Gabapentinoid Insensitivity after Repeated Administration is Associated with Down-Regulation of theα2δ-1 Subunit in Rats with Central Post-Stroke Pain Hypersensitivity  

作　　者：Yan Yang Fei Yang Fan Yang Chun-Li Li Yan Wang Zhen Li Yun-Fei Lu Yao-Qing Yu Han Fu Ting He Wei Sun Rui-Rui Wang Jun Chen 

机构地区：[1]Institute for Biomedical Sciences of Pain,School of Basic Medical Sciences,Capital Medical University,Beijing 100069,China [2]Institute for Biomedical Sciences of Pain and Institute forFunctional Brain Disorders,Tangdu Hospital,The FourthMilitary Medical University,Xi'an 710038,China [3]Key Laboratory of Brain Stress and Behavior,PLA,Xi'an 710038,China [4]Beijing Institute for Brain Disorders,Beijing 100069,China

出　　处：《Neuroscience Bulletin》2016年第1期41-50,共10页神经科学通报（英文版）

基　　金：supported by the National Natural Science Foundation of China(81171049);the National Basic Research Development Program of China(2011CB504100 and2013CB835100);the National Key Technology R&D Program of China(2013BAI04B04);the Twelfth Five-Year Project of China(AWS12J004)

摘　　要：The α2δ-1 subunit of the voltage-gated Ca2＋ channel （VGCC） is a molecular target of gabapentin （GBP）, which has been used as a first-line drug for the relief of neuropathic pain. GBP exerts its anti-nociceptive effects by disrupting trafficking of the α2δ-1 subunit to the presynaptic membrane, resulting in decreased neurotrans- mitter release. We previously showed that GBP has an anti- allodynic effect in the first two weeks; but this is followed by insensitivity in the later stage after repeated adminis- tration in a rat model of central post-stroke pain （CPSP） hypersensitivity induced by intra-thalamic hemorrhage. To explore the mechanisms underlying GBP insensitivity, the cellular localization and time-course of expression of the α2δ-1 subunit in both the thalamus and spinal dorsal horn were studied in the same model. We found that the α2δ-1 subunit was mostly localized in neurons, but not astrocytes and microglia. The level of α2δ-1 protein increased in the first two weeks after injury but then decreased in the third week, when GBP insensitivity occurred. Furthermore, the c^2g-1 down-regulation was likely caused by later neuronal loss in the injured thalamus through a mechanism other than apoptosis. In summary, the present results suggest that the GBP receptor ~2^-1 is mainly expressed in thalamic neurons in which it is up-regulated in the early stage of CPSP but this is followed by dramatic down-regulation, which is likely associated with GBP insensitivity after long-term use.The α2δ-1 subunit of the voltage-gated Ca2＋ channel （VGCC） is a molecular target of gabapentin （GBP）, which has been used as a first-line drug for the relief of neuropathic pain. GBP exerts its anti-nociceptive effects by disrupting trafficking of the α2δ-1 subunit to the presynaptic membrane, resulting in decreased neurotrans- mitter release. We previously showed that GBP has an anti- allodynic effect in the first two weeks; but this is followed by insensitivity in the later stage after repeated adminis- tration in a rat model of central post-stroke pain （CPSP） hypersensitivity induced by intra-thalamic hemorrhage. To explore the mechanisms underlying GBP insensitivity, the cellular localization and time-course of expression of the α2δ-1 subunit in both the thalamus and spinal dorsal horn were studied in the same model. We found that the α2δ-1 subunit was mostly localized in neurons, but not astrocytes and microglia. The level of α2δ-1 protein increased in the first two weeks after injury but then decreased in the third week, when GBP insensitivity occurred. Furthermore, the c^2g-1 down-regulation was likely caused by later neuronal loss in the injured thalamus through a mechanism other than apoptosis. In summary, the present results suggest that the GBP receptor ~2^-1 is mainly expressed in thalamic neurons in which it is up-regulated in the early stage of CPSP but this is followed by dramatic down-regulation, which is likely associated with GBP insensitivity after long-term use.

关 键 词：Central post-stroke pain Calcium channel α2δ subunit Gabapentinoid Thalamic hemorrhagicstroke ~ Thalamus - Spinal dorsal horn 

分 类 号：R743.3[医药卫生—神经病学与精神病学]