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阻断BDNF-TrkB通路后运动训练对脊髓损伤大鼠痉挛状态及KCC2表达的影响 被引量:6
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作者 李向哲 丁洁 +5 位作者 方露 谢财忠 王庆华 董传明 王彤 吴勤峰 《中华物理医学与康复杂志》 CAS CSCD 北大核心 2020年第7期588-593,共6页
目的探讨阻断脑源性神经营养因子(BDNF)-酪氨酸激酶受体B(TrkB)通路后运动训练对脊髓损伤(SCI)大鼠痉挛状态及钾-氯协同转运蛋白2(KCC2)表达的影响。方法将40只雌性SD大鼠按随机数字表法分为假手术组(Sham组)、SCI+磷酸盐缓冲液组(SCI/... 目的探讨阻断脑源性神经营养因子(BDNF)-酪氨酸激酶受体B(TrkB)通路后运动训练对脊髓损伤(SCI)大鼠痉挛状态及钾-氯协同转运蛋白2(KCC2)表达的影响。方法将40只雌性SD大鼠按随机数字表法分为假手术组(Sham组)、SCI+磷酸盐缓冲液组(SCI/PBS组)、SCI-运动训练+PBS组(SCI-TT/PBS组)、SCI/TrkB-IgG组和SCI-TT/TrkB-IgG组。于SCI前1周对所有大鼠进行鞘内置管,置管1周后制作T10不完全SCI大鼠模型,Sham组仅暴露脊髓。于SCI制模术后第7天,使用TrkB-IgG阻断SCI/TrkB-IgG和SCI-TT/TrkB-IgG组的BDNF-TrkB信号通路,其余三组使用PBS进行对照。SCI后第8天,SCI-TT/PBS组和SCI-TT/TrkB-IgG组进行4周的减重平板训练。使用Asworth评定法和H反射(H-max/M-max比值)评估大鼠后肢的痉挛状态。实验结束后采用Western Blot和免疫组化技术检测各组大鼠损伤远段脊髓KCC2的表达情况。结果SCI后1~5周,4组SCI大鼠的Ashworth痉挛分级均较Sham组增加。SCI后3~5周,SCI-TT/PBS组Ashworth痉挛分级明显小于SCI/PBS组和SCI/TrkB-IgG组(P<0.05);SCI后第5周,SCI-TT/PBS组Ashworth痉挛分级小于SCI-TT/TrkB-IgG组(P<0.05);SCI后1~5周,Sham组H-max/M-max比值保持不变,均低于4组SCI大鼠(P<0.05)。SCI后第1周和第2周,4组SCI大鼠H-max/M-max比值差异无统计学意义(P>0.05)。SCI后3~5周,SCI-TT/PBS组H-max/M-max比值明显低于SCI/PBS组、SCI/TrkB-IgG组和SCI-TT/TrkB-IgG组(P<0.05)。SCI后4~5周,SCI-TT/TrkB-IgG组H-max/M-max比值明显低于SCI/TrkB-IgG组(P<0.05)。KCC2免疫组化及Western Blot结果显示,SCI 5周后,4组SCI大鼠的损伤远端脊髓前角KCC2的表达量较Sham组明显减少(P<0.05)。运动训练可明显增加SCI-TT/PBS组KCC2的表达量,其免疫强度和相对光密度值均高于SCI/PBS组、SCI/TrkB-IgG组和SCI-TT/TrkB-IgG组(P<0.05)。而SCI/TrkB-IgG组与SCI-TT/TrkB-IgG组差异无统计学意义(P>0.05)。结论减重平板训练可通过BDNF-TrkB信号通路改善SCI大鼠的痉挛状态并促进损伤远端脊髓 展开更多
关键词 脊髓损伤 减重平板训练 痉挛状态 脑源性神经营养因子 钾-氯协同转运蛋白2
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Analgesic effect of intrathecal bumetanide is accompanied by changes in spinal sodium-potassium-chloride co-transporter 1 and potassium-chloride co-transporter 2 expression in a rat model of incisional pain 被引量:2
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作者 Yanbing He Shiyuan Xu +1 位作者 Junjie Huang Qingjuan Gong 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第10期1055-1062,共8页
Accumulating evidence has demonstrated that the sodium-potassium-chloride co-transporter 1 and potassium-chloride co-transporter 2 have a role in the modulation of pain transmission at the spinal level through chlorid... Accumulating evidence has demonstrated that the sodium-potassium-chloride co-transporter 1 and potassium-chloride co-transporter 2 have a role in the modulation of pain transmission at the spinal level through chloride regulation in the