艾司氯胺酮通过调节脊髓背角星形胶质细胞活化和 Wnt / β-catenin 通路在小鼠慢性疼痛中的作用机制研究
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江西省儿童医院 麻醉科,南昌 330000

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Esketamine attenuates chronic pain in mice by modulating astrocyte activation in the spinal dorsal horn and the Wnt/ β-catenin pathway
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Jiangxi Children’s Hospital Anesthesiology Department, Nanchang 330000, China

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    目的 本研究旨在探讨艾司氯胺酮对慢性疼痛小鼠脊髓背角星形胶质细胞活化的影响,并分析其对 Wnt / β-catenin 信号通路的影响。 方法 选取了 40 只 C57BL / 6J 品系的小鼠,随机分为 5 组:假手术(sham)组、疼痛模型(model)组、艾司氯胺酮低剂量(L-Es)组、艾司氯胺酮中剂量(M-Es)组、艾司氯胺酮高剂量(H-Es)组。 除了 sham 组外,其他组均采用坐骨神经分支选择性损伤法建立慢性疼痛小鼠模型。 各组接受相应药物处理,并测定其机械撤退阈值(MWT)和热撤退潜伏期(TWL)。 此外,通过免疫组织化学方法检测脊髓中抗胶质纤维酸性蛋白(GFAP)的表达水平;采用免疫荧光技术观察小鼠脊髓背角星形胶质细胞的激活情况;使用 ELISA 检测脊髓中的炎症因子 IL-1β、IL-6 和 TNF-α 的水平;通过 qRT-PCR 分析小鼠脊髓中 Wnt3a、β-catenin、Cyclin D1 的 mRNA 表达水平;利用 Western Blot 评估小鼠脊髓中 Wnt3a、β-catenin 和 Cyclin D1 蛋白的表达情况。 结果 与 sham 组相比,model 组小鼠的 MWT 和 TWL 显著降低(均 P<0. 001);IL-1β、IL-6、TNF-α 的水平及 GFAP 蛋白的表达水平显著升高(均 P<0. 001),且 GFAP 与 Iba-1 存在共表达现象。 Wnt3a、β-catenin 和 Cyclin D1 的 mRNA 及蛋白表达均显著升高(均 P<0. 001)。 与 model 组相比,艾司氯胺酮各剂量组小鼠的 MWT 和 TWL 均显著升高,且存在剂量依赖性(均 P<0. 001);炎症因子 IL-1β、IL-6、TNF-α 的水平及 GFAP 蛋白的表达显著降低(P<0. 001);GFAP 与 Iba-1 不存在共表达现象;Wnt3a、β-catenin 和 Cyclin D1的 mRNA 及蛋白(P<0. 001)表达均显著下降。 结论 艾司氯胺酮能够抑制星形胶质细胞的激活和炎症反应,从而减轻慢性疼痛,其作用机制可能涉及对 Wnt / β-catenin 信号传导途径的调节。

    Abstract:

    Objective To investigate the effect of esketamine on astrocyte activation in the spinal dorsal horn of mice with chronic pain and evaluate its impact on Wnt / β-catenin signaling. Methods Forty C57BL / 6J mice were randomly divided into five groups: sham surgery (sham) group, pain model (model) group, low-dose esketamine (LEs) group, medium-dose esketamine (M-Es) group, and high-dose esketamine (H-Es) group. Except in the sham group, chronic pain was induced via sciatic nerve branch selective injury. Each group received the designated treatment. Mechanical withdrawal threshold (MWT) and thermal withdrawal latency (TWL) were measured. Spinal cord expression of glial fibrillary acidic protein (GFAP) was evaluated by immunohistochemistry. Immunofluorescence was used to assess astrocyte activation in the dorsal horn. Enzyme-linked immunosorbent assays measured levels of interleukin-1β(IL-1β), interleukin-6(IL-6), and tumor necrosis factor-α (TNF-α) in the spinal cord. Quantitative reverse transcription polymerase chain reaction( qRT-PCR) was performed to analyze mRNA expression patterns of Wnt3a, β-catenin, and Cyclin D1. Protein expression levels of Wnt3a, β-catenin, and Cyclin D1 in the spinal cord were evaluated by Western Blot. Results Compared with the sham group, mice in the model group showed significantly reduced MWT and TWL ( both P<0. 001). Levels of interleukin-1β, interleukin-6, and TNF-α, as well as expression of GFAP protein, were substantially increased (all P<0. 001); co-expression was evident between GFAP and Iba-1. mRNA and protein expression levels of Wnt3a, β-catenin, and Cyclin D1 were also significantly elevated (all P<0. 001). Compared with the model group, mice in all esketamine dose groups exhibited significantly increased MWT and TWL,and there was a dose-dependent effect (all P<0. 001). Levels of IL-1β, IL-6, TNF-α, and GFAP protein expression were significantly reduced (P<0. 05), co-expression of GFAP and Iba-1 was absent, and the mRNA and protein expression levels of Wnt3a, β-catenin, and Cyclin D1 were significantly decreased (P<0. 001). Conclusions Esketamine inhibits astrocyte activation and the inflammatory response, reducing chronic pain. The mechanism may involve regulation of Wnt / β-catenin signaling.

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黄芳,王萍,章征兵,胡强.艾司氯胺酮通过调节脊髓背角星形胶质细胞活化和 Wnt / β-catenin 通路在小鼠慢性疼痛中的作用机制研究[J].中国实验动物学报,2025,33(10):1483~1491.

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  • 收稿日期:2025-04-15
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