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环氧酶2介导鞘内注射血小板活化因子诱发的触觉痛敏和热痛敏
引用本文:马国平,杨京利,田玉科,刘菊英.环氧酶2介导鞘内注射血小板活化因子诱发的触觉痛敏和热痛敏[J].中国康复,2009,24(2):84-87.
作者姓名:马国平  杨京利  田玉科  刘菊英
作者单位:1. 华中科技大学同济医学院附属同济医院麻醉科,武汉,430030;郧阳医学院附属太和医院麻醉科,湖北,十堰,442000
2. 郧阳医学院附属太和医院麻醉科,湖北,十堰,442000
3. 华中科技大学同济医学院附属同济医院麻醉科,武汉,430030
摘    要:目的:研究环氧酶(COX)及前列腺素(PGs)在鞘内注射血小板活化因子(PAF)诱导大鼠痛敏机制中的作用。方法:鞘内置管的雄性SD大鼠60只,随机分为脊液组(注射人工脑脊液),PAF组(鞘内注射PAF),盐水组(注射盐水),SC-560组(注射PAF及SC-560),NS-398组(注射PAF及NS-398),吲哚美辛组(注射PAF及吲哚美辛)各10只。各组注射前及鞘内给药后均检测大鼠机械缩爪阈值和热缩爪潜伏期,每15min测1次,5h后RT-PCR和放射免疫分析检测腰段脊髓COX-1,COX-2及COX-3的表达和PGE2的含量。结果:鞘内注射PAF后的PAF组迅速诱发大鼠触觉痛敏和热痛敏,并诱导脊髓COX-2表达增强和PGE2含量升高;与PAF组比较,NS-398组和吲哚美辛组能明显抑制PAF诱发的痛敏和脊髓PGE2含量升高。结论:鞘内注射PAF可诱发大鼠触觉异常痛敏和热痛敏;脊髓COX-2的激活和表达增强以及PGE2的产生可能参与其机制。

关 键 词:PAF  脊髓  COX-2  PGE2

Induction of Tactile Allodynia and Thermal Hyperalgesia by Intrathecally Administered Platelet-activating Factor Mediated by Cyclooxygenase-2 in Rats
Institution:MA Guo-ping , YANG J ing-li , TIAN Yu-ke , et al. (Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China )
Abstract:Objective:To investigate the roles of cyclooxygenase (COX) and prostaglandins (PGs) in development of tactile allodynia and thermal hyperalgesia induced by intrathecally administered platelet-aetivating factor (PAF). Methods: Sixty SD rats with intrathecal PE-10 catheters were randomly divided into 6 groups with 10 in each: vehicle control group, PAF group, normal saline (NF) group, SC-560 group, NS-398 group, and indomethacin group. Paw withdrawal mechanical threshold and thermal latency were measured after PAF was administered intrathecally. Behavioral measurements were repeated every 15 rain in the following 5 h. RT-PCR and radioimmunoassay were used to detect the expression levels of COX-l, COX-2 and COX-3 mRNA, and concentrations of PGE2 in lumbar spinal cord respectively in 5 h. Results: Intratheeal administration of PAF induced development of tactile allodynia and thermal hyperalgesia rapidly, and increased the expression of COX-2 and concentrations of PGE2 in lumbar spinal cord in rats. NS-398 and indomethacin depressed the behavioral responses and the increase of PGE2 in spinal cord. Conclusion: Intrathecal administration of PAF may induce development of tactile allodynia and thermal hyperalgesia in rats possibly by activation and the increased expression of COX-2, and production of PGE2 in spinal cord.
Keywords:PAF  COX-2  PGE2
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