pain pathway and by effecting neuronal excitability and pain sensitization. The present study aimed to investigate the analgesic effect of the speciifc sodium-potassium-chloride co-transporter 1 inhibitor bumetanide, and the change in spinal sodium-potassium-chloride co-transporter 1 and potassium-chloride co-transporter 2 expression in a rat model of incisional pain. Results showed that intrathecal bumetanide could decrease cumulative pain scores, and could increase thermal and mechanical pain thresholds in a rat model of incisional pain. Sodium-potassium-chloride co-transporter 1 expression in-creased in neurons from dorsal root ganglion and the deep laminae of the ipsilateral dorsal horn following incision. By contrast, potassium-chloride co-transporter 2 expression decreased in neurons of the deep laminae from the ipsilateral dorsal horn. These ifndings suggest that spinal sodium-potassium-chloride co-transporter 1 expression was up-regulated and spinal potassi-um-chloride co-transporter 2 expression was down-regulated following incision. Intrathecal bumetanide has analgesic effects on incisional pain through inhibition of sodium-potassi-um-chloride co-transporter 1. 展开更多
关键词 nerve regeneration sodium-potassium-chloride co-transporter 1 potassium-chloride co-transporter 2 BUMETANIDE spinal cord dorsal root ganglion incision model postoperative pain neural regeneration
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神经病理性痛大鼠脊髓背角钾氯共转运体的表达 被引量:3
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作者 张晓琴 陈国强 +1 位作者 薛庆生 于布为 《上海医学》 CAS CSCD 北大核心 2010年第4期312-315,共4页
目的观察左侧坐骨神经分支选择结扎切断(SNI)模型致神经病理性痛大鼠的脊髓背角钾氯共转运体(KCC2)表达的变化。方法将27只健康成年雄性Sprague-Dawley大鼠随机分为SNI组(18只)和假手术组(9只)。SNI组大鼠暴露坐骨神经及其3个末端分支(... 目的观察左侧坐骨神经分支选择结扎切断(SNI)模型致神经病理性痛大鼠的脊髓背角钾氯共转运体(KCC2)表达的变化。方法将27只健康成年雄性Sprague-Dawley大鼠随机分为SNI组(18只)和假手术组(9只)。SNI组大鼠暴露坐骨神经及其3个末端分支(腓肠神经、腓总神经和胫神经),结扎并切断腓总神经和胫神经,保留腓肠神经完整;假手术组大鼠仅暴露坐骨神经及其分支,不切断。应用vonFrey纤毛检测SNI术后不同时间段的大鼠机械痛阈值;应用免疫印迹技术观察SNI术后不同时间相应的脊髓腰膨大(L4、L5)节段脊髓背角KCC2的表达。结果术后1、3、5、7d,SNI组大鼠左侧后肢的缩足阈值呈显著下降趋势,分别为(3.23±0.49)、(0.60±0.09)、(0.38±0.07)、(0.21±0.06)g,并且在随后的观察期内一直维持在这一低水平。术后1、3、5d,SNI组大鼠腰膨大节段脊髓的左侧背角KCC2的表达量(即KCC2表达量与内参α-tublin表达量的比值)为0.97±0.09、0.32±0.10、0.53±0.15,分别较右侧的1.27±0.08、0.63±0.09、1.11±0.18显著减少(P值均<0.05);术后3d,右侧的表达量为0.63±0.09,较假手术组的1.15±0.13显著下降(P<0.05);至术后7d,脊髓背角两侧KCC2的表达量基本恢复正常水平。结论 SNI模型可致病理性神经痛早期损伤侧脊髓背角KCC2的表达明显减少,可能在慢性神经病理性痛的发展过程中发挥作用。 展开更多
关键词 钾氯共转运体 神经病理性痛 机械痛敏
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