Activated glial cells (microglia and astroglia) in the spinal cord play a major role in mediating enhanced pain states by releasing proinflammatory cytokines and other substances thought to facilitate pain transmission. In the present study, we report that intrathecal administration of minocycline, a selective inhibitor of microglial cell activation, inhibits low threshold mechanical allodynia, as measured by the von Frey test, in two models of pain facilitation. In a rat model of neuropathic pain induced by sciatic nerve inflammation (sciatic inflammatory neuropathy, SIN), minocycline delayed the induction of allodynia in both acute and persistent paradigms. Moreover, minocycline was able to attenuate established SIN-induced allodynia 1 day, but not 1 week later, suggesting a limited role of microglial activation in more perseverative pain states. Our data are consistent with a crucial role for microglial cells in initiating, rather than maintaining, enhanced pain responses. In a model of spinal immune activation by intrathecal HIV-1 gp120, we show that the anti-allodynic effects of minocycline are associated with decreased microglial activation, attenuated mRNA expression of interleukin-1beta (IL-1beta), tumor necrosis factor-alpha (TNF-alpha), IL-1beta-converting enzyme, TNF-alpha-converting enzyme, IL-1 receptor antagonist and IL-10 in lumbar dorsal spinal cord, and reduced IL-1beta and TNF-alpha levels in the CSF. In contrast, no significant effects of minocycline were observed on gp120-induced IL-6 and cyclooxygenase-2 expression in spinal cord or CSF IL-6 levels. Taken together these data highlight the importance of microglial activation in the development of exaggerated pain states.

译文

脊髓中活化的神经胶质细胞 (小胶质细胞和星形胶质细胞) 通过释放促炎细胞因子和其他被认为有助于疼痛传递的物质,在介导增强的疼痛状态中起主要作用。在本研究中,我们报告在两种疼痛促进模型中,鞘内施用米诺环素 (一种小胶质细胞活化的选择性抑制剂) 可抑制低阈值机械性异常性疼痛,这是通过von Frey测试测得的。在由坐骨神经炎症 (坐骨神经炎性神经病,SIN) 引起的神经性疼痛的大鼠模型中,米诺环素在急性和持续性范例中均延迟了异常性疼痛的诱导。此外,米诺环素能够减轻SIN诱导的异常性疼痛1天,但不能在1周后减弱,这表明小胶质细胞激活在更持续的疼痛状态中的作用有限。我们的数据与小胶质细胞在启动而不是维持增强的疼痛反应中的关键作用一致。在鞘内HIV-1 gp120激活脊髓免疫模型中,我们发现米诺环素的抗异常性作用与减少小胶质细胞活化,减弱interleukin-1beta (IL-1beta),肿瘤坏死因子-α (TNF-α),IL-1beta-converting酶,TNF-α 转化酶,IL-1受体拮抗剂和IL-10在腰背脊髓中,并降低CSF中的IL-1beta和TNF-α 水平。相反,没有观察到米诺环素对脊髓或CSF IL-6水平的gp120-induced IL-6和cyclooxygenase-2表达的显着影响。综合起来,这些数据突出了小胶质细胞激活在过度疼痛状态发展中的重要性。

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