初级体感皮层星形胶质细胞参与电针治疗炎性痛的实验研究
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R245.31

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广东省中医院院内科研启动项目(DF01301);广州中医药大学“双一流”与高水平大学学科协同创新团队项目(2021XK01)


Experimental Study on the Involvement of Astrocytes in Primary Somatosensory Cortex in the Treatment of Inflammatory Pain by Electroacupuncture
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    摘要:

    目的:观察操纵初级体感皮层星形胶质细胞对电针治疗炎性痛的影响,探讨电针镇痛的可能机 制。方法:实验一,将32 只C57 雄性小鼠随机分为4 组:空白对照组、模型组、假电针组和电针组,每组 8 只。在小鼠左后足底注射完全氟氏佐剂(CFA) 建立炎性痛模型。成模后,电针组进行电针治疗,针刺患侧 环跳穴和阳陵泉穴,频率2 Hz,电流1 mA,每天30 min,连续7 d。造模前1 d、造模后1 d 和电针第1、3、 5、7 天进行机械痛阈值(PWT) 和热痛阈值(TL) 检测。实验二,将32 只C57 雄性小鼠随机分为4 组:模型 组、星形胶质细胞抑制组、电针组和星形胶质细胞抑制复合电针组,每组8 只。所有小鼠进行CFA 造模,成 模后星形胶质细胞抑制组和星形胶质细胞抑制复合电针组在右侧初级体感皮层后肢区(S1HL 脑区) 注射L-α- 氨基己二酸(星形胶质细胞选择性胶质毒剂) 实现特异性抑制星形胶质细胞,模型组和电针组注射人工脑脊 液。脑区注射3 d 后,电针组和星形胶质细胞抑制复合电针组进行电针治疗,方案同实验一。检测造模前 1 d、造模后1 d 和电针第1、3、5、7 天PWT 和TL,观察抑制星形胶质细胞对炎性痛小鼠痛阈和电针镇痛效 果的影响。实验三,将16 只C57 雄性小鼠随机分为2 组:化学遗传激活组和化学遗传对照组,每组8 只。 2 组小鼠均在右侧S1HL 脑区注射化学遗传病毒,3 周后进行CFA 造模,成模后进行电针治疗,方案同实验 一。化学遗传激活组在每次电针前40 min 腹腔注射N-氧化氯氮平(CNO),对照组腹腔注射等体积0.9%氯 化钠溶液。检测造模前1 d、造模后1 d 和电针第1、3、5、7 天PWT 和TL,观察激活星形胶质细胞对电针镇 痛效果的影响。结果:实验一,造模24 h 后,除空白对照组外,各组小鼠PWT 和TL 均较前显著下降(P< 0.05),提示造模成功。与模型组比较,电针组电针治疗第3、5、7 天PWT 均显著上升(P<0.05),电针治 疗第3、5、7 天TL 均显著上升(P<0.05)。实验二,与模型组比较,星形胶质细胞抑制组显著提高了炎性痛 小鼠的PWT 和TL(P<0.05),并可维持至电针第7 天。电针第5、7 天,星形胶质细胞抑制加电针组与电针 组炎性痛小鼠PWT 和TL 均无显著差异(P>0.05)。电针第7 天,与星形胶质细胞抑制组比较,星形胶质细胞 抑制加电针组PWT 和TL 显著升高(P<0.05)。实验三,与造模后疼痛阈值比较,化学遗传对照组小鼠疼痛阈 值在电针第3、5、7 天均显著提高(P<0.05)。与化学遗传对照组比较,化学遗传激活组小鼠疼痛阈值在电针 第3、5、7 天均显著降低(P<0.05)。结论:电针环跳穴和阳陵泉穴可以有效治疗炎症性疼痛,抑制初级体感 皮层星形胶质细胞可以模拟电针镇痛的效应,而激活初级体感皮层星形胶质细胞可以翻转电针镇痛作用,提示 初级体感皮层星形胶质细胞参与了电针治疗炎症性疼痛的机制。

    Abstract:

