国际麻醉学与复苏杂志   2015, Issue (6): 6-6
    
钾氯共转运体-2和痛觉过敏关系的研究进展
代淑红, 马正良1()
1.南京大学医学院附属鼓楼医院
Progress on the relationship between K+-Cl- cotransporter 2 and hyperalgesia
 全文:
摘要:

背景 钾氯共转运体-2(K+-Cl- cotransporter 2, KCC2)是阳离子-氯离子共转运体(cation-chloride cotransporters, CCCs)家族中的重要一员,其蛋白表达或离子转运活性下降破坏神经细胞内Cl-稳定性,引起γ-氨基丁酸(γ-aminobutyric acid, GABA)能神经细胞发生去抑制,使机体对伤害性刺激敏感性提高,产生痛觉过敏。脑源性神经营养因子/酪氨酸激酶受体B(brain-derived neurotrophic factor/tyrosine receptor kinase B, BDNF/TrkB)信号通路可以调节KCC2的蛋白表达和离子转运活性,参与多种病因导致的痛觉过敏的发生。目前发现BDNF/TrkB信号通路阻断剂和KCC2激动剂均能够缓解或者翻转神经病理性疼痛和炎性痛觉过敏。 目的 探讨KCC2在痛觉过敏发生发展中的作用。 内容 就KCC2与痛觉过敏的相关性进行综述。 趋向 为痛觉过敏的防治提供新的思路和治疗策略。

关键词: 钾氯共转运体?蛳2; 脑源性神经营养因子/酪氨酸激酶受体B信号通路; 痛觉过敏
Abstract:

Background K+?蛳Cl- cotransporter 2(KCC2) is an important member of the cation?蛳chloride cotransporter (CCCs) family, its expression or ion transport activity downregulation can cause disinhibition of GABAergic neurons through altering intracellular Cl- stability of nerve cells, amd ultimately induce the hypersensitivity to noxious stimuli, namely hyperalgesia. Brain-derived neurotrophic factor/tyrosine kinase receptor B(BDNF/TrkB) signaling pathway can regulate the protein expression and ion transport activity of KCC2, indicating that BDNF/TrkB signaling pathway may be involved in the occurrence of hyperalgesia. Currently, scientists have found that BDNF/TrkB signaling pathway blockers and KCC2 agonists are able to relieve or prevent neuropathic pain and inflammation induced hyperalgesia. Objective To investigate the role of KCC2 in the occurrence and development of hyperalgesia. Content Reviewing the relationship between KCC2 and hyperalgesia. Trend To provide new ideas for the prevention and therapy of hyperalgesia.

Key words: K+-Cl- cotransporter 2; Brain-derived neurotrophic factor/tyrosine receptor kinase B; Hyperalgesia