Preventive effect and mechanism of hyperbaric oxygen on chemotherapy-induced peripheral neuropathic pain
10.3760/cma.j.cn311847-20200117-00033
- VernacularTitle:高压氧对化疗相关外周神经痛的预防作用及其机制
- Author:
Xianze MENG
1
;
Ting MIAO
;
Qing SUN
;
Hongxian REN
;
Ruirong ZHANG
;
Yinglu FENG
Author Information
1. 266071 山东省青岛，解放军第九七一医院中医科
- Publication Type:Journal Article
- Keywords:
Hyperbaric oxygen;
Chemotherapy-induced peripheral neuropathic pain;
Spinal cannabinoid receptors;
Glial fibrillary acidic protein;
Inflammatory cytokines
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2021;28(1):20-26,118
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of hyperbaric oxygen (HBO) on the prevention of chemotherapy-induced peripheral neuropathic pain (CIPNP), and to observe its mechanism by targeting spinal cannabinoid receptors (CBRs).Methods:A total of 75 male Sprague-Dawley(SD) rats were randomly divided into 5 groups (15 rats in each group), i. e. blank control group, CIPNP control group, CIPNP+ HBO group, CIPNP+ HBO+ AM630 group, and CIPNP+ HBO+ AM251 group. The model rats with CIPNP were established by injecting paclitaxel (i.p.). Each group with HBO intervention received the HBO treatment on the second day after each of the 5 times of paclitaxel injection. The CIPNP+ HBO+ AM630 and CIPNP+ HBO+ AM251 groups were administered with AM630 (an antagonist of CBR2) and AM251 (an antagonist of CBR1) respectively before each HBO treatment. The behavioral test was carried out to measure the mechanical withdrawal threshold (MWT) of rats by von fery filaments before the experiment and every 7 days during the experiment. The expressions of CBR1 and CBR2 were tested by Western blotting. The expression of glial fibrillary acidic protein (GFAP) was tested by immunohistochemistry (ICH) and Western blotting. And the expressions of inflammatory cytokines in the spinal cord, i. e. Interleukin-1β (IL-1β) and tumor necrosis factor-α (TNF-α), were detected by enzyme-linked immunosorbent assay (ELISA).Results:Compared with that of the blank control group, the MWT of the CIPNP control group was significantly decreased ( P<0.01), and the difference was most significant [(15.46±2.83) g vs. (4.33±3.53) g; P<0.01] especially on the 21st day of the experiment. The expressions of spinal GFAP, IL-1β, and TNF-α were significantly increased, and the differences were statistically significant ( P<0.05). Compared with those of the CIPNP control group, the MWT and spinal CBR2 of the CIPNP+ HBO group were significantly increased ( P<0.05), the GFAP, IL-1β, and TNF-α in the spinal cord were significantly decreased ( P<0.05), and the above-mentioned effects could be blocked by intraperitoneal injection of AM630, while there was no such reverse effect after intraperitoneal injection of AM251. Conclusion:HBO can prevent paclitaxel-induced CIPNP, and its mechanism may be related to the activation of spinal CBR2 and then the blocking of the activation of GFAP and the expression of inflammatory cytokines in the spinal cord.
