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1.
Toxicol Lett ; 384: 86-95, 2023 Aug 01.
Article in English | MEDLINE | ID: mdl-37506855

ABSTRACT

Aconitine is a crucial toxic component in Chinese herbal medicines such as Aconitum, Aconitum coreanum, and Aconitum soongaricum. The poisoning symptoms of the central nervous system and cardiovascular system caused by it are relatively common in China, and there are many studies on cardiovascular system diseases caused by aconitine. However, the specific mechanism of neurotoxicity induced by aconitine is still unclear. This study explored the effect and mechanism of mitochondrial calcium uniporter on mitochondrial energy metabolism disorder in aconitine poisoning hippocampal neurons. The results showed that after treatment with 400µmol/L aconitine, mitochondrial energy metabolism was abnormal in rat hippocampal neuron cells, the expression of MCU in mitochondria was up-regulated, calcium overload in mitochondria, ATP production decreased, and mitochondrial membrane potential Changes, increased expression of the apoptosis gene Cleaved-Caspase-3. After treatment with the MCU agonist spermine, mitochondrial energy metabolism was significantly abnormal, and cell apoptosis was increased considerably. However, pretreatment with calcium ion channel inhibitor Ruthenium Red (RR) effectively promoted the generation of ATP, thereby improving mitochondrial energy metabolism disorders and reducing cell apoptosis. These results suggest that aconitine induces mitochondrial energy metabolism dysfunction in hippocampal neurons, which may be related to the increased expression of MCU.


Subject(s)
Aconitine , Calcium , Rats , Animals , Calcium/metabolism , Aconitine/toxicity , Mitochondria , Apoptosis , Adenosine Triphosphate/metabolism
2.
Biol Trace Elem Res ; 183(2): 226-232, 2018 Jun.
Article in English | MEDLINE | ID: mdl-28884459

ABSTRACT

The study aimed to explore the relationship of six kinds of mineral elements and diabetes among adults in northeast China. A cross-sectional survey was conducted in Jilin Province, northeast China. A total of 366 males and 204 females aged 18 ~ 77 years from Jingyu town, Dongliao town, and Changling town were included using a multistage stratified random cluster sampling design. Data was obtained from face to face interview, physical examination, and laboratory measurement. We defined the normal people (3.9 ~ 6.0 mmol/L), impaired fasting glucose (IFG) individuals (6.1 ~ 6.9 mmol/L), and diabetes mellitus (DM) (> 7.0 mmol/L) according to the WHO diagnostic criteria. Kruskal-Wallis test, Spearman rank correlation, as well as binary logistic regression were used to analyze influencing factors. lg(Cu/Zn)was correlated with DM (OR 8.390; 95% CI of OR 1.272-55.347). The specific mineral elements such as Zn, Ca, as well as Cu/Zn ratio may be the potential risk factors for diabetes. So, the supplement or reduction of these elements is supposed to be told to IFG to prevent or delay the occurrence of diabetes or DM to avoid its complication.


Subject(s)
Blood Glucose/metabolism , Diabetes Mellitus/metabolism , Adolescent , Adult , Aged , Calcium/blood , China , Copper/blood , Cross-Sectional Studies , Diabetes Mellitus/blood , Fasting/blood , Female , Glucose Intolerance/metabolism , Humans , Logistic Models , Male , Middle Aged , Young Adult , Zinc/blood
3.
Pak J Pharm Sci ; 28(3 Suppl): 1135-40, 2015 May.
Article in English | MEDLINE | ID: mdl-26051735

