Evidence for a Role of Endocannabinoids, Astrocytes and p38 Phosphorylation in the Resolution of Postoperative Pain 英文参考文献.docVIP
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Evidence for a Role of Endocannabinoids, Astrocytes and p38 Phosphorylation in the Resolution of Postoperative Pain 英文参考文献
EvidenceforaRoleofEndocannabinoids,Astrocytesand
p38PhosphorylationintheResolutionofPostoperative
Pain
MatthewS.Alkaitis1,2,CarlosSolorzano3,RussellP.Landry1,4,DanielePiomelli3,JoyceA.DeLeo1,4,5,
E.AlfonsoRomero-Sandoval1,4,5
*
1Neuroscience Center at Dartmouth, Dartmouth Medical School, Lebanon, New Hampshire, United States of America, 2Nuffield Department of Clinical Laboratory
Sciences,UniversityofOxford,Oxford,UnitedKingdom,3DepartmentsofPharmacologyandBiologicalChemistry,UniversityofCaliforniaIrvine,Irvine,California,United
StatesofAmerica,4DepartmentofAnesthesiology,DartmouthMedicalSchool,Lebanon,NewHampshire,UnitedStatesofAmerica,5DepartmentofPharmacologyand
Toxicology,DartmouthMedicalSchool,Lebanon,NewHampshire,UnitedStatesofAmerica
Abstract
Background: An alarming portion of patients develop persistent or chronic pain following surgical procedures, but the
mechanismsunderlyingthetransitionfromacutetochronicpainstatesarenotfullyunderstood.Ingeneral,endocannabinoids
(ECBs)inhibitnociceptiveprocessingbystimulatingcannabinoidreceptorstype1(CB1)andtype2(CB2).Wehavepreviously
shown that intrathecal administration of a CB2 receptor agonist reverses both surgical incision-induced behavioral
hypersensitivity and associated over-expression of spinal glial markers. We therefore hypothesized that endocannabinoid
signalingpromotestheresolutionofacutepostoperativepainbymodulatingpro-inflammatorysignalinginspinalcordglialcells.
Methodology/PrincipalFindings: Totestthishypothesis,ratsreceivingpawincisionsurgerywereusedasamodelofacute
postoperativepainthatspontaneouslyresolves.WefirstcharacterizedtheconcentrationofECBsandlocalizationofCB1and
CB2 receptors in the spinal cord following paw incision. We then administered concomitant CB1 and CB2
receptor
21
antagonists/inverse agonists (AM281 and AM630, 1 mg.kg each, i.p.) during the acute phase of paw incision-induced
mechanicalallodyniaandevaluatedtheexpressionofglialcellmarkersandphosphorylatedp38(aMAPKassociatedwith
infl
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