    Abstract: Objective: To observe the effect of inhibition or activation of astrocytes in primary somatosensory cortex on analgesia effect of electroacupuncture on inflammatory pain and explore the potential mechanism of electroacupuncture analgesia. Methods: Experiment 1, 32 male C57 mice were randomly divided into 4 groups: sham- CFA group, CFA group, CFA + sham- EA group and CFA + EA group,with 8 mice in each group. A model of inflammatory pain was established by subcutaneous injection of Complete Freund's Adjuvant (CFA) into the left posterior pelma. After the establishment of the model, electrical acupuncture was performed on the mice in CFA + EA group at “Huantiao (GB30)” and “Yanglingquan (GB34)”points on the left leg for 7 consecutive days, 30 minutes each time, with the parameter of 2 Hz and 1 mA. The paw withdrawal threshold (PWT) and the thermal latency (TL) were detected one day before and one day after modeling and on the day 1, 3, 5, 7 of electroacupuncture treatment. Experiment 2, 32 male C57 mice were randomly divided into 4 groups: CFA + aCSF group, CFA+L-α-AAA group,CFA+aCSF+EA group and CFA+L-α-AAA+EA group,with 8 mice in each group. All mice underwent CFA modeling. After modeling,CFA+L-α-AAA group and CFA+L-α-AAA+EA group were injected with L- α-aminoadipic acid (an astrocyte-selective gliotoxin) to achieve specific inhibition of astrocytes in the hindlimb region of the right primary somatosensory cortex (S1HL),while CFA+aCSF group and CFA+aCSF+EA group were injected with artificial cerebrospinal fluid. Three days after brain injection, the CFA+aCSF+EA group and CFA+L-α-AAA+EA group were given electroacupuncture therapy,with the protocol of experiment 1. PWT and TL were detected one day before and one day after modeling and on the day 1,3,5,7 of electroacupuncture treatment. Experiment 3,16 male C57 mice were randomly divided into two groups: CFA + EA + CNO group (chemogenetic activation group) and CFA + EA + saline group (chemogenetic control group), with 8 mice in each group. Mice in both groups were injected with recombinant adeno- associated virus in the right S1HL region, and 3 weeks later, CFA modeling was performed. Electroacupuncture treatment was performed followed the protocol of experiment 1. The CFA+ EA + CNO group was intraperitoneally injected with Clozapine N- oxide (CNO) 40 minutes before electroacupuncture,while the CFA + EA + saline group was intraperitoneally injected with equal volume of normal saline. PWT and TL were detected one day before and one day after modeling and on the day 1,3, 5, 7 of electroacupuncture treatment. Results: Experiment 1, 24 hours after modeling, PWT and TL were significantly decreased in all groups except sham- CFA group (P<0.05), indicating that model had been successfully established. Compared with CFA group, the PWT of CFA + EA group was significantly increased on the third,fifth and seventh day after electroacupuncture treatment (P<0.05) and the TL was significantly increased on the third, fifth and seventh day of electroacupuncture treatment (P<0.05). Experiment 2,compared with CFA+aCSF group,PWT and TL were significantly increased in CFA+L- α- AAA group (P<0.05),and last from the day 1 to the day 7 of electroacupuncture. On the fifth and seventh day of electroacupuncture,there were no significant differences in PWT and TL between CFA+L-α-AAA+ EA group and CFA+EA group (P>0.05). On the d day 7 of electroacupuncture,compared with CFA+L-α- AAA group,PWT and TL were significantly increased in CFA+L-α-AAA+EA group (P<0.05). Experiment 3, compared with the pain threshold after modeling, the PWT and TL of CFA + EA + saline group were significantly increased at the day 3,5,7 of electroacupuncture (P<0.05). Compared with CFA+EA+saline group, the PWT and TL of CFA + EA + CNO group were significantly decreased at the day 3, 5, 7 of electroacupuncture (P<0.05). Conclusion: Electroacupuncture can effectively relieve CFA- induced inflammatory pain, inhibition of astrocytes in primary somatosensory cortex can simulate the analgesia effect of electroacupuncture,while chemogenetic activation of astrocytes in primary somatosensory cortex can reverse the analgesic effect of electroacupuncture, suggesting that primary somatosensory cortex astrocytes are involved in the treatment of inflammatory pain by electroacupuncture.

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谢创波,艾娟,李向宇,赵高峰,许能贵.初级体感皮层星形胶质细胞参与电针治疗炎性痛的实验研究[J].新中医,2023,55(9):191-197

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  • 在线发布日期: 2023-05-24
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