不同剂量完全弗氏佐剂建立慢性炎性疼痛抑郁共病大鼠模型的实验研究
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1.广西中医药大学第一临床医学院;2.四川省医学科学院·3.四川省人民医院;4.广西中医药大学第一附属医院针灸科

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国家自然科学基金(82160934),广西自然科学基金重点项目(2023GXNSFDA026052)


To establish a rat model of chronic inflammatory pain and depression comorbid with different doses of complete Freund"s adjuvant
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1.the First School of Clinical Medicine, Guangxi University of Chinese Medicine;2.Sichuan Academy of Medical Sciences·3.Sichuan Provincial People’s Hospital;4.Department of Acupuncture and Moxibustion, the First Affiliated Hospital of Guangxi University of Chinese Medicine

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National Natural Science Foundation of China(82160934), Guangxi Natural Science Foundation key project(2023GXNSFDA026052).

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    摘要:

    目的 比较不同剂量的完全弗氏佐剂(complete Freund’s adjuvant,CFA)足底注射诱导的慢性疼痛抑郁共病大鼠模型的成功率和稳定性。方法 将60只SD大鼠随机分为空白组、CFA低剂量组(CFA-L)、CFA高剂量组(CFA-H),每组20只。CFA-L组、CFA-H组大鼠分别以左后足足底注射50μL、100μL CFA ,空白组左后足足底注射0.9% 氯化钠溶液。造模后第0d、7d、14d、21d、28d分别观察各组大鼠一般状态、体重变化,机械缩足阈值(mechanical withdrawal threshold,MWT)、热缩足反射潜伏期(thermal withdrawal lantency,TWL)评价大鼠的疼痛反应,旷场实验(open-field test,OFT)、强迫游泳实验(forced swim test,FST)、悬尾实验(tail suspension test,TST)评价大鼠的抑郁行为,酶联免疫吸附实验检测大鼠前扣带回皮层的谷氨酸(glutamate,Glu)、γ-氨基丁酸(γ-aminobutyric acid,GABA)的含量,免疫组化法检测大鼠前扣带回皮层脑源性神经营养因子(brain-derived neurotrophic factor,BDNF)的改变,苏木精-伊红染色观察大鼠前扣带回皮层的病理变化。结果 (1)一般情况:造模后第7d,CFA-L组、CFA-H组大鼠左后足踝关节和足趾均红肿明显,CFA-H组肿胀更甚;造模后第14d、21d、28d,CFA-L组大鼠左后足踝关节和足趾红肿渐恢复,CFA-H组大鼠仍红肿明显,且饮水进食量减少。(2)体重:造模后第14d、21d、28d,CFA-H组大鼠体重显著低于空白组、CFA-L组(P < 0.05,P < 0.05)。(3)疼痛相关行为学:造模后第7d、14d,与空白组比较,CFA-L组、CFA-H组的MWT、TWL明显降低(P < 0.05,P < 0.05);造模后第21d,CFA-H组的MWT显著低于空白组和CFA-L组(P < 0.05,P < 0.05),CFA-L组、CFA-H组的TWL显著低于空白组(P < 0.05,P < 0.05);造模后第28d,CFA-H组的MWT、TWL显著低于空白组和CFA-L组(P < 0.05,P < 0.05)。(4)抑郁相关行为学:造模后第7d,CFA-H组的OFT运动总距离较空白组、CFA-L组明显降低(P < 0.05,P < 0.05);造模第14d、21d、28d,与空白组、CFA-L组比较,CFA-H组OFT运动总距离及中央停留时间明显降低(P < 0.05,P < 0.05),FST、TST明显升高(P < 0.05,P < 0.05)。(5)Glu、GABA、BDNF表达:CFA-H组Glu含量较空白组、CFA-L明显升高(P < 0.05,P < 0.05),GABA含量、Glu/GABA和BDNF表达明显降低(P < 0.05,P < 0.05,P < 0.05)。(6)前扣带回皮层病理:CFA-L组前扣带回皮层区有较少损伤,锥体细胞数量较多,细胞排列较整齐,核仁清晰,少量细胞表现出核固缩和深染色;与CFA-L组比较,CFA-H组前扣带回皮层损伤区细胞排列紊乱,大量神经元细胞固缩、深染,锥体细胞数量明显减少、甚至消失,组织间隙有空泡、红细胞和神经纤维缠结出现。结论 足底注射100 μL CFA可成功建立慢性炎性疼痛抑郁共病大鼠动物模型,引起大鼠痛觉过敏、抑郁样行为改变及前扣带回皮层Glu、GABA、BDNF改变,诱导前扣带回皮层病理形态变化,符合慢性疼痛抑郁共病的生理病理学特点。

