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纸质出版:2009
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毛庆祥,杨天德.阿米替林抑制神经性疼痛大鼠脊髓星形胶质细胞的激活[J].陆军军医大学学报(原第三军医大学学报),2009,31(07):611-614.
MAO Qing-xiang,YANG Tian-de.Amitriptyline inhibits activation of astrocytes in spinal cord of rat with neuropathic pain[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(07):611-614.
目的 观察阿米替林对分支选择结扎模型(spared nerve injury,SNI)大鼠脊髓星形胶质细胞激活程度的影响。 方法 120只雄性SD大鼠,分为对照组(A)、SNI模型组(B)、单纯给药组(C)、SNI模型+药物干预组(D),经腹腔分别给予0.2 ml生理盐水(A、B)、10 mg/kg阿米替林(C、D),每日2次。术后1、3、5 d取L
3
~L
6
脊髓,分别进行星形胶质细胞激活标志物GFAP免疫荧光染色、Western blot和半定量RT-PCR检测,同时观察机械痛阈值改变。 结果 与A组相比,B组大鼠机械痛阈值随时间下降明显(P0.05),GFAP蛋白表达(0.38±0.24,0.84±0.31,1.36±0.43)和mRNA表达(0.55±0.14,0.86±0.16,1.32±0.32)随时间逐渐增强;C组各项指标与A组比较无明显差异;D组大鼠给药后3、5 d机械痛阈值停止下降[(4.5±1.5)、(4.9±1.4)g
]
,GFAP蛋白(0.79±0.25,0.77±0.23)和mRNA(0.63±0.06,0.64±0.17)表达较A组略增高,但不及B组(P0.05)。 结论 阿米替林可能通过抑制星形胶质细胞激活,发挥治疗神经病理性疼痛作用。
Objective To investigate influence of amitriptyline on astrocytic activation in spinal cord of rats after spared nerve injury (SNI). Methods A total of 120 male SD rats were randomly divided into 4 groups with 30 rats in each group: control (A)
SNI (B)
amitriptyline (C)
and SNI+amitriptyline (D) groups
which respectively were treated with intraperitoneal injections of 0.2 ml normal saline (A and B)
10 mg/kg amitriptyline (C and D)
bid. The L
3
to L
6
segment of the s
pinal cord was isolated respectively at 1
3 and 5 d after surgery. Expression of glial fibrillary acidic protein (GFAP)
marker of astrocytes
was determined by immunofluorescence
Western blot assay and semiquantitative RT-PCR. The changes of mechanical pain threshold were measured. Results Compared with control
group B had a markedly decreased rat mechanical pain threshold (P0.05) and an obviously high expression of GFAP at both protein (0.38±0.24
0.84±0.31 and 1.36±0.43) and mRNA (0.55±0.14
0.86±0.16
1.32±0.32) levels at the corresponding time points. However
there was no significant change on these indexes between groups A and C. Mechanical pain threshold of rats in group D did not change any more in 3 and 5 d after surgery (4.5±1.5 and 4.9±1.4 g). In addition
the expression of GFAP at both protein (0.79±0.25
0.77±0.23) and mRNA (0.63±0.06
0.64±0.17) levels in group D were higher than those in control but still lower than those of group B (P0.05) in 3 and 5 d after surgery. Conclusion Amitriptyline inhibits the activation of astrocytes in SNI animals
which maybe one of its mechanisms in the treatment of neuropathic pain.
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