国际麻醉学与复苏杂志   2015, Issue (3): 1-1
    
不同剂量KIF17反义寡核苷酸鞘内注射对骨癌痛小鼠痛行为的影响
刘明, 刘玥, 侯百灵, 卜丹, 石林玉, 顾小萍, 马正良1()
1.南京大学附属鼓楼医院麻醉科
Effect of intrathecal different dose of kinesin superfamily 17 on the development of bone cancer pain in mice
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摘要:

目的 通过鞘内注射不同剂量KIF17反义寡核苷酸研究其在骨癌痛小鼠疼痛发生中的作用。 方法 55只雄性C3H/HeJ 小鼠,4~6周龄,体重20~25 g。随机数字表法分为骨癌组(A组,n=41) 和假手术组(S组,n=14)。A组小鼠右侧股骨骨髓腔内注射20μl含约2×105个纤维肉瘤细胞(NCTC2472)的最小必须培养基(α-MEM)以制备骨癌痛模型。S组小鼠右侧股骨骨髓腔注射等体积不含肿瘤细胞的α-MEM。各组小鼠于接种前(base)、接种后第4、7、10、14天行痛行为学测试,包括自发抬足次数和机械缩足阈值。按分组在相应时间点取10只小鼠断头处死,取L3~5脊髓,用western blot法测定KIF17蛋白含量。在接种后第14天,再将剩余A组小鼠随机分为KIF17反义寡核苷酸 2.5μg、5.0μg、10.0μg组(A1、A2、A3组)以及对照组(AC组),每组9只。A1-3组小鼠分别鞘内给予相应剂量驱动蛋白17(Kinesin superfamily 17,KIF17)反义寡核苷酸,S组和AC组小鼠鞘内给予生理盐水,注药容积均为5μl。给药结束后2h、12h、24h、36h、48h再行痛行为学测试和脊髓水平KIF17蛋白含量。 结果 与S组[(2.15±0.49)次、(1.80±0.39)g]和基础值[(2.08±0.34)次、(1.88±0.35)g]相比,接种后第14天,A组小鼠自发抬足次数显著增加[(11.95±0.78)次],机械缩足阈值显著降低[(0.34±0.11) g](P<0.05);同时A组小鼠脊髓水平KIF17表达增多;与AC组和给药前相比,A1组小鼠在给药后2h、12h和24h,自发抬足次数[2h:(4.80±0.40)次]减少,机械缩足阈值[2h:(0.95±0.33)g]升高(P<0.05),A2组和A3组小鼠在给药后2h、12h、24h和36h,自发抬足次数[2h:(2.35±0.26)次、(2.53±0.21)次]减少,机械缩足阈值[2h: (1.70±0.32)g、(1.73±0.40) g]升高(P<0.05),且与A1组相比,A2和A3组小鼠痛行为学的改善更明显;A2组与A3组各时间点小鼠自发抬足次数和机械缩足阈值差异无统计学意义(P>0.05);给药后2h,A1-3组小鼠脊髓水平KIF17表达减少。结论 骨癌痛小鼠脊髓水平KIF17表达上调,鞘内给予KIF17反义寡核苷酸能有效改善骨癌痛小鼠的痛行为学,其镇痛效果和作用时间与剂量有关。

关键词: 骨癌痛 驱动蛋白17 小鼠
Abstract:

Objective To investigate the effect of different doses of Kinesin superfamily protein 17(KIF17) antisense oligodeoxynucleotide (ODN) on a mouse model of bone cancer pain. Methods fifty-five C3H/HeJ mice, aged 4~6 weeks, weighting 20~25g, were randomly divided into two groups: bone cancer pain group (group A, n=41) and sham operation group (group S, n=14). Group A was induced by implantation of 20μl α-minimal essence medium (α-MEM) which containing 2×105 osteosarcoma (NCTC 2472) cells into the intramedullary space of the right femur. And 20μl α-MEM with no cancer cell was injected instead in group S. The number of spontaneous flinches (NSF) and the paw withdrawal mechanical threshold (PWMT) were measured at the day before inoculation(base) and the days 4、7、10 and 14 after inoculation. According to the corresponding time points, ten mice were sacrificed, the lumbar segment of spinal cord (L3~5) was removed for determination the expression of KIF17 using Western blot. At the days 14 after inoculation, the mice of group A were randomly divided into four groups, KIF17 antisense ODN 2.5μg、5.0μg、10.0μg group (group A1-3) and the control group (group AC). Each group had nine mice. Group A1-3 were treated by intrathecal injection the corresponding dose of KIF17 antisense ODN, group S and AC was treated by saline. All the volume were 5μl. The pain behaviors were measured at 2、12、24、36 and 48 hours after administration and determinated the expression of KIF17. Results Compare with group S[(2.15±0.49)、(1.80±0.39)g]and the base[(2.08±0.34)、(1.88±0.35)g], the NSF[(11.95±0.78)]was significantly increased and PWMT[(0.34±0.11)g]was decreased at 14 days after inoculation in the bone caner pain groups (P<0.05);the expression of KIF17 were increased; Compared with group AC, the NSF[2h(4.80±0.40)]was decreased and the PWMT[2h:(0.95±0.33)g]was increased at 2、12、24 hours after administration in group A1 (P<0.05), and the NSF[2h:(2.35±0.26)、(2.53±0.21)]was decreased and the PWMT[2h: (1.70±0.32)g、(1.73±0.40)g]was increased at 2、12、24、36 hours after administration in group A2-3; group A2 compared with group A¬3, the NSF and PWMT were no statistically significant difference(P>0.05); After intrathecal administration, the expression of KIF17 was reduced in group A1-3(P<0.05). Conclusion Intrathecal KIF17 antisense ODN in the mice of bone cancer pain improved the pain behaviors, the analgesic effect and the action time related to the dose.

Key words: bone cancer pain; Kinesin superfamily 17; mice