Abstract: Objective To investigate the role of spinal G protein-coupled receptor kinases 2(GRK2) in persistent postoperative pain after skin/muscle incision and retraction (SMIR) in rats. Methods Sixty male SD rats in which intrathecal catheter were successfully implanted were divided randomly into 6 groups (n=10): sham operation group (group Ⅰ), sham + dimethyl sulfoxide (DMSO) group (group Ⅱ), sham+MDL28170 group (group Ⅲ), SMIR group (group Ⅳ), SMIR+DMSO group (group Ⅴ), SMIR+MDL28170 group (group Ⅵ). A PE-10 catheter was inserted into the subarachnoid space (intrathecal). A rat model of persistent post-operative pain was established with SMIR. Pain behavior was assessed with von Frey filament test and was quantified with paw withdrawal mechanical threshold (PWMT) 1 d before operation (T0) and 3 d (T1), 7 d (T2), 14 d (T3) and 21 d (T4) after operation. Four rats in each group were sacrificed at T3, the L4-L6 segments of the spinal cord were obtained to determine the protein levels of GRK2 with Western blot assay. Results Compared with groupⅠ, the PWMT was significantly decreased at T1-T4 in group Ⅳ and group Ⅴ(P<0.05), and at T1-T3 in group Ⅵ(P<0.05). Compared with group Ⅰ, the protein levels of spinal GRK2 was down-regulated at T3 in group Ⅳ and group Ⅴ(P<0.05). Compared with group Ⅳ, the spinal GRK2 was upregulated at T3 in group Ⅵ(P<0.05). Conclusions The down-regulation of spinal GRK2 may be involved in the development and maintenance of persistent postoperative pain in rats following SMIR.
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