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作 者:王立中[1] 邬万新 刘霞[2] 柴荣奎[4] 汤蓓蕾
机构地区:[1]浙江省嘉兴市妇幼保健院嘉兴市市立三一医院麻醉科,314000 [2]浙江省嘉兴市妇幼保健院嘉兴市市立三一医院妇产科,314000 [3]嘉兴市第一医院病理科 [4]嘉兴学院医学院病理教研室
出 处:《中华麻醉学杂志》2009年第2期133-135,共3页Chinese Journal of Anesthesiology
基 金:浙江省医药卫生科学研究基金项目(20068130);嘉兴市科技计划项目(2006AZ2011)
摘 要:目的探讨脊髓背角神经元细胞外信号调节激酶(ERK)是否参与急性内脏痛的形成。方法第一部分成年雌性SD大鼠30只,随机分为5组(n=6),假手术组(S组)不行宫颈扩张,UCD25组、UCD50组、UCD75组和UCD100组分别采用25、50、75、100g的强度进行宫颈扩张10s,10min后处死大鼠,采用免疫组化方法测定颈段(C5-8)、胸段(T5-8)、胸腰段(T12-L2)及腰骶段(L6~S1)脊髓背角神经元磷酸化ERK1/ERK2(p-ERK1/ERK2)表达水平。第二部分成年雌性SD大鼠20只,宫颈扩张(强度为75g)10s,于宫颈扩张后10、30、60及120min时分别处死5只大鼠,测定胸腰段(T12-L2)p—ERK1/ERK2表达水平。结果与S组比较,其它各组胸腰段p-ERK1/ERK2表达上调,其中UCD75组和UCD100组最明显(P〈0.05),其他脊髓段p-ERK1/ERK2表达差异无统计学意义(P〉0.05)。宫颈扩张后60min时胸腰段p-ERK1/ERK2表达达高峰(P〈0.05)。结论胸腰段脊髓背角神经元ERK参与了宫颈扩张诱发大鼠急性内脏痛的形成。Objective To investigate whether extracellular signaling-regulated kinases (ERK) in spinal dorsal horn neurons is involved in the development of acute visceral pain. Methods Part T Thirty adult female SD rats were randomly divided into 5 groups ( n = 6 each) : sham operation group received no uterine cervical distension(UCD)(S); group UCD25, UCD50, UCD75 and UCD100 received a stimulus of 25, 50, 75 and 100 g UCD for 10 s respectively. After 10 min, the rats were killed. The level of phosphorylated ERK1/ERK2 (p-ERK1/ERK2) in spinal dorsal horn neurons in cervical ( C5-8 ), thoracic (T5-8 ), thoracolumbar (T12-L2 ) and lumbosacral (L6-S1) segments was determined by immuno-histochemical method. Part Ⅱ Twenty adult female SD rats received a stimulus of 75 g UCD for 10 s. Five rats were killed at 10, 30, 60 and 120 min after UCD respectively. The expression of p-ERK1/ERK2 in spinal dorsal horn neurons in thoracolumbar (T12-I2 ) segment was determined by immuno-histochemical method. Results The p-ERK1/ERK2 expression in thoracolumbar segments in the 4 UCD groups was significantly up-regulated as compared to S group, with most obvious increase in UCD75 and UCD100 group (P 〈 0.05). There were no significant differences in p-ERK1/ERK2 expression in the other spinal segments among all the groups (P 〉 0.05). The p-ERK1/ERK2 expression in thoracolumbar segment peaked at 60 min after UCD ( P 〈 0.05). Conclusion The ERK in thoracolumbar spinal dorsal horn neurons involves in the development of UCD-induced acute visceral pain in rats.
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