Electroacupuncture improves thermal and mechanical sensitivities in a rat model of postherpetic neuralgia.

Electroacupuncture improves thermal and mechanical sensitivities in a rat model of postherpetic neuralgia.
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电针改善带状疱疹后神经痛大鼠模型的热和机械敏感性

DOI:
10.1186/1744-8069-9-18
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发表时间:
2013-04-03
期刊:
影响因子:
3.3
通讯作者:
Li M
Li M
中科院分区:
医学3区
文献类型:
--
作者:
Wu CH;Lv ZT;Zhao Y;Gao Y;Li JQ;Gao F;Meng XF;Tian B;Shi J;Pan HL;Li M

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BackgroundElectroacupuncture (EA) is effective in relieving pain in patients with postherpetic neuralgia (PHN). However, the mechanism underlying the therapeutic effect of EA in PHN is still unclear. Systemic injection of resiniferatoxin (RTX), an ultrapotent analog of TRPV1 agonist, in adult rats can reproduce the clinical symptoms of PHN by ablating TRPV1-expressing sensory neurons. In this study, we determined the beneficial effect of EA and the potential mechanisms in this rat model of PHN.MethodsPHN was induced in rats by a single injection of RTX. Thermal hyperalgesia was tested with a radiant heat stimulus, and mechanical allodynia was quantified with von Frey filaments. TRPV1 receptors were shown by using immunofluorescence labeling. The ultrastructural changes of the sciatic nerve were assessed by electron microscopic examination. The sprouting of myelinated primary afferent terminals into the spinal dorsal horn was mapped by using the transganglionic tracer cholera toxin B-subunit (CTB).ResultsRTX injection diminished thermal sensitivity and gradually induced tactile allodynia within 3 weeks. EA applied to GB30 and GB34 at 2 and 15 Hz, but not 100 Hz, significantly increased the thermal sensitivity 4 weeks after treatment and decreased the tactile allodynia 2 weeks after treatment in RTX-treated rats. EA treatment at 2 and 15 Hz recovered the loss of TRPV1-positive dorsal root ganglion neurons and their central terminals of afferent fibers in the spinal superficial dorsal horn of RTX-treated rats. Moreover, EA significantly reduced the loss of unmyelinated fibers and the damage of the myelinated nerve fibers of RTX-treated rats. Furthermore, EA at 2 and 15 Hz inhibited the sprouting of myelinated primary afferent terminals into the spinal lamina II of RTX-treated rats.ConclusionsEA treatment improves thermal perception by recovering TRPV1-positive sensory neurons and nerve terminals damaged by RTX. EA Also reduces RTX-induced tactile allodynia by attenuating the damage of myelinated afferent nerves and their abnormal sprouting into the spinal lamina II. Our study provides new information about the mechanisms of the therapeutic actions of EA in the treatment of PHN.
DOI: 10.1093/brain/117.3.579
发表时间: 1994-06-01
期刊: BRAIN
影响因子: 14.5
作者:
KOLTZENBURG, M;TOREBJORK, HE;WAHREN, LK
通讯作者: WAHREN, LK
DOI: 10.1089/neu.2010.1351
发表时间: 2010-10-01
影响因子: 4.2
作者:
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通讯作者: Narayana, Ponnada A.
内源性 Anandamide 和大麻素受体 2 有助于大鼠电针镇痛
DOI: 10.1016/j.jpain.2008.12.012
发表时间: 2009-07-01
期刊: JOURNAL OF PAIN
影响因子: 4
作者:
Chen, Lin;Zhang, Jing;Li, Man
通讯作者: Li, Man
DOI: 10.1213/ane.0b013e3181e9f62f
发表时间: 2010-09-01
影响因子: 5.7
作者:
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DOI: 10.1016/s0306-4522(02)00372-x
发表时间: 2002-01-01
期刊: NEUROSCIENCE
影响因子: 3.3
作者:
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通讯作者: Pan, HL