国际麻醉学与复苏杂志   2011, Issue (4): 12-12
    
鞘内注射米诺环素对SMIR术后持续性疼痛模型大鼠MWT的影响
尹显和1()
1.江苏省徐州医学院
The effect of intrathecal minocycline on MWT in a rat model of SMIR-evoked persistent postoperative pain
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摘要:

目的 研究鞘内注射小胶质细胞特异性抑制剂米诺环素对皮肤/肌肉切口和牵拉(skin/muscle incision and retraction, SMIR)术后持续性疼痛模型大鼠机械缩足反射阈值(mechanical withdrawal threshold, MWT)的影响。方法 选择鞘内置管成功的雄性SD大鼠32只,随机分为4组(n=8):正常对照组、假手术组、SMIR模型组和SMIR模型+米诺环素组(简称米诺环素组)。按Yaksh法鞘内置管;按Flatters法制作大鼠SMIR术后持续性疼痛模型;应用von Frey纤维细丝法测定MWT来评定疼痛行为学变化。结果 与术前基础值和正常对照组比较,假手术组各时间点的MWT均无明显变化;与术前基础值和假手术组相应时间点比较,SMIR模型组在术后第3d、7d、12d、22d的MWT均明显下降(P均<0.05);与SMIR模型组相应时间点比较,米诺环素组在术后第3d、7d、12d、22d的MWT明显增加(P均<0.05)。结论 在大鼠SMIR术后持续性疼痛模型中,鞘内注射米诺环素可明显减轻SMIR引起的疼痛行为学变化,提示脊髓小胶质细胞的活化在术后持续性疼痛发生和发展中具有重要作用。

关键词: 术后持续性疼痛;脊髓;小胶质细胞;米诺环素
Abstract:

objective To observe the effect of intrathecal minocycline (a selective inhibitor of microglia) on mechanical withdrawal threshold (MWT) in a rat model of persistent postoperative pain evoked by skin/muscle incision and retraction (SMIR). Methods 32 male Sprague-Dawley rats were randomly divided into four groups(n=8): normal control group, sham operation group, SMIR model group and SMIR model plus intrathecal minocycline group(minocycline group). A PE-10 catheter was inserted into the subarachnoid space (intrathecal) according to the method described by Yaksh et al. A rat model of persistent postoperative pain evoked by SMIR was made according to the method described by Flatters. Pain behavior was assessed by mechanical withdrawal threshold (MWT) to von Frey filament stimulation intensity. Results Compared with both preoperative baseline and normal control group, the MWT in sham operation group did not change significantly; Compared with both preoperative baseline and sham operation group, the MWT in SMIR model group decreased significantly at postoperative days 3, 7, 12 and 22( P<0.05); Compared with SMIR model group, the MWT in minocycline group increased significantly at postoperative days 3, 7, 12 and 22( P<0.05). Conclusion Intrathecal minocycline markedly attenuates pain symptoms in a rat model of persistent postoperative pain evoked by SMIR, it suggests that activated spinal microglia plays an important role in the development and maintenance of persistent postoperative pain.

Key words: Persistent postoperative pain; Spinal cord; Microglia; Minocycline