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

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江西省卫健委科技计划(202211241)


The mechanism of esketamine in chronic pain in mice by regulating the activation of astrocytes in spinal dorsal horn and Wnt / β-catenin pathway
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1.Jiangxi Children'2.'3.s Hospital

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(Jiangxi Children's Hospital Anesthesiology Department 330000) Fund: Science and Technology Plan of Jiangxi Provincial Health Commission (202211241)

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    摘要:

    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,随机分为五组:假手术组(sham组)、疼痛模型组(Model组)、艾司氯胺酮低剂量组(L-Es组)、艾司氯胺酮中剂量组(M-Es组)、艾司氯胺酮高剂量组(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(Mechanical Withdrawal Threshold,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(glial fibrillary acidic protein,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;使用酶联免疫吸附测定(Enzyme-Linked Immunosorbent Assay,ELISA)检测脊髓中的炎症因子白细胞介素1β(interleukin-1β,IL-1β)、白细胞介素6(interleukin-6,IL-6)和肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)的水平;通过实时荧光定量反转录聚合酶链反应(Real-Time Quantitative Reverse Transcription Polymerase Chain Reaction),qRT-PCR)分析小鼠脊髓中Wnt3a、β-catenin、Cyclin D1的mRNA表达水平;利用蛋白质印迹(Western blot,WB)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);同时,炎症因子IL-1β、IL-6及TNF-α的水平、GFAP蛋白的表达水平均升高(均P<0.001),且GFAP与Iba-1存在共表达现象,以及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(均P<0.05),同时炎症因子IL-1β、IL-6及TNF-α的水平、GFAP蛋白的表达显著降低(P<0.05),且GFAP与Iba-1不存在共表达现象,以及Wnt3a、β-catenin和Cyclin D1的mRNA及蛋白(P<0.05)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 the activation of astrocytes in the spinal dorsal horn of chronic pain mice and to analyze its impact on the Wnt/β-catenin signaling pathway. Methods Forty C57BL/6J mice were selected and randomly divided into five groups: sham surgery group (sham group), pain model group (model group), low-dose ketamine group (L-Es group), medium dose ketamine group (M-Es group), and high-dose ketamine group (H-Es group). Except for the sham group, all other groups used the sciatic nerve branch selective injury method to establish chronic pain mouse models. Each group received corresponding drug treatment and their Mechanical Withdrawal Threshold (MWT) and Thermal Withdrawal Latency (TWL) were measured. In addition, the expression level of glial fibrillar acidic protein (GFAP) in the spinal cord was detected by immunohistochemical methods; Using immunofluorescence technology to observe the activation of astrocytes in the dorsal horn of the mouse spinal cord; Use enzyme-linked immunosorbent assay (ELISA) to detect the levels of inflammatory factors interleukin-1 β (IL-1 β), interleukin-6 (IL-6), and tumor necrosis factor - α (TNF - α) in the spinal cord; Real time quantitative reverse transcription polymerase chain reaction (qRT-PCR) was used to analyze the mRNA expression levels of Wnt3a, β - catenin, and Cyclin D1 in mouse spinal cord; Evaluate the expression of Wnt3a, β - catenin, and Cyclin D1 proteins in mouse spinal cord using Western blot (WB). Results Compared with the sham group, the MWT and TWL of the Model group mice were significantly reduced (both P<0.001); At the same time, the levels of inflammatory factors IL-1 β, IL-6, TNF - α, and the expression level of GFAP protein all increased (all P<0.001), and there was a co expression phenomenon between GFAP and Iba-1. The mRNA and protein expression of Wnt3a, β - catenin, and Cyclin D1 also significantly increased (all P<0.001). Compared with the Model group, the MWT and TWL of mice in each dose group of ketamine were significantly increased (all P<0.05), while the levels of inflammatory factors IL-1 β, IL-6, and TNF - α, as well as the expression of GFAP protein, were significantly decreased (P<0.05). There was no co expression of GFAP and Iba-1, and the mRNA and protein expression of Wnt3a, β - catenin, and Cyclin D1 were significantly decreased (P<0.05). Conclusion Esketamine can inhibit the activation of astrocytes and inflammatory response, thereby reducing chronic pain. The mechanism may be closely related to the regulation of Wnt / β-catenin signaling pathway.

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  • 收稿日期:2025-04-15
  • 最后修改日期:2025-06-27
  • 录用日期:2025-09-19
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