国际麻醉学与复苏杂志   2025, Issue (2): 0-0
    
CCL2中和性抗体减轻皮肤/肌肉切口牵拉介导的大鼠慢性术后疼痛机制研究
吴昊澎, 曹明, 陆建华1()
1.中国人民解放军南部战区总医院
Mechanistic involvement of CCL2-neutralizing antibody in skin/muscle incision and retraction-mediated chronic postoperative pain in rats
 全文:
摘要:

[摘要] 目的 探究CCL2中和性抗体对皮肤/肌肉切口牵拉(SMIR)大鼠疼痛及行为的研究,并研究其主要调控机制。方法 雄性SD大鼠随机分为假手术组、SMIR模型组、SMIR + IgG组和SMIR + CCL2中和性抗体组,每组36只。分别观察各组大鼠患足和对侧足疼痛行为学。采用ELISA检测血清中TNF-α、IL-1β和IL-6水平;Western blot检测背根神经节中CCL2/CCR2/NR2B和PI3K/AKT通路相关蛋白表达。结果 与假手术组相比,大鼠在SMIR术后出现痛行为学变化,表现为MWT持续降低。而CCL2中和性抗体可升高SMIR模型大鼠患足MWT,降低降低双足抬腿/舔足次数。另外,CCL2中和性抗体可降低SMIR大鼠血清中IL-1β、IL-6和TNF-α水平。CCL2中和性抗体也可下调SMIR大鼠DRG中CCL2、CCR2和NR2B蛋白,并抑制PI3K和AKT磷酸化。结论 CCL2中和性抗体可减弱术后持续性疼痛和炎症,其机制可能与下调了CCL2/CCR2/NR2B和PI3K/AKT通路有关。

关键词: CCL2中和性抗体;皮肤/肌肉切口牵拉;术后疼痛;炎症;CCL2/CCR2/NR2B通路;PI3K/AKT通路
Abstract:

[Abstract] Objective To investigate the effect of CCL2-neutralizing antibody on the pain behavior of skin/muscle incision and retraction (SMIR) rats and its main regulatory mechanism. Methods Male SD rats were randomly divided into sham group, SMIR group, SMIR + IgG, SMIR + CCL2-neutralizing antibody group, there were 8 rats in each group. We first observed the pain behavior of the affected foot and the contralateral foot. The levels of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), and IL-6 in serum were detected by ELISA. The expressions of CCL2/CCR2/NR2B and PI3K/AKT pathway-related proteins were confirmed by Western blot in DRGS. Results Compared with the sham group, the rats in the SMIR group showed a significant pain behavior change after SMIR, which was manifested as a sustained reduction in MWT. CCL2-neutralizing antibody could increase MWT and decrease the number of leg raising/licking of the affected foot in SMIR model rats. Besides, the CCL2-neutralizing antibody can reduce the levels of IL-1β, IL-6, and TNF-α in the serum of the SMIR model. CCL2-neutralizing antibody can also downregulate CCL2, CCR2, and NR2B proteins, and inhibit PI3K, and AKT phosphorylation in DRG of the SMIR model rats. Conclusion CCL2-neutralizing antibody can reduce persistent postoperative pain and inflammation, and the mechanism may be related to the downregulation of the CCL2/CCR2/NR2B and PI3K/AKT pathways.

Key words: CCL2-neutralizing antibody; skin/muscle incision and retraction; postoperative pain; inflammation; CCL2/CCR2/NR2B pathway; PI3K/AKT pathway