery(all P<0.01).(2)The differ-ence of the intensity of MBP in the ipsilateral Ⅰ-Ⅲ laminae of spinal dorsal horn staining was significant a-mong 4 groups(F=92.06,P<0.001).Compared with sham group,the intensity of MBP staining in the ipsi-lateral Ⅰ-Ⅲ laminae of spinal dorsal horn in pain model group was significantly decreased((13.26±1.90)%,(36.37±0.68)%)(P<0.01)).Compared with pain model group,the intensity of MBP staining in the ipsilateral Ⅰ-Ⅲ laminae of spinal dorsal horn in electroacupuncture group((28.21±3.15)%)was significantly increased after electroacupuncture treatment(P<0.01).(3)The differences of the expressions of BACE1,NRG1 Ⅲ and p-ErbB2 in the ipsilateral Ⅰ-Ⅲ laminae of spinal dorsal horn were significant a-mong the 4 groups(F=31.04,21.20,11.74,all P<0.01).Compared with sham group,the expressions of BACE1,NRG1 Ⅲ and p-ErbB2 in the ipsilateral Ⅰ-Ⅲ laminae of spinal dorsal horn in pain model group were significantly downregulated(BACE1(0.42±0.09),(1.16±0.13);NRG1 Ⅲ(0.54±0.05),(1.00±0.10);p-ErbB2(0.73±0.06),(1.02±0.15))(all P<0.05).Compared with pain model group,the ex-pression of BACE1(0.86±0.09),NRG1 Ⅲ(0.81±0.05)and p-ErbB2(1.12±0.04)in the ipsilateralⅠ-Ⅲ laminae of spinal dorsal horn in electroacupuncture group were upregulated(all P<0.05).Conclusion Electroacupuncture treatment could relieve neuropathic pain,improve the demyelination and upregulate the expressions of myelin-related proteins in the ipsilateral Ⅰ-Ⅲ laminae of spinal dorsal horn.

Neuropathic painElectroacupunctureMyelinβ-secretase 1Myelin basic proteinRat

侯百灵、黄瑜琳、梁樱、钱玥、徐睿、孙玉娥

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南京大学医学院附属鼓楼医院麻醉学科,南京 210008

神经病理性疼痛 电针 髓鞘 β-分泌酶1 髓鞘碱性蛋白 大鼠

国家自然科学基金国家自然科学基金

8230140582071229

2024

中华行为医学与脑科学杂志
中华医学会 济宁医学院

中华行为医学与脑科学杂志

CSTPCD北大核心
影响因子:1.472
ISSN:1674-6554
年,卷(期):2024.33(7)
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