Cytokine mRNA expression in painful radiculopathy.

Cytokine mRNA expression in painful radiculopathy.
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DOI:
10.1016/j.jpain.2008.07.008
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发表时间:
2009-01
期刊:
The journal of pain
影响因子:
--
通讯作者:
Winkelstein BA
Winkelstein BA
中科院分区:
其他
文献类型:
--
作者:
Rothman SM;Huang Z;Lee KE;Weisshaar CL;Winkelstein BA

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Inflammatory cytokines contribute to lumbar radiculopathy. Regulation of cytokines for transient cervical injuries, with or without longer-lasting inflammation, remains to be defined. The C7 root in the rat underwent compression (10gf), chromic gut suture exposure (chr), or their combination (10gf+chr). Ipsilateral C7 spinal cord and dorsal root ganglia (DRG) were harvested at 1 hour after injury for real-time PCR analysis of IL-1β, IL-6 and TNFα. Cytokine mRNA increased following all three injuries. TNFα mRNA in the DRG was significantly increased over sham following 10gf+chr (p=0.026). Spinal IL-1β was significantly increased over sham following 10gf and 10gf+chr (p<0.024); IL-6 was significantly increased after 10gf+chr (p<0.024). In separate studies, the soluble TNFα receptor was administered at injury and again at 6 hours in all injury paradigms. Allodynia was assessed and tissue samples were harvested for cytokine PCR. Allodynia significantly decreased with receptor administration for 10gf and 10gf+chr (p<0.005). Treatment also significantly decreased IL-1β and TNFα mRNA in the DRG for 10gf+chr (p<0.028) at day 1. Results indicate an acute, robust cytokine response in cervical nerve root injury with varying patterns dependent on injury type, and that early increases in TNFα mRNA in the DRG may drive pain-related signaling for transient cervical injuries. Inflammatory cytokine mRNA in the DRG and spinal cord are defined following painful cervical nerve root injury. Studies describe a role for TNFα in mediating behavioral sensitivity and inflammatory cytokines in transient painful radiculopathy. Results outline an early response of inflammatory cytokine upregulation in cervical pain.
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