国际麻醉学与复苏杂志   2018, Issue (1): 0-0
    
G蛋白门控的内向整流钾通道与化疗诱导神经病理性疼痛的研究进展
陈欢, 王秀丽1()
1.河北医科大学第三医院
G protein gated inwardly rectifying K channel and chemotherapy-induced neuropathic pain
 全文:
摘要:

背景 化疗诱导神经病理性疼痛(简称化疗痛)的发生及其作用机制十分复杂,随着膜片钳技术的进步,G蛋白门控的内向整流钾(G protein gated inwardly rectifying K, GIRK)通道在化疗痛中的作用日趋明显。 目的 阐明GIRK通道在化疗痛中的作用及其可能机制。 内容 系统地阐述GIRK通道的生理特性、与G蛋白耦联受体的联系及其参与化疗痛机制的研究进展。 趋向 鉴于GIRK通道在化疗痛中所起的作用,对GIRK通道的深入研究可为化疗痛的治疗提供新的靶点。

关键词: 化学治疗; 神经病理性疼痛; G蛋白门控的内向整流钾通道; G蛋白耦联受体
Abstract:

Background Chemotherapy-induced neuropathic pain is a common complication in cancer treatment, and is usually intractable because its underlying mechanisms are not clear. G protein gated inwardly rectifying K (GIRK) channels play critical roles in controlling neuronal activity and may be altered in chemotherapy-induced neuropathic pain. Objective To review the evidence showing the involvement of GIRK channels in chemotherapy-induced neuropathic pain. Content GIRK channels are ubiquitously expressed in neurons, including those in dorsal root ganglion and spinal cord dorsal horn. They are regulated by subunits of G-proteins, 4,5-bisphosphate, protons, etc. GIRK are also coupled with several metabotropic receptors that are importantly implicated in pain signaling, such as, -opioid receptors, B type -butyric amino acid (GABAB) receptors, and 5-hydroxytryptophan receptor 2A, as well. Previous studies revealed that drugs for chemotherapy modulate the levels of protein kinase C, mitogen-activated protein kinase, 5-hydroxytryptamine receptor, and GIRK (i.e. Kir1.1, Kir3.4, and Kir3.1), suggesting the involvement of GIRK in chemotherapy-induced neuropathic pain. Trend Further investigation should focus on the effects of drugs for chemotherapy on subtypes of GIRK abundant in neurons in pain signaling pathways, and whether counteracting the effects has potential to relieve intractable chemotherapy-induced neuropathic pain.

Key words: Chemotherapy; Neuropathic pain; G protein gated inwardly rectifying K channels; G protein-couple receptor