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文拉法辛对奥沙利铂诱发神经病理性疼痛的抑制作用及机制

Effects and Mechanism of Venlafaxine on Neuropathic Pain Induced by Oxaliplatin

  • 摘要: 目的 观察文拉法辛对抗奥沙利铂诱发神经病理性疼痛效果并探索其可能机制,进而为化疗相关神经病理性疼痛的治疗及预防提供实验数据和理论基础。 方法 Sprague–Dawley大鼠经侧尾静脉给予奥沙利铂4 mg/kg,每周2次,连续4周,共给药8次,建立奥沙利铂诱发神经病理性疼痛大鼠模型;von Frey纤维丝测定大鼠的机械刺激缩足反射阈值(mechanical withdrawal threshold,MWT)作为神经病理性疼痛大鼠模型痛觉反应指标;观察分别给予0.9%氯化钠溶液、文拉法辛7.5 mg/kg 、文拉法辛15 mg/kg连续4周,每天一次灌胃后测MWT动态变化,并通过免疫组织化学法测定第五腰椎背根神经节μ、κ、δ阿片受体表达差异。 结果 文拉法辛明显升高神经病理性疼痛模型大鼠的MWT值,文拉法辛7.5及15 mg/kg组较0.9%氯化钠溶液组μ、κ、δ阿片受体高表达(P<0.05)。 结论 文拉法辛可有效抑制奥沙利铂诱发神经病理性疼痛,其作用机制可能与诱导μ、κ、δ阿片受体表达升高有关。

     

    Abstract: Objective To investigate the effects of venlafaxine on chemotherapy-induced neuropathic pain and provide experimental evidence for clinical treatment. Methods Oxaliplatin was administered at 4 mg/kg,twice-weekly for four weeks by lateral tail vein to induce nociceptive peripheral neuropathy in 30 Sprague-Dawley rats, and then rats were randomly divided into three groups:saline group, venlafaxine 7.5 mg/kg group and venlafaxine 15 mg/kg group.Venlafaxine was administered orally once a day for 4 weeks.The paw reflex threshold,as pain response indicators after mechanical stimulation (mechanical withdrawal threshold,MWT) was detected by the von Frey cilia method.The μ,κ and δ opioid receptor expression in L5 dorsal root ganglion were analyzed by immunohistochemistry method. Results Venlafaxine significantly increased the MWT in the rats with oxaliplatin-induced neuropathic pain.All of the three kinds of opioid receptors expression were increased in two venlafaxine groups but in saline group. Conclusion Enlafaxine antagonizes oxaliplatin-induced neuropathic pain through up-regulation of μ,κ and δ opioid receptor.

     

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