肉毒素在大鼠内脏痛模型中对血清TNF的影响

Effect of botulinum toxin type A on the serumal TNF in rats of chemical visceral pain

  • 摘要: 目的:探讨A型肉毒素(BTX-A)在大鼠化学性内脏损伤中的止痛作用及对血清肿瘤坏死因子(TNF)的影响。方法:8周的Wistar雄性大鼠72只,随机分为4组:A组为对照组,腹腔注射生理盐水2 mL;B组、C组、D组分别腹腔注射含2 U、4 U、6 UBTX-A的生理盐水2 mL。4周时各组随机取6只应用结直肠气囊扩张方法测定结直肠痛阈。分别于注射BTX-A后1周、4周各组随机取6只,腹腔内注射乙酸,观察大鼠扭体反应45 min,进行行为学评分和比较。应用放射免疫法测定血清TNF的含量。结果:给药后4周各组大鼠结直肠痛阈与A组结果无明显差异。给药后1周,总的疼痛积分C组、D组均少于A组(P<0.05);D组血清TNF较A组明显减少(P<0.05)。4周时,B、C、D组大鼠疼痛积分与A组相比均明显减少(P<0.05);C组、D组血清TNF较A组明显减少(P<0.05)。结论:腹腔注射BTX-A能缓解乙酸所致的大鼠内脏损伤的疼痛行为学反应,减少血清TNF释放,BTX-A可能通过减少血清TNF释放,减轻炎性反应,减少疼痛刺激。

     

    Abstract: Objective: To investigate the antinociceptive effect of BTX-A and its influence on the serumal TNF in an acetic acid-induced visceral pain model in rats.Methods: Male Wistar rats of postnatal eight weeks were divided into four groups: BTX-A(2U,4U,and 6U) or vehicle(2 mL) was injected intraperitoneally of B,C,D and A group rats.Four weeks later,6 rats of every group were performed with colorectal balloon distention to evaluate colorectal pain threshold.Rats were challenged with acetic acid(2%,3 mL/kg)intraperitoneal injection 1 week and 4 weeks.Abdominal writhing behaviors were monitored in 45 minutes as indicators of pain.The serumal TNF was tested by radioimmunology.Results: The colorectal pain thresholds in group B,C,D were not significantly difference from those in the saline group at week 4.At the end of one week,total writhing test scores in 45 minutes of group C and D were decreased significantly compared with group A(P<0.05);Only the serumal TNF levels of group D were lower than group A;At week 4,the writhing sores of group B,C,D and serumal TNF levels of group C,D all showed significant decrease compared with those of group A(P<0.05).Conclusion: Injection of BTX-A intraperitoneally significantly reduces acetic acid-induced nociceptive behaviors after 1 week and 4 weeks,decreases the level of serumal TNF.Such an antinociceptive effect of BTX-A is postulated with the inhibition of acid-induced release of inflammatory factor TNF in serum.

     

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