ABSTRACT

This study aimed to evaluate the anti-hyperglycemic effect of ethanol extract from Actinidia kolomikta (Maxim. etRur.) Maxim. root (AKE).An in vitro evaluation was performed by using rat intestinal α-glucosidase (maltase and sucrase), the key enzymes linked with type 2 diabetes. And an in vivo evaluation was also performed by loading maltose, sucrose, glucose to normal rats. As a result, AKE showed concentration-dependent inhibition effects on rat intestinal maltase and rat intestinal sucrase with IC(50) values of 1.83 and 1.03mg/mL, respectively. In normal rats, after loaded with maltose, sucrose and glucose, administration of AKE significantly reduced postprandial hyperglycemia, which is similar to acarbose used as an anti-diabetic drug. High contents of total phenolics (80.49 ± 0.05mg GAE/g extract) and total flavonoids (430.69 ± 0.91mg RE/g extract) were detected in AKE. In conclusion, AKE possessed anti-hyperglycemic effects and the possible mechanisms were associated with its inhibition on α-glucosidase and the improvement on insulin release and/or insulin sensitivity as well. The anti-hyperglycemic activity possessed by AKE maybe attributable to its high contents of phenolic and flavonoid compounds.


Subject(s)
Actinidia , Blood Glucose/drug effects , Hypoglycemic Agents/pharmacology , Intestines/drug effects , Plant Extracts/pharmacology , Actinidia/chemistry , Animals , Blood Glucose/metabolism , Dose-Response Relationship, Drug , Ethanol/chemistry , Flavonoids/pharmacology , Glucose Tolerance Test , Glycoside Hydrolase Inhibitors/pharmacology , Hypoglycemic Agents/chemistry , Hypoglycemic Agents/isolation & purification , Intestines/enzymology , Male , Phenols/pharmacology , Phytotherapy , Plant Extracts/chemistry , Plant Extracts/isolation & purification , Plant Roots , Plants, Medicinal , Rats, Sprague-Dawley , Solvents/chemistry , Sucrase/antagonists & inhibitors , Sucrase/metabolism , Time Factors , alpha-Glucosidases/metabolism
4.
Zhongguo Zhong Yao Za Zhi ; 40(23): 4634-8, 2015 Dec.
Article in Chinese | MEDLINE | ID: mdl-27141675

ABSTRACT

This study was to investigate the chemical constituents of the aerial part of Zygophyllumfabago, by phytochemical methods. The compounds were isolated by silica gel and Sephadex LH-20 column chromatographies from the EtOAc extract. Their structures were characterized by various spectroscopic data (1H-NMR, 13C-NMR, MS) and comparison with the literature. As a result, thirteen compounds were isolated and their structures were identified as 1-hydroxyhinesol(1), hinesol(2), atractylenolactam(3), beta-eudesmol (4), 5alpha-hydroperoxy-beta-eudesmol(5), 12-hydroxy-valenc-1(10)-en-2-one(6), pubinernoid A(7), (6S,7E)-6-hydroxy-4,7-megastigmadien-3,9-dione(8), 3-hydroxy-5alpha, 6alpha-epoxy-beta-ionone (9), (3S,5R, 6S, 7E)-3, 5, 6-trihydroxy-7-megastigmen-9-one(10), (6R,7E,9R)-9-hydroxy-4,7-megastigmadien-3-one(11), (S)-3-hydroxy-beta-ionone(12), and blumenol A(13). Compounds 1-7 were sesquiterpenoids and 8-13 were megastigmane type norsesquiterpenoids. All the compounds were obtained from Z. fabago for the first time, and compound 1 was a new natural product.


Subject(s)
Drugs, Chinese Herbal/chemistry , Terpenes/chemistry , Zygophyllum/chemistry , Drugs, Chinese Herbal/isolation & purification , Molecular Structure , Spectrometry, Mass, Electrospray Ionization , Terpenes/isolation & purification
5.
J Mol Med (Berl) ; 90(9): 1069-77, 2012 Sep.
Article in English | MEDLINE | ID: mdl-22391813

