山东大学学报(医学版) ›› 2014, Vol. 52 ›› Issue (10): 35-39,44.doi: 10.6040/j.issn.1671-7554.0.2014.247
丁超1, 胡启雅1, 黄海真1, 郭亚秋1, 裴淼1, 朱庆增2, 齐峰1
DING Chao1, HU Qiya1, HUANG Haizhen1, GUO Yaqiu1, PEI Miao1, ZHU Qingzeng2, QI Feng1
摘要: 目的 观察倍他米松二丙酸酯-聚乙二醇-聚乳酸(BDP-PEG-PLA)微球对大鼠坐骨神经慢性缩窄性损伤(CCI)所致神经病理性疼痛的镇痛作用,及对脊髓细胞外信号调节激酶(ERK)的影响。方法 制备3种BDP-PEG-PLA 微球,分别以PLA的数均分子量20、30和70 kD表示。96只雄性Wistar大鼠随机分6组(n=16):假手术组(SH组)、模型组(CCI组)、倍他米松二丙酸酯组(BDP组)、20 kD组、30 kD组和70 kD组。观察术前1 d,术后3、5、7、10、13及15 d的机械缩足反射阈值(MWT)、热缩足反射潜伏期(TWL)。免疫组化方法检测术后3 d和10 d脊髓磷酸化ERK表达。结果 与CCI组相比,BDP组抑制痛觉过敏(MWT下降和TWL缩短)持续至5 d(P<0.05);20 kD组、30 kD组和70 kD组抑制痛觉过敏分别持续至7、10和13 d(P均<0.05)。与CCI组相比,BDP组、20 kD组、30 kD组和70 kD组术后3 d时脊髓Ⅰ~Ⅱ板层磷酸化ERK表达均减少(P均<0.05),70 kD组术后10 d较CCI组和BDP组磷酸化ERK表达减少(P<0.05)。结论 坐骨神经单次注射BDP-PEG-PLA微球能通过抑制大鼠脊髓ERK的活性达到长效镇痛作用,且与微球数均分子量有关。
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