国际麻醉学与复苏杂志   2015, Issue (10): 7-7
    
脊髓背角单羧酸转运蛋白-2在大鼠术后持续性疼痛中的作用
徐黎, 何建华, 沈羽, 刘廪, 顾小萍, 马正良1()
1.南京市鼓楼医院
The role of monocarboxylate transporter-2 in spinal dorsal horn in rat of persistent postoperative pain
 全文:
摘要:

目的:研究脊髓背角单羧酸转运蛋白-2(monocarboxylate transporter-2,MCT-2)在术后慢性疼痛中的作用。方法:76只健康雄性SD大鼠,采用随机数字表法随机分为3组:假手术组(S0组)、模型组(S1组)和给药组(S2组)。S1组和S2组建立皮肤肌肉切口牵拉术(skin/muscle incision and retraction,SMIR)动物模型,S0组仅切开而不进行SMIR操作。术后第10天,S2组鞘内注射溶解于10%二甲基亚砜10μl中的α-氰基-4-羟基肉桂酸(α-cyano-4-hydroxy-cinnamate,4-CIN)100μmol,S1组仅鞘内注射10%DMSO10μl。各组在术前1天(-1d)、术后第1天(1d)、3天(3d)、7天(7d)、10天(10d)、14天(14d)、21天(21d)和28天(28d)测定大鼠机械缩足反应阈值(paw withdrawal mechanical threshold,PWMT)。S0组与S2组于14d、S1组于-1d~28d各时间点分别取4只大鼠,处死后取术侧L4-5脊髓背角组织,采用western blot法测定MCT-2表达变化。结果:各组术前PWMT差异无统计学意义(P>0.05)。与S0组相比,S1组从3d(10.7±3.4,P<0.05)起PWMT明显降低且一直持续至28d(10.6±2.5,P<0.05),且1d~28d时脊髓背角MCT-2表达水平上调(P<0.05),而S2组PWMT在给药后14d~28d与S0组比较无明显差异(P>0.05)。与S1组相比,S0组与S2组在14d脊髓背角MCT-2表达水平均下调(P<0.05)。结论: SMIR大鼠脊髓背角MCT-2表达上调,鞘内注射4-CIN可缓解SMIR所致的术后持续性疼痛,其机制可能与抑制脊髓背角MCT-2有关。

关键词: 单羧酸转运蛋白-2;术后持续性疼痛;脊髓背角;
Abstract:

Objective: To investigate the role of monocarboxylate transporter-2 in spinal dorsal horn in rat of postoperative chronic pain. Methods: 76 male SD rats were divided randomly into 3 groups: sham group (group S0), SMIR model group (group S1) and 4-CIN group (group S2). Group S1 and S2 were operated with the model of persistent postoperative pain induced by skin/muscle incision and retraction; group S0 were treated as sham operated rats. Ten days after operation, group S2 received intrathecal injection of 100μmol 4-CIN dissolved in 10% DMSO 10μl, while group S1 received intrathecal injection of 10% DMSO 10μl only. The paw withdrawal mechanical threshold (PWMT) was tested 1d before operation and 1d,3d,7d,10d,14d,21d,28d after operation. In group S0 and S2, 4 rats were killed on 14d. In group S1, 4 rats were sacrificed at each time point. The L4-5 segment of spinal cord was removed, in order to measure the expression of monocarboxylate transporter-2 by Western blot analysis. Results: The basic values of PWMT before operation had no statistically significant differences among three groups(P<0.05).The PWMT in group S1 were significantly lower from 3d (10.7±3.4,P<0.05) to 28d (10.6±2.5,P<0.05) when compared with group S0, while the MCT-2 expression in spinal dorsal horn on 1d~28d were significantly higher in group S1 than in group S0. The MCT-2 expression on 14d was significantly lower in group S0 and S2 than in group S1.Conclusion: The level of monocarboxylate ransporter-2 in spinal dorsal horn is significantly up-regulated in a rat model of SMIR. Intrathecal administration of 4-CIN can attenuate persistent postoperative pain in rats induced by SMIR and it may through reducing the increase in MCT-2 expression in spinal dorsal horn.

Key words: monocarboxylate transporter-2;persistent postoperative pain; spinal dorsal horn