ABSTRACT

As a member of the GLI-Kruppel family of transcriptional factors, Yin Yang-1 (YY1) functions as an oncogene in various types of cancers. However, the role of YY1 in hepatocellular carcinogenesis remains unknown. In this report, we investigated the relevance of YY1 to hepatocellular carcinoma (HCC) development. We found that YY1 was upregulated in HCC cell lines. Ectopic YY1 expression promoted the growth of non-tumor liver cells that expressed low level of YY1. In contrast, YY1 depletion inhibited the growth of HCC cells which was accompanied with distinct morphological changes. Moreover, the phenotypic changes induced by YY1 depletion were attributed to cellular differentiation rather than cellular senescence. CCAAT/enhancer-binding protein alpha (CEBPA) which was important to regulate differentiation of hepatocytes was found as the direct target downregulated by YY1. Restoration of CEBPA in YY1-expressing HCC cells induced cellular differentiation and growth inhibition while knockdown of CEBPA expression in non-tumor liver cells promoted cell growth. In summary, our study demonstrated that YY1 could promote hepatocellular carcinogenesis and inhibit cellular differentiation through the downregulation of CEBPA expression.


Subject(s)
CCAAT-Enhancer-Binding Proteins/genetics , Carcinoma, Hepatocellular/genetics , Gene Expression Regulation, Neoplastic , Liver Neoplasms/genetics , YY1 Transcription Factor/metabolism , CCAAT-Enhancer-Binding Proteins/metabolism , Carcinoma, Hepatocellular/metabolism , Cell Differentiation , Cell Line , Cell Line, Tumor , DNA Methylation , Down-Regulation , Gene Deletion , Humans , Liver/cytology , Liver Neoplasms/metabolism , YY1 Transcription Factor/genetics
6.
Eur J Pain ; 12(7): 870-8, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18221900

ABSTRACT

Cancer pain impairs the quality of life of cancer patients, but opioid intervention can cause significant side effects that further decrease quality of life. Although electroacupuncture (EA) has been used to treat cancer pain, its mechanisms are largely unknown. To examine its effects and underlying mechanisms on cancer pain, we injected AT-3.1 prostate cancer cells into the tibia to induce bone cancer in the male Copenhagen rat. The resulting pain was treated with 10Hz/2mA/0.4ms pulse EA for 30min daily at the point equivalent to the human acupoint GB30 (Huantiao) between days 14 and 18 after the injection. For sham control, EA needles were inserted into GB30 without stimulation. Thermal hyperalgesia, a decrease in paw withdrawal latency (PWL) to a noxious thermal stimulus, and mechanical hyperalgesia, a decrease in paw withdrawal pressure threshold (PWPT), was measured at baseline and 20min after the EA treatment. Preprodynorphin mRNA and dynorphin were determined by RT-PCR and immunohistochemistry, respectively. Thermal and mechanical hyperalgesia developed ipsilaterally between days 12 and 18 after cancer cell inoculation. EA significantly (P<0.05) attenuated this hyperalgesia, as shown by increased PWL and PWPT, and inhibited up-regulation of preprodynorphin mRNA and dynorphin compared to sham control. Intrathecal injection of antiserum against dynorphin A (1-17) also significantly inhibited the cancer-induced hyperalgesia. These results suggest that EA alleviates bone cancer pain at least in part by suppressing dynorphin expression, and they support the clinical use of EA in the treatment of cancer pain.


Subject(s)
Acupuncture Analgesia , Adenocarcinoma/secondary , Bone Neoplasms/secondary , Dynorphins/biosynthesis , Electroacupuncture , Hyperalgesia/therapy , Protein Precursors/biosynthesis , Spinal Cord/metabolism , Adenocarcinoma/physiopathology , Animals , Bone Neoplasms/physiopathology , Cell Line, Tumor/transplantation , Down-Regulation , Dynorphins/antagonists & inhibitors , Dynorphins/genetics , Dynorphins/immunology , Hyperalgesia/etiology , Immune Sera , Immunization, Passive , Injections, Spinal , Male , Pain Threshold , Protein Precursors/genetics , Rats , Reaction Time , Tibia
7.
Anesth Analg ; 105(5): 1482-8, table of contents, 2007 Nov.
Article in English | MEDLINE | ID: mdl-17959986

