不同强度电针干预慢性神经病理痛及其诱发焦虑的差异表达基因研究
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浙江省针灸神经病学重点实验室、浙江中医药大学附属第三医院神经生物学与针灸研究室,杭州310005,浙江,中国

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Different genes involved in the amelioration of chronic neuropathic pain and comorbid anxiety by electroacupuncture with different intensities Author links open overlay panel
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Key Laboratory of Acupuncture and Neurology of Zhejiang Province, Department of Neurobiology and Acupuncture Research, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Chinese Medical University, Hangzhou 310005, Zhejiang, China

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    摘要:

    背景: 慢性神经病理性疼痛(CNP)症状复杂且普遍,经常伴随负面情绪。电针(EA)是一种广泛使用且有效治疗CNP和疼痛引起的合并焦虑样行为(PABs)的方法。虽然不同强度的电针可能会产生不同的效果,但其潜在机制仍不清楚。目的: 该研究以选择性神经损伤(Spared nerve injury,SNI)模型为研究对象,通过行为学检测观察100 Hz下0.1 mA和0.3 mA这两种不同强度的电针(Electroacupuncture,EA)对SNI小鼠痛阈及痛诱发焦虑样行为干预效果的差异。并进一步探寻其在脊髓背角 (spinal cord dorsal horn,SCDH) 水平及中脑导水管周围灰质(Periaqueductal gray,PAG)水平的作用机制。为临床治疗慢性神经病理性疼痛(Chronic neuropathic pain,CNP) 及其伴发焦虑的电针干预参数选择提供理论依据。 方法: 我们利用雄性C57BL/6J小鼠建立了SNI模型,并用不同强度的EA(0.1 mA或0.3 mA,均为100 Hz)进行干预。小鼠的机械缩足阈和焦虑样行为的测定采用了von-Frey试验、旷场试验和高架十字迷宫试验。提取小鼠SCDH和PAG区域的组织,以确定基因表达的变化,并基于RNA-seq结果对差异表达基因(DEGs)进行生物功能和通路分析。通过实时定量 PCR(qPCR)和蛋白免疫荧光检测分别评估关键 DEGs 和相应蛋白的表达。结果: 0.3 mA EA能有效提高SNI小鼠的机械痛阈(P <0.001),而相同频率下0.1 mA EA则无效。100 Hz下0.1 mA和0.3 mA EA都能缓解小鼠的焦虑样行为(P <0.05)。在SCDH 水平,我们一共发现了108个DEGs。在PAG水平我们一共发现了254个DEGs。经分析,有23 个差异表达基因可能参与 0.1 mA EA缓解SNI小鼠焦虑样行为。在0.3 mA EA干预后,表达量既与SNI组相比显著变化,又与SNI +0.1 mA EA 组显著变化的基因则有8个。这8 个基因或许是0.3 mA EA改善小鼠痛阈的关键。其中Tnr可能参与0.3 mA EA发挥镇痛作用的过程,Net1和Ptprb可能参与0.1 mA EA缓解焦虑样行为的过程。qPCR和免疫荧光结果均显示:SNI +0.3 mA EA组小鼠SCDH中Tnr的表达量明显低于SNI +0.1 mA EA组小鼠和SNI 组小鼠(P <0.05);Net1、Ptprb在SNI组小鼠PAG中的表达量较 SHAM 组增加(P <0.01), 而在SNI +0.1 mA EA组小鼠PAG中的表达量则较 SNI 组减少(P <0.01)。 结论:0.3 mA EA 对慢性疼痛的影响可能与SCDH中Tnr表达的减少有关,而0.1 mA EA对痛诱发焦虑样行为的影响可能是通过减少PAG中Ptprb和Net1的表达实现的。

    Abstract:

    Background With its complex and prevalent symptoms, chronic neuropathic pain (CNP) is frequently combined with negative emotions. Electroacupuncture (EA) is a widely-used and effective treatment for CNP and pain-induced comorbid anxiety-like behaviors (PABs). Although different effects may result from EA with different intensities, the underlying mechanisms remain unclear. Objective The study aimed to investigate the effects of EA with different intensities on CNP and PABs and the underlying mechanisms, by exploring the different genes through RNASeq in the spinal cord dorsal horn (SCDH) and periaqueductal gray (PAG). Methods A spared nerve injury (SNI) model was established using male C57BL/6 J mice, and treated with EA of different intensities (0.1 mA or 0.3 mA, both at 100 Hz). The von-Frey tests, open field tests and elevated plus maze tests were used to measure the mechanical paw withdrawal threshold (PWT) and PABs of the mice. The tissues of SCDH and PAG regions were extracted to identify the changes in gene expression, and biofunctional analysis of differentially expressed genes (DEGs) was further performed by RNA-seq analysis. The expression of key DEGs and corresponding proteins was assessed using quantitative real-time PCR (qPCR) and protein immunofluorescence detection, respectively. Results Both 0.1 mA and 0.3 mA EA at 100 Hz alleviated PABs compared with the SNI group. Furthermore, 0.3 mA EA was effective in increasing PWT in SNI mice, whereas 0.1 mA EA was not. A total of 108 DEGs was identified in the SCDH, and 254 DEGs were identified in the PAG. Specifically, the expression of Tnr in SNI mice decreased after the treatment with 0.3 mA EA at 100 Hz, and the expression of Ptprb, Net1, Abcb1a and Adgrf5 in SNI mice decreased in the PAG after the treatment with 0.1 mA EA at 100 Hz. Conclusion The effect of 0.3 mA EA on chronic pain may be related to the decrease of Tnr expression in SCDH, and the effect of 0.1 mA EA on PABs may be achieved by decreased expression of Ptprb and Net1 in PAG.

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  • 在线发布日期: 2024-11-12
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