下丘脑室旁核CB1R介导急性内脏痛的机制研究
Mechanism of acute visceral pain mediated by CB1R in hypothalamic paraventricular nucleus
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摘要: 目的 探讨下丘脑室旁核(paraventricular nucleus,PVN)大麻素Ⅰ型受体(cannabinoid receptor 1,CB1R)在急性乙酸内脏痛模型中发挥的作用及意义,为临床合理用药提供理论依据。方法 选用40只雄性C57小鼠,随机分成5组(n=8),预先通过PVN微量注射给药,建立小鼠急性乙酸内脏痛模型,观察乙酸致小鼠扭体反应次数变化,扭体反应峰值期,采用免疫荧光染色,检测各组小鼠PVN内c-Fos表达水平。结果 ①乙酸模型组小鼠60 min内的扭体反应次数明显多于正常对照组,说明急性乙酸内脏痛模型建立成功。②与PVN微量注射生理盐水和CB1R拮抗剂AM-251相比,PVN微量注射CB1R激动剂WIN55212-2后,乙酸模型组小鼠在60 min内的扭体反应次数明显减少,并在15~30 min扭体反应达到峰值,小鼠PVN内c-Fos表达明显减少。③与PVN微量注射生理盐水相比,PVN内微量注射CB1R拮抗剂AM-251后,乙酸模型组小鼠在60 min内的扭体反应次数和PVN内c-Fos表达无明显差异,但在15 min内扭体反应达到峰值。结论 PVN内预先微量注射CB1R激动剂WIN55212-2可通过抑制PVN内神经元活性减轻小鼠急性乙酸内脏痛。Abstract: Objective To investigate the effects of cannabinoid receptor 1 (CB1R) on hypothalamic paraventricular nucleus (PVN) in a model of acute acetic acid visceral pain, and provide theoretical evidence for rational drug use. Methods A total of 40 male C57 mice were selected. They were randomly divided into five groups (n=8). First, micro-injection into PVN was performed, and then a mouse model of acute acetic acid visceral pain was established. The number of writhing reaction caused by acetic acid and the peak period of writhing reaction were observed. The levels of c-Fos in PVN of each group were detected by immunofluorescence. Results ①The number of writhing reactions in the acetic acid modeling group was significantly higher than that in the normal control group, indicating that the model of acute acetic acid visceral pain was successfully established. ②Compared with micro-injection of normal saline and CB1R agonist AM-251 into PVN, micro-injection of CB1R agonist WIN55212-2 into PVN resulted in a significantly reduced number of writhing reaction in the acetic acid model group within 60 min, and reached the peak within 15~30 min. The expression of c-Fos in PVN remarkably decreased. ③Compared with micro-injection of normal saline into PVN, micro-injection of CB1R antagonist AM-251 into PVN resulted in no significant difference in the number of writhing reaction and the expression of c-Fos in PVN in the acetic acid model group within 60 min, but writhing reaction reached the peak in 0~15 min. Conclusions Micro-injection of CB1R agonist WIN55212-2 into PVN can reduce acute acetic acid visceral pain in mice by inhibiting neuronal activity in PVN.