ABSTRACT

BACKGROUND: Although pain affects the quality of life of cancer patients, current medical treatments are either ineffective or have side effects. In the present study we investigated the effect of electroacupuncture (EA) on cancer-induced hyperalgesia and expression of interleukin-1beta (IL-1beta), upregulation of which is related to the maintenance of persistent pain, in a rat model of bone cancer pain. METHODS: Cancer was induced by injecting AT-3.1 prostate cancer cells into the tibia of male Copenhagen rats. The resulting pain was treated with 10 Hz/2 mA/0.4 ms pulse EA for 30 min daily at the equivalent of the human acupoint GB30 (Huantiao) between Days 14 and 18 after cancer cell inoculation. For sham control, EA needles were inserted into GB30 without stimulation. Thermal hyperalgesia, a decrease in paw withdrawal latency to a noxious thermal stimulus, was measured at baseline and 20 min after EA treatment. IL-1beta and its mRNA were respectively determined by immunohistochemistry and reverse transcription-polymerase chain reaction analysis. RESULTS: Thermal hyperalgesia developed between Days 12 and 18 after cancer cell inoculation. EA significantly (P < 0.05) attenuated this hyperalgesia, increasing paw withdrawal latency from 7.0 +/- 0.3 s to 9.2 +/- 0.4 s, and inhibited the upregulation of IL-1beta and its mRNA compared to the sham control. Intrathecal injection of IL-1 receptor antagonist (IL-1ra, 0.1 mg/rat) also significantly inhibited cancer-induced thermal hyperalgesia. CONCLUSION: The data suggest that EA alleviates bone cancer pain, at least in part by suppressing IL-1beta expression. The results support the clinical use of EA in the treatment of cancer pain.


Subject(s)
Bone Neoplasms/metabolism , Bone Neoplasms/therapy , Electroacupuncture , Interleukin-1beta/antagonists & inhibitors , Interleukin-1beta/biosynthesis , Pain/metabolism , Spinal Cord/metabolism , Animals , Bone Neoplasms/complications , Disease Models, Animal , Electroacupuncture/methods , Gene Expression Regulation/physiology , Interleukin-1beta/genetics , Interleukin-1beta/physiology , Male , Pain/etiology , Pain/prevention & control , Rats
8.
Brain Res ; 1048(1-2): 235-40, 2005 Jun 28.
Article in English | MEDLINE | ID: mdl-15922310

ABSTRACT

Previous studies showed that electroacupuncture (EA) significantly attenuates inflammatory hyperalgesia in a complete Freund's adjuvant (CFA)-induced inflammatory pain rat model. The present study demonstrates that pretreatment with Derm-sap, a selective toxin for neurons that contain mu opioid receptor (MOR), specifically decreases MOR and blocks EA anti-hyperalgesia. These data suggest that spinal MOR-containing neurons are involved in the processes by which EA produces anti-hyperalgesia.


Subject(s)
Electroacupuncture/methods , Hindlimb/innervation , Hyperalgesia/therapy , Neurons/metabolism , Receptors, Opioid, mu/metabolism , Spinal Cord/cytology , Analysis of Variance , Animals , Blotting, Western/methods , Freund's Adjuvant/adverse effects , Hindlimb/drug effects , Hyperalgesia/etiology , Immunohistochemistry/methods , Inflammation/chemically induced , Inflammation/complications , Lectins/metabolism , Male , N-Glycosyl Hydrolases , Opioid Peptides , Pain Measurement/methods , Random Allocation , Rats , Rats, Sprague-Dawley , Reaction Time/drug effects , Receptors, Opioid, delta/metabolism , Recombinant Fusion Proteins/pharmacology , Ribosome Inactivating Proteins, Type 1 , Saporins , Skin/drug effects , Skin/innervation , Spinal Cord/drug effects , Spinal Cord/metabolism , Substance P/metabolism
9.
J Altern Complement Med ; 11(2): 323-31, 2005 Apr.
Article in English | MEDLINE | ID: mdl-15865500