    Abstract:

    【】 Objective To compare the success rate and stability of different doses of complete Freund"s adjuvant (CFA) in rat models of chronic pain and depression comorbidity. Methods Sixty SD rats were randomly divided into control group, low-dose CFA group (CFA-L) and high-dose CFA group (CFA-H), with 20 rats in each group. Rats in CFA-L and CFA-H groups were injected with 50μL and 100μL CFA, respectively. Rats in the control group were injected with 0.9% sodium chloride solution. The general state, body weight, mechanical withdrawal threshold (MWT) and thermal withdrawal lantency were observed at 0, 7, 14, 21 and 28 days after modeling. open-field test (OFT), forced swim test (FST) and tail suspension test (TST) were used to evaluate the depressive behavior of rats. The contents of glutamate (Glu) and γ-aminobutyric acid (GABA) in the anterior cingulate cortex were detected by enzyme-linked immunosorbent assay. The expression of brain-derived neurotrophic factor (BDNF) in the anterior cingulate cortex was detected by immunohistochemistry, and the pathological changes in the anterior cingulate cortex were observed by hematoxylin-eosin staining. Results (1) General conditions: on the 7th day after modeling, the left ankle joint and toes of the rats in CFA-L and CFA-H groups were obviously red and swollen, and the swelling was more severe in CFA-H group. On day 14, 21 and 28 after modeling, the redness and swelling of the left hind foot and ankle joint and toe of the CFA-L group gradually recovered, while the redness and swelling of the CFA-H group were still obvious, and the amount of water and food intake decreased. (2) Body weight: The body weight of rats in CFA-H group was significantly lower than those in blank group and CFA-L group on day 14, 21 and 28 after modeling (P < 0.05, P < 0.05). (3) Pain-related behavior: compared with the control group, the MWT and TWL of the CFA-L and CFA-H groups were significantly decreased on the 7th and 14th day after modeling (P < 0.05, P < 0.05). On day 21 after modeling, the MWT of CFA-H group was significantly lower than that of blank group and CFA-L group (P < 0.05, P < 0.05), and the TWL of CFA-L group and CFA-H group was significantly lower than that of blank group (P < 0.05, P < 0.05). On day 28 after modeling, MWT and TWL in CFA-H group were significantly lower than those in blank group and CFA-L group (P < 0.05, P < 0.05). (4) Depression-related behaviors: on day 7 after modeling, the total OFT movement distance of CFA-H group was significantly lower than that of blank group and CFA-L group (P < 0.05, P < 0.05). On day 14, 21 and 28 after modeling, the total OFT distance and central dwell time in CFA-H group were significantly lower than those in blank group and CFA-L group (P < 0.05, P < 0.05), and the FST and TST were significantly higher than those in blank group and CFA-L group (P < 0.05, P < 0.05). (5) The expressions of Glu, GABA and BDNF in CFA-H group were significantly higher than those in blank group and CFA-L group (P < 0.05, P < 0.05), while the expressions of GABA, Glu/GABA and BDNF in CFA-H group were significantly lower than those in blank group and CFA-L group (P < 0.05, P < 0.05, P < 0.05). (6) Anterior cingulate cortex pathology: CFA-L group had less damage in the anterior cingulate cortex, more pyramidal cells, more arranged cells, clear nucleoli, and a small number of cells showed karyknosis and deep staining. Compared with the CFA-L group, the CFA-H group showed disordered cell arrangement in the injured area of the anterior cingulate cortex, a large number of neurons were pyknotic and hyperchromatic, the number of pyramidal cells was significantly reduced or even disappeared, and vacuoles, red blood cells and neurofibrillary tangles appeared in the interstitial space. Conclusions CFA injection of 100 μL can successfully establish a rat model of chronic inflammatory pain and depression, which can induce hyperalgesia, depression-like behavior changes and changes of Glu, GABA and BDNF in the anterior cingulate cortex, and induce pathological changes in the anterior cingulate cortex, which is consistent with the pathophysiological characteristics of chronic pain and depression.

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  • 收稿日期:2024-12-04
  • 最后修改日期:2025-04-24
  • 录用日期:2025-04-30
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