Narita Minoru, Miyoshi Kan, Narita Michiko, Suzuki Tsutomu
Department of Toxicology, Hoshi University School of Pharmacy and Pharmaceutical Sciences, 2-4-41 Ebara, Shinagawa-ku, Tokyo 142-8501, Japan.
Life Sci. 2007 Feb 6;80(9):852-9. doi: 10.1016/j.lfs.2006.11.015. Epub 2006 Nov 15.
Chronic ethanol consumption produces painful neuropathy for which there is no reliably successful therapy, largely due to a lack of understanding of the central mechanisms that underlie the development of the neuropathic pain-like state induced by chronic ethanol treatment. The aim of this study was to investigate what mechanisms contribute to the neuropathic pain-like state induced by chronic ethanol treatment in rats. Mechanical hyperalgesia was clearly observed during ethanol consumption and even after ethanol withdrawal, and lasted for 14 weeks. This hyperalgesia was significantly attenuated by repeated i.p. injection of ifenprodil, a selective NR2B subunit-containing NMDA receptor antagonist. Under these conditions, mRNA and protein levels of NR1, NR2A and NR2B subunits did not change in the spinal cord of chronic ethanol-fed rats. Interestingly, phosphorylated-Ser-1303 NR2B (p-Ser1303-NR2B) subunit was significantly increased in the spinal cord of chronic ethanol-fed rats, whereas p-Tyr1472-NR2B was not affected in the superficial spinal dorsal horn of ethanol-fed rats. These findings suggest that spinal p-Ser1303-NR2B plays a significant role in the development of the ethanol-dependent neuropathic pain-like state in rats.
长期摄入乙醇会引发疼痛性神经病变,对此尚无可靠的成功治疗方法,这主要是因为对慢性乙醇处理诱导的神经性疼痛样状态发展的中枢机制缺乏了解。本研究的目的是探究哪些机制导致了大鼠慢性乙醇处理诱导的神经性疼痛样状态。在乙醇摄入期间甚至戒断后均明显观察到机械性痛觉过敏,且持续了14周。重复腹腔注射ifenprodil(一种选择性含NR2B亚基的NMDA受体拮抗剂)可显著减轻这种痛觉过敏。在这些条件下,慢性乙醇喂养大鼠脊髓中NR1、NR2A和NR2B亚基的mRNA和蛋白质水平没有变化。有趣的是,慢性乙醇喂养大鼠脊髓中磷酸化的Ser-1303 NR2B(p-Ser1303-NR2B)亚基显著增加,而p-Tyr1472-NR2B在乙醇喂养大鼠脊髓背角浅层未受影响。这些发现表明,脊髓p-Ser1303-NR2B在大鼠乙醇依赖性神经性疼痛样状态的发展中起重要作用。