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电针对慢性挤压伤大鼠坐骨神经病理形态学和背根神经节P2X3受体敏感性的影响
引用本文:CHENG Rui-dong,TU Wen-zhan,WANG Wan-sheng,ZOU En-mao,JIANG Song-he. 电针对慢性挤压伤大鼠坐骨神经病理形态学和背根神经节P2X3受体敏感性的影响[J]. 中国结合医学杂志, 2013, 19(5): 374-379. DOI: 10.1007/s11655-013-1447-1
作者姓名:CHENG Rui-dong  TU Wen-zhan  WANG Wan-sheng  ZOU En-mao  JIANG Song-he
摘    要:Objective: To explore the effect of electroacupuncture (EA) on the pathomorphology of the sciatic nerve and the role of P2X3 receptors in EA analgesia. Methods: The chronic constriction injury (CCI) model was adopted in this study. A total of 32 rats were randomly divided into four groups: sham CCI, CCI, CCI plus contralateral EA (CCI + conEA) and CCI plus ipsilateral EA (CCI + ipsEA). Mechanical withdrawal threshold (MWT) and thermal withdrawal latency (TWL) were measured. EA began at day 7 after the CCI operation and was applied to the Zusanli (ST 36) and Yanglingquan acupoints (GB 34). At day 14, the pathomorphologic changes of the operated sciatic nerve were demonstrated by hematoxylin and eosin staining. In addition, dorsal root ganglion (DRG) neurons isolated from rats were examined by electrophysiological recording to determine if the P2X3 receptor agonists, adenosine 5''-triphosphate disodium (ATP) and α,β-methylen-ATP (α,β-meATP) evoked inward currents. Results: Pain thresholds in the CCI group were obviously decreased post CCI surgery (P<0.01). In the EA groups, thermal and mechanical threshold values were increased after the last EA treatment (P<0.05, P<0.01). There was no significant difference in light microscopic examination among the four groups (P>0.05). Current amplitude after application of ATP and α,β-meATP in DRG neurons were much larger in the CCI group compared to those obtained in sham CCI (P<0.05). ATP and α, β-meATP invoked amplitudes in the CCI + EA groups were reduced. There was no significant difference between the CCI + conEA group and the CCI + ipsEA group (P>0.05). Conclusion : EA analgesia may be mediated by decreasing the response of P2X3 receptors to the agonists ATP and α,β-meATP in the DRG of rats with CCI. No pathological changes of the sciatic nerve of rats were observed after EA treatment.


Effect of Electroacupuncture on the Pathomorphology of the Sciatic Nerve and the Sensitization of P2X3 Receptors in the Dorsal Root Ganglion in Rats with Chronic Constrictive Injury
CHENG Rui-dong,TU Wen-zhan,WANG Wan-sheng,ZOU En-mao and JIANG Song-he. Effect of Electroacupuncture on the Pathomorphology of the Sciatic Nerve and the Sensitization of P2X3 Receptors in the Dorsal Root Ganglion in Rats with Chronic Constrictive Injury[J]. Chinese journal of integrative medicine, 2013, 19(5): 374-379. DOI: 10.1007/s11655-013-1447-1
Authors:CHENG Rui-dong  TU Wen-zhan  WANG Wan-sheng  ZOU En-mao  JIANG Song-he
Affiliation:11447. Department of Physical Medicine and Rehabilitation, The Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang Province, 325027, China
Abstract:

Objective

To explore the effect of electroacupuncture (EA) on the pathomorphology of the sciatic nerve and the role of P2X3 receptors in EA analgesia.

Methods

The chronic constriction injury (CCI) model was adopted in this study. A total of 32 rats were randomly divided into four groups: sham CCI, CCI, CCI plus contralateral EA (CCI + conEA) and CCI plus ipsilateral EA (CCI + ipsEA). Mechanical withdrawal threshold (MWT) and thermal withdrawal latency (TWL) were measured. EA began at day 7 after the CCI operation and was applied to the Zusanli (ST 36) and Yanglingquan acupoints (GB 34). At day 14, the pathomorphologic changes of the operated sciatic nerve were demonstrated by hematoxylin and eosin staining. In addition, dorsal root ganglion (DRG) neurons isolated from rats were examined by electrophysiological recording to determine if the P2X3 receptor agonists, adenosine 5′-triphosphate disodium (ATP) and α,β-methylen-ATP (α,β-meATP) evoked inward currents.

Results

Pain thresholds in the CCI group were obviously decreased post CCI surgery (P<0.01). In the EA groups, thermal and mechanical threshold values were increased after the last EA treatment (P<0.05, P<0.01). There was no significant difference in light microscopic examination among the four groups (P>0.05). Current amplitude after application of ATP and α,β-meATP in DRG neurons were much larger in the CCI group compared to those obtained in sham CCI (P<0.05). ATP and α, β-meATP invoked amplitudes in the CCI + EA groups were reduced. There was no signififi cant difference between the CCI + conEA group and the CCI + ipsEA group (P>0.05).

Conclusion

EA analgesia may be mediated by decreasing the response of P2X3 receptors to the agonists ATP and α,β-meATP in the DRG of rats with CCI. No pathological changes of the sciatic nerve of rats were observed after EA treatment.
Keywords:electroacupuncture   pathomorphology   patch clamp   P2X3 receptor   ATP   dorsal root ganglia   neuropathic pain
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