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地塞米松对脊髓背角星形胶质细胞P2Y_1受体表达水平及TNF-α分泌影响的初步研究
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摘要
疼痛对人类的健康危害甚大。脊髓背角对伤害性信息的传递和调制发挥重要作用。星形胶质细胞在中枢神经系统中广泛分布,参与结构和功能维持、免疫反应以及神经疾病的发病等病理生理过程。研究表明,星形胶质细胞与疼痛有关,脊髓胶质细胞的激活是疼痛发生和持续的关键因素,同时与中枢痛觉过敏的产生与维持密切相关。以往研究已发现,疼痛的发生和维持与嘌呤类P2受体有关,嘌呤类P2Y受体参与伤害性信息传递。本实验室曾俊伟等已经证实,脊髓背角星形胶质细胞表达P2Y_1受体,P2Y_1受体激活能引起炎性致痛因子TNF-α的分泌增加。
     地塞米松作为临床常用的糖皮质激素,目前研究多集中于它抑制炎性因子分泌而产生镇痛作用,但机制尚不十分清楚。地塞米松能否通过介导P2Y_1受体抑制脊髓背角星形胶质细胞TNF-α的分泌?需要进一步研究。本实验通过纯化培养大鼠脊髓背角星形胶质细胞,观察不同浓度地塞米松对其P2Y_1受体表达的影响,及地塞米松对ADPβs激活后的背角星形胶质细胞P2Y_1受体表达的影响,并通过其对TNF-α分泌的改变推测可能的机制。
     方法:培养并纯化大鼠脊髓背角星形胶质细胞,免疫组织化学观察背角星形胶质细胞P2Y_1受体表达水平的变化;ELISA技术检测背角星形胶质细胞TNF-α的分泌。
     结果:
     第一部分:
     1.大鼠脊髓背角星形胶质细胞的培养与纯化,免疫组织化学鉴定细胞类型。结果表明,脊髓背角星形胶质细胞纯度在98%以上。
     2.地塞米松呈剂量依赖性抑制脊髓背角星形胶质细胞P2Y_1受体的表达;糖皮质激素受体阻断剂(RU486)特异性阻断糖皮质激素受体后,可拮抗地塞米松对背角星形胶质细胞P2Y_1受体表达的抑制作用。
     3.地塞米松呈剂量依赖性抑制脊髓背角星形胶质细胞TNF-α的分泌。RU486特异性阻断糖皮质激素受体后,可拮抗地塞米松对脊髓背角星形胶质细胞TNF-α分泌的抑制作用。
     第二部分:
     1.ADPβs激活脊髓背角星形胶质细胞,呈剂量依赖性上调P2Y_1受体的表达,在终浓度为100μmol/L时P2Y_1受体表达最多,并促进背角星形胶质细胞TNF-α分泌;P2Y_1受体阻断剂(MRS2179)特异性阻断P2Y_1受体后,可拮抗ADPβs对P2Y_1受体表达及TNF-α分泌的促进作用。
     2.ADPβs激活脊髓背角星形胶质细胞,不同浓度地塞米松可呈剂量依赖性的拮抗ADPβs对背角星形胶质细胞P2Y_1受体表达及TNF-α分泌的促进作用。
     结论:
     1.地塞米松对脊髓背角星形胶质细胞P2Y_1受体表达及TNF-α的分泌均有抑制作用。
     2. ADPβs激活背角星形胶质细胞可以使P2Y_1受体表达上调。
     3.地塞米松可抑制激活的脊髓背角星形胶质细胞P2Y_1受体的表达及TNF-α的分泌。
     综上所述,地塞米松可能通过抑制P2Y_1受体表达和TNF-α的分泌起到提高痛阈的作用;亦可能通过介导P2Y_1受体抑制炎性因子TNF-α的分泌,说明地塞米松在疼痛状态下起到了镇痛作用。
It is known that pain does harm to health. The spinal dorsal horn plays an important role in nociceptive information transmission from the periphery to central nervous system. While neuronal functioning is altered, there is significant evidence showing that exaggerated pain is regulated by the activation of astrocytes and microglia. More and more data suggest that the activation of spinal cord glia is necessary for the development and maintenance of pathological pain and hyperalgesia.Moreover, envidences have revealed that the development and maintenance of pathological pain has something to do with P2 receptor, which take part in nociceptive information transmission.P2Y_1 receptor express at astrocytes which located in spinal dorsal horn, and activation of P2Y_1 recetor leads to the secretion of TNF-α.
     Resesrches on dexamethasone have focused on inhibiting inflammatory factor, however mechanism is unknown.Can dexamethasone ihibit the secretion of TNF-αthrough P2Y_1 receptor pathway,and through activating P2Y_1 receptor pathway?This study will use some methods includeing morphology and ELISA to investigate the relationship between dexamethasone and P2Y_1 receptor in cultured rat dorsal horn astrocytes.
     Methods: Primary dissociated culture of dorsal spinal cord astrocytes were prepared from Sprague–Dawley rats. The changes of P2Y_1 receptor which expressed in cultured dorsal horn astrocytes were observed by using immunohistochemical staining.And to observe the secretion of TNF-αby means of ELISA.
     Results:
     Part one:
     1. To observe the puration of astrocytes by using immunohistochemical staining,and that of tham was more than 98%.
     2. Dexamethasone (0.01~100μmol/L) can dose-dependently decrease the expression of P2Y_1 receptor in cultured rat dorsal horn astrocytes;While after RU486 (1000μmol/L) block the glucocorticoid reccptor, the wok resulted from Dexamethasone become weaker.
     3. Dexamethasone (0.01~100μmol/L) can dose-dependently decrease the secretion of TNF-αin cultured rat dorsal horn astrocytes;While after RU486 (100μmol/L) block the glucocorticoid reccptor, the wok resulted from Dexamethasone become weaker.
     Part two:
     1. ADPβwhich activates cultured dorsal horn atrocytes can dose-dependently increase the expression of P2Y_1 receptor and the secretion of TNF-α; MRS2179(0.1~1000μmol/L), P2Y_1-specific antagonist, can inhibit increasing of the expression of P2Y_1 receptor and the secretion of TNF-α.
     2. After ADPβs activated cultured dorsal horn atrocytes, Dexamethasone can dose-dependently the work laeded by ADPβs.
     Conclusions:
     1. Dexamethasone decrease the expression of P2Y_1 receptor and the secretion of TNF-α.
     2. Astrocytes activated by ADPβs can increase the expression of P2Y_1 receptor.
     3. Dexamethasone can inhibit the expression of P2Y_1 receptor and the secretion of TNF-αin activated astrocyte.
     In summary, these results suggest that Dexamethasone may increase the pain threshold by inhibiting the expression of P2Y_1 receptor and secretion of TNF-αin cultured dorsal horn astrocytes ;We also provide evidence that Dexamethasone can release the pain threshold by inhibiting the secretion of TNF-α.
引文
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