ABSTRACT

OBJECTIVE: Ruxiang, or Gummi olibanum, an herbal medicine derived from the gum resin of Boswellia carterii Birdw. (BC) of the family Burseraceae, has been used traditionally in China to alleviate pain and reduce inflammation. The present study is an investigation of the effects of a BC extract on persistent hyperalgesia and edema in rats with peripheral inflammation. DESIGN: In this randomized, blinded study, the antihyperalgesic and antiedema effects of 3 dosages of BC were compared to a vehicle control. Inflammation was induced in rats by injecting complete Freund's adjuvant (CFA) into one hind paw. A single oral dose of the BC extract was administered daily for 7 days, beginning one day before CFA. Hyperalgesia was assessed using a paw withdrawal latency (PWL) test pre-CFA and 2 hours, 5 hours, 1 day, and 5 days post-CFA. Edema was determined by measuring paw thickness at the same time points. Spinal Fos protein expression was analyzed 2 hours post-CFA. Adverse effects of the extract were monitored by observing the animals closely for unusual behavioral changes. RESULTS: Compared to control, a dosage of 0.45 g/kg BC significantly lengthened PWL and reduced paw edema on day 5 post-CFA. At 0.90 g/kg, BC significantly lengthened PWL at 5 hours, 1 day, and 5 days, and reduced paw edema at 2 hours, 5 hours, 1 day, and 5 days. This dosage also significantly suppressed spinal Fos expression in the medial half of laminae I-II. At 1.80 g/kg, BC significantly lengthened PWL and reduced paw edema at all time points. No noticeable adverse effects were observed in animals given the lower dosages of BC, but adverse effects in some animals were observed at 1.80 g/kg per day. In the acute toxicity study, the maximal single dose of 2.50 g/kg produced no adverse effects in the treated rats during the 14 days of observation. CONCLUSIONS: The data suggest that BC produces significant antihyperalgesia and anti-inflammation effects and that the antihyperalgesia may be mediated by suppressed inflammation-induced Fos expression in the spinal dorsal horn neurons.


Subject(s)
Analgesics/therapeutic use , Boswellia , Hyperalgesia/drug therapy , Neurogenic Inflammation/drug therapy , Pain Threshold/drug effects , Phytotherapy , Animals , Behavior, Animal/drug effects , Freund's Adjuvant , Hyperalgesia/chemically induced , Male , Neurogenic Inflammation/complications , Neurogenic Inflammation/etiology , Plant Extracts/therapeutic use , Proto-Oncogene Proteins c-fos/metabolism , Random Allocation , Rats , Rats, Sprague-Dawley , Reaction Time/drug effects , Time Factors
10.
Brain Res ; 1044(1): 87-92, 2005 May 17.
Article in English | MEDLINE | ID: mdl-15862793

ABSTRACT

Our previous study showed that electroacupuncture (EA) significantly attenuated hyperalgesia in an animal model of persistent inflammatory pain. The present study was designed to show if Gi/o protein is involved in EA-produced anti-hyperalgesia. Spinal Gi/o-protein function was destroyed by intrathecal pretreatment with pertussis toxin (PTX). Seven days after the placement of an intrathecal PE-10 tube, PTX was injected into the intrathecal space of the lumbar spinal cord of rats. Seven days after PTX, complete Freund's adjuvant (CFA) was injected into the plantar surface of one hind paw of the rat to induce hyperalgesia in the injected paw. EA treatment was given at acupoint GB30 immediately post-CFA and then hyperalgesia was assessed by measuring the degree of decreased paw withdrawal latency (PWL) to a noxious thermal stimulus. The results showed that PTX pretreatment prevented EA-produced anti-hyperalgesia in the CFA inflammatory pain model but did not affect either baseline pain threshold or CFA-induced hyperalgesia. The data suggest that EA-produced anti-hyperalgesia is mediated by PTX-sensitive Gi/o proteins and the relevant signaling pathways.


