Kim Hee Kee, Park Soon Kwon, Zhou Jun-Li, Taglialatela Giulio, Chung Kyungsoon, Coggeshall Richard E, Chung Jin Mo
Department of Neuroscience and Cell Biology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-1069, USA.
Pain. 2004 Sep;111(1-2):116-24. doi: 10.1016/j.pain.2004.06.008.
Reactive oxygen species (ROS) are free radicals produced in biological systems that are involved in various degenerative brain diseases. The present study tests the hypothesis that ROS also play an important role in neuropathic pain. In the rat spinal nerve ligation (SNL) model of neuropathic pain, mechanical allodynia develops fully 3 days after nerve ligation and persists for many weeks. Systemic injection of a ROS scavenger, phenyl-N-tert-butylnitrone (PBN), relieves SNL-induced mechanical allodynia in a dose-dependent manner. Repeated injections cause no development of tolerance or no loss of potency. Preemptive treatment with PBN is also effective in preventing full development of neuropathic pain behavior. Systemic injection was mimicked by intrathecal injection with a little less efficacy, while intracerebroventricular administration produced a much smaller effect. These data suggest that PBN exerts its anti-allodynic action mainly by spinal mechanisms. Systemic treatment with other spin-trap reagents, 5,5-dimethylpyrroline-N-oxide and nitrosobenzene, showed similar analgesic effects, suggesting that ROS are critically involved in the development and maintenance of neuropathic pain. Thus this study suggests that systemic administration of non-toxic doses of free radical scavengers could be useful for treatment of neuropathic pain.
活性氧(ROS)是生物系统中产生的自由基,与多种退行性脑病有关。本研究检验了ROS在神经性疼痛中也起重要作用这一假设。在神经性疼痛的大鼠坐骨神经结扎(SNL)模型中,神经结扎3天后机械性异常性疼痛完全出现,并持续数周。全身注射ROS清除剂苯基 - N - 叔丁基硝酮(PBN)可剂量依赖性地减轻SNL诱导的机械性异常性疼痛。重复注射不会产生耐受性或效力丧失。PBN的预防性治疗在预防神经性疼痛行为的完全发展方面也有效。鞘内注射模拟全身注射,但效果稍差,而脑室内给药产生的效果要小得多。这些数据表明,PBN主要通过脊髓机制发挥其抗异常性疼痛作用。用其他自旋捕获试剂5,5 - 二甲基吡咯啉 - N - 氧化物和亚硝基苯进行全身治疗显示出类似的镇痛效果,表明ROS在神经性疼痛的发生和维持中起关键作用。因此,本研究表明,全身给予无毒剂量的自由基清除剂可能对治疗神经性疼痛有用。