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鞘内注射Quinpirole对骨癌痛大鼠镇痛及脊髓小胶质细胞活化的影响

孟根其其格1,张春玉2,罗建军1,张毅3   

  1. 1 100075 北京市东城区第一人民医院麻醉科 2 102300 北京京煤集团总医院麻醉科3 830000 新疆医科大学附属中医医院麻醉科
  • 收稿日期:2014-07-05 修回日期:2014-07-05 出版日期:2014-10-30 发布日期:2014-10-30
  • 通讯作者: 张毅

Analgesia effects of quinpirole via intrathecal injection and its influence on spinal microglia activation in rats with bone cancer pain

MENGGEN Qiqige, ZHANG Chunyu, LUO Jianjun, ZHANG Yi.   

  1. Department of Anesthesiology, First People’s Hospital of Beijing Dongcheng District, Beijing 100075, China
  • Received:2014-07-05 Revised:2014-07-05 Online:2014-10-30 Published:2014-10-30
  • Contact: ZHANG Yi

摘要: 目的 探讨鞘内注射Quinpirole(QNP)对骨癌痛大鼠镇痛及脊髓小胶质细胞活化的影响。方法 选取健康成年雄性SD大鼠60只通过胫骨骨髓腔内注射Walker256乳腺癌细胞液制备骨癌痛模型。将骨癌痛大鼠随机分为高剂量10μg/kg QNP(QNP-H)、低剂量5μg/kg QNP(QNP-L)及生理盐水(NS)3组,每组20只;QNP采用每日鞘内注射方式,注射体积为10μl。选取20只同周龄大鼠作对照(C),NS组和C组仅给予等体积生理盐水。分别于治疗前、治疗1、3、5、7d后对各组进行行为学检测,分析以上观察时间点大鼠的机械缩足阈值(MWT)和缩足热潜伏期(WTL);采用免疫组化法检测脊髓离子钙接头蛋白分子1(Iba-1)染色以及特异表达补体C3受体(OX-42)和大麻素受体2(CB2)的荧光积分光密度(IOD);酶联免疫吸附法检测脊髓肿瘤坏死因子(TNF)-α和白介素(IL)-1β水平;Western blotting检测脊髓Toll样受体-4(TLR-4)及受体-2(TLR-2)蛋白表达水平。结果 与C组相比,其余3组各观察时间点的MWT、WTL降低;Iba-1染色程度、OX-42和CB2的IOD、脊髓TNF-α和IL-1β水平、TLR-4和TLR-2水平均升高,差异均有统计学意义(P<0.05)。在骨癌痛大鼠模型中,QNP-H组、QNP-L组在上述指标与NS组的差异均有统计学意义(P<0.05);且QNP-H组均优于QNP-L组(P<0.05)。结论 鞘内注射QNP对骨癌痛大鼠有较好的镇痛作用,同时可降低脊髓小胶质细胞活化及炎症反应。

Abstract: Objective To explore the analgesia effects of quinpirole(QNP) via intrathecal injection and its influence on spinal microglia activation in rats with bone cancer pain. Methods Sixty adult male SD rats were used to establish bone cancer pain model by intra-tibia inoculation of Walker256 mammary gland carcinoma cells. The rats with bone cancer pain were randomly divided into 3 groups: high-dose QNP (QNP-H) group, low-dose QNP (QNP-L) group and normal saline (NS) group, with 20 rats in each group. QNP-H group and QNP-L group received intrathecal injection of 10μl QNP at the dose of 10 and 5μg/kg,respectively. Another 20 male SD rats were chosen as control (C) group and received the same volume of saline as NS group. Pain behaviors were assessed before treatment and 1,3,5 and 7d during treatment to analyze the paw mechanical withdrawal threshold (MWT) and paw withdrawal thermal latency (WTL). The immunohistochemistry was employed to evaluate the spinal microglia number ionized calcium binding adaptor molecule 1 and activation by the integral optical density (IOD) of C3 complement receptor (OX-42) and cannabinoid receptor 2 (CB2). The spinal levels of TNF-α and IL-1β were measured by enzyme linked immunosorbent assay. Moreover, the protein levels of spinal Toll like receptor4 (TLR-4) and its receptor2 (TLR-2) were detected by Western blotting. Results Compared with C group,there were lower MWT and WTL, but higher spinal microglia number, IOD of OX-42 and CB2, TNF-α, IL-1β, TLR-2 and TLR-4 in NS, QNP-L and QNP-H groups with significant difference (P<0.05). Intrathecal injection of QNP improved the above abnormalities of rats with bone cancer pain compared with NS group (P<0.05). The effect of QNP-H group was stronger than that of QNP-L group(P<0.05). Conclusion Intrathecal injection of QNP exhibits a good analgesic effect on bone cancer pain and inhibits spinal microglia activation and inflammatory reaction.

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