Subject(s)
Electroacupuncture/methods , Hyperalgesia/therapy , Inflammation/therapy , Pertussis Toxin/administration & dosage , Animals , Behavior, Animal , Calcitonin Gene-Related Peptide/metabolism , Freund's Adjuvant , Hyperalgesia/etiology , Immunohistochemistry/methods , Inflammation/chemically induced , Inflammation/complications , Injections, Spinal/methods , Lectins/metabolism , Male , Pain Measurement , Rats , Rats, Sprague-Dawley , Reaction Time/drug effects , Reaction Time/radiation effects , Substance P/metabolism
11.
Neurosci Lett ; 384(3): 339-43, 2005 Aug 26.
Article in English | MEDLINE | ID: mdl-15908113

ABSTRACT

It has been demonstrated that electroacupuncture (EA) significantly suppresses behavioral hyperalgesia in a rat model of persistent inflammatory pain and that neurokinin-1 (NK-1)/substance P (SP) receptors play important roles in nociception and hyperalgesia at the spinal cord level. The present study investigated spinal NK-1 receptor involvement in EA-produced suppression of hyperalgesia in a rat model of persistent inflammatory pain. The results showed that hind paw inflammation induced a significant increase of NK-1 receptor expression in the spinal dorsal horn and that this effect was significantly suppressed by EA. This suggests that EA-induced suppression of hyperalgesia is involved, at least partly, in the suppression of the spinal NK-1 receptors induced by sustained peripheral nociceptive input.


Subject(s)
Electroacupuncture/methods , Hyperalgesia/metabolism , Hyperalgesia/therapy , Inflammation/metabolism , Receptors, Neurokinin-1/metabolism , Spinal Cord/metabolism , Animals , Chronic Disease , Down-Regulation , Freund's Adjuvant , Hyperalgesia/etiology , Inflammation/chemically induced , Inflammation/therapy , Male , Rats , Rats, Sprague-Dawley , Treatment Outcome
12.
Pharmacol Biochem Behav ; 81(1): 146-51, 2005 May.
Article in English | MEDLINE | ID: mdl-15894072

ABSTRACT

Our previous study showed that electroacupuncture (EA), an adjuvant to conventional medicine, significantly attenuated hyperalgesia in a rat model of inflammatory pain. In the present study, we evaluated the potential additive and/or synergism of EA and a sub-effective dose of dizocilpine maleate (MK-801), a non-competitive N-methyl-d-aspartate (NMDA) receptor antagonist, on hyperalgesia in the same rat model of inflammatory pain. Hyperalgesia, manifesting as decreased paw withdrawal latency (PWL) to a noxious stimulus, was induced by injecting complete Freund's adjuvant (CFA) into the plantar surface of one hind paw of each rat. EA treatments were given at acupoint GB30 immediately after and 2 h after CFA. MK-801 at 0.001 mg/rat was given (i.t.) 10 min before each of the two EA treatments. PWL was measured prior to and 2.5 and 5 h post-CFA. Ten and 100 Hz EA significantly inhibited CFA-induced hind paw hyperalgesia. Both 10 and 100 Hz EA combined with the sub-effective dose of 0.001 mg/rat MK-801 showed prolonged anti-hyperalgesia with no side effects. These results demonstrate that EA combined with a sub-effective dose of this NMDA receptor antagonist enhances anti-hyperalgesia, and this combination may provide an effective strategy for pain management.


Subject(s)
Analgesia/methods , Dizocilpine Maleate/therapeutic use , Electroacupuncture/methods , Hyperalgesia/therapy , Animals , Hyperalgesia/drug therapy , Inflammation/drug therapy , Inflammation/therapy , Male , Pain Measurement/drug effects , Pain Measurement/methods , Rats , Rats, Sprague-Dawley
13.
J Altern Complement Med ; 11(1): 135-42, 2005 Feb.
Article in English | MEDLINE | ID: mdl-15750372

