国际麻醉学与复苏杂志   2016, Issue (11): 0-0
    
鞘内注射CCL2中和抗体缓解大鼠骨癌痛
林宗航, 付宝军, 姜静静, 张磊, 李恒1()
1.广州医科大学附属第六医院
Intrathecal CCL2 neutralizing antibody injection reduces mechanical allodynia in a rat model of bone cancer pain
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摘要:

[摘要] 目的 观察鞘内注射CCL2中和抗体后,骨癌痛大鼠行为学变化以及脊髓背角P-ERK1/2表达变化,并探讨其可能机制。方法 雌性SD大鼠40只,体重180~220g,随机分为5组(n=8):Ⅰ组为假手术+正常IgG组,于大鼠左侧骨干骺端骨髓腔内注射10μl Hank's液;Ⅱ组为假手术+ CCL2中和抗体组,于大鼠左侧骨干骺端骨髓腔内注射10μl Hank's液,在注射 Hank's液后第7~9天鞘内注射 CCL2中和抗体,每天1次,每次10μl,浓度为103 mg/L;Ⅲ组为骨癌痛组+正常IgG组,于左侧骨干骺端骨髓腔内注射10μl(1×107/ml)Walker256肿瘤细胞;Ⅳ组为骨癌痛+ CCL2中和抗体组,在注射肿瘤细胞后第7~9天鞘内注射CCL2中和抗体,每天1次,每次10μl,浓度为103mg/L。观测造模前、术后1、3、6、7、8、9天大鼠机械性痛觉超敏Von Frey阈值以及鞘内注射CCL2中和抗体对大鼠Von Frey阈值和脊髓背角P-ERK1/2表达的影响。结果 与Ⅰ组相比,Ⅲ组大鼠机械缩足反射阈值(mechanical withdraw threshold MWT)在第6~9天下降,脊髓背角 P-ERK1/2蛋白表达增加(P<0.01);与Ⅲ组相比,Ⅳ组大鼠术后第6~9天鞘内应用CCL2中和抗体可减轻骨癌痛引起的机械痛敏,下调脊髓背角P-ERK1/2蛋白表达(P<0.01);Ⅰ组和Ⅱ组上述指标比较差异无统计学意义。结论 鞘内注射CCL2中和抗体可以部分缓解骨癌痛大鼠的机械性痛觉超敏,这种效应可能与抑制P-ERK1/2的表达有关,提示脊髓CCL2/ERK信号途径可能参与大鼠骨癌痛的形成。

关键词: 骨癌痛;脊髓;趋化因子;CCL2
Abstract:

Objective To observe the effect of intrathecal CCL2 neutralizing antibody on pain behavior and the level of P-ERK1/2 expression in spinal cord in a rat model of bone cancer pain, then explore its possible mechanisms. Methods Thirty-two female SD rats weighting 180~220g were randomly divided into 4 groups(n=8): group Ⅰ, sham+ IgG group; group Ⅱ, sham + Anti-CCL2 intrathecal; group Ⅲ, model +IgG; group Ⅳ, model + Anti- CCL2. Rats in group Ⅰ and group Ⅱ were injected with 10μl Hank’s solution into the left proximal tibial medullary cavity; Rats in group Ⅲ and group Ⅳ were injected with 10μl Walker 256 breast cancer cells (1×107/ml) into the left proximal tibial medullary cavity. Von-Frey thresholds were measured before and at 1st, 3rd, 6th, 7th, 8th, and 9th day after surgery. The altered expression of p-ERK in spinal dorsal horn was detected by Western blot Results Compared with rats in group Ⅰ, Von-Frey thresholds significantly decreased in rats of group Ⅲ at the 6th day post-inoculation; Compared with rats in group Ⅲ, Von-Frey thresholds significantly decreased in rats of group Ⅳ at the 6th day post-inoculation. Compared with rats in group Ⅰ, the expression of P-ERK in spinal dorsal horn from group Ⅲ apparently increased (P<0.01). Spinal P-ERK1/2 protein levels of rats in group Ⅳ were lower than that of group Ⅲ. For GroupⅡ, There was no significant difference in the expression of spinal dorsal horn P-ERK between group Ⅰ and GroupⅡ. Conclusion Intrathecal CCL2 neutralizing antibody injection can partially release mechanical allodynia induced by bone cancer pain, which may be related to blockade of P-ERK1/2 in the spinal dorsal horn. These results indicate that spinal CCL2 may be involved in the development of rats bone cancer pain via activation of ERK in the spinal dorsal horn.

Key words: bone cancer pain; spinal cord; chemokines; CCL2