ABSTRACT

BACKGROUND: Acupuncture has traditionally been used in China and is being increasingly applied in Western countries to treat a variety of conditions, including inflammatory disease. However, clinical trials investigating the effectiveness of the anti-inflammatory effects of acupuncture have yielded inconsistent results, and the underlying mechanisms of acupuncture-produced anti-inflammation are unclear. OBJECTIVE: To evaluate the effectiveness of electroacupuncture (EA) on inflammation in a rat model. MATERIALS AND METHODS: Four experiments were conducted on male Sprague-Dawley rats (n = 8-9 per group). Inflammation was induced by injecting complete Freund's adjuvant (CFA) subcutaneously into the plantar surface of one hind paw of the rat. Experiment 1: To determine the effect of EA (10 and 100 Hz) versus sham treatment on inflammation. Experiment 2: To investigate the involvement of the adrenal glands on the effect of EA treatment using adrenalectomized (ADX) rats. Experiment 3: To determine the effects of EA on plasma levels of corticosterone. Experiment 4: To determine the effects of EA treatment versus immobilization on such stress indicators as heart rate and blood pressure. RESULTS: At 10 Hz EA significantly reduced CFA-induced hind paw edema. The effect was partially blocked in the ADX rats. EA significantly increased plasma levels of corticosterone but produced no noticeable signs of stress. CONCLUSION: At 10 Hz but not 100 Hz, EA suppresses inflammation by activating the hypothalamus-pituitary-adrenal axis (HPA) and the nervous system.


Subject(s)
Electroacupuncture/methods , Neurogenic Inflammation/therapy , Pain Management , Analysis of Variance , Animals , Disease Models, Animal , Enzyme-Linked Immunosorbent Assay , Freund's Adjuvant , Male , Neurogenic Inflammation/chemically induced , Pain/chemically induced , Pituitary-Adrenal System/physiopathology , Rats , Rats, Sprague-Dawley , Time Factors
14.
Brain Res ; 1020(1-2): 12-7, 2004 Sep 10.
Article in English | MEDLINE | ID: mdl-15312782

ABSTRACT

Our previous study showed that electroacupuncture (EA) significantly attenuated inflammatory hyperalgesia. It has also been reported that EA analgesia in uninjured animals is mediated by mu and delta opioid receptors at 2-15 Hz and by kappa opioid receptor at 100 Hz. Because persistent pain changes neural response to external stimulation, we hypothesized that (1) the mechanisms of EA anti-hyperalgesia may be different under conditions of persistent pain and that (2) combining EA with a sub-effective dose of morphine could enhance EA anti-hyperalgesia. Hyperalgesia, decreased paw withdrawal latency (PWL) to a noxious thermal stimulus, was induced by subcutaneously injecting complete Freund's adjuvant (CFA) into the hind paws of rats. Selective antagonists against mu (D-Phe-Cys-Tyr-D-Trp-Orn-Thr-Pen-ThrNH2, CTOP), delta (naltrinodole, NTI) and kappa (nor-binaltorphimine, BNI) opioid receptors were administered intrathecally 10 min before each of two EA treatments at acupoint Huantiao (GB30), one immediately post and the other 2 h post-CFA. Morphine was given (i.p.) 40 min before the second EA treatment. PWL was measured before and 2.5 and 5 h post-CFA. Both 10 and 100 Hz EA-produced anti-hyperalgesia were blocked spinally by mu- and delta- but not kappa-receptor antagonists. EA combined with a sub-threshold dose of morphine (2.5 mg/kg) enhanced anti-hyperalgesia additively (10 Hz EA) or synergistically (100 Hz EA) compared to that produced by each component alone. These results suggest selective involvement of mu and delta, but not kappa, receptors in EA-produced anti-hyperalgesia in rats. A combined EA and opioid drug protocol may provide an improved treatment strategy for inflammatory pain.


Subject(s)
Electroacupuncture , Hyperalgesia/therapy , Pain Management , Pain/physiopathology , Receptors, Opioid/metabolism , Analgesics, Opioid/pharmacology , Analysis of Variance , Animals , Chronic Disease , Combined Modality Therapy , Disease Models, Animal , Hyperalgesia/physiopathology , Inflammation/complications , Inflammation/physiopathology , Inflammation/therapy , Injections, Spinal , Male , Morphine/pharmacology , Narcotic Antagonists/administration & dosage , Pain/etiology , Random Allocation , Rats , Rats, Sprague-Dawley , Reaction Time/drug effects , Receptors, Opioid/classification
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