文章摘要
miR-145下调Nav 1.8对糖尿病神经病理性痛大鼠痛阈的影响
Effect of miR-145 on diabetic neuropathic pain by down-regulating Nav1.8
  
DOI:10.12089/jca.2018.03.019
中文关键词: 糖尿病神经病理性痛  微小RNA-145  电压门控钠离子通道1.8  背根神经节
英文关键词: Diabetic neuropathic pain  miR-145  Nav1.8 channel  Dorsal root ganglion
基金项目:国家自然科学基金青年科学基金(81400913)
作者单位E-mail
颜洁 210004,南京医科大学附属妇产医院麻醉科 14751844517@163.com 
沈洁 210004,南京医科大学附属妇产医院麻醉科  
韩翠翠 210004,南京医科大学附属妇产医院麻醉科  
汤永峰 210004,南京医科大学附属妇产医院病理科  
沈晓凤 210004,南京医科大学附属妇产医院麻醉科  
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中文摘要:
      目的 观察微小RNA-145(miR-145)对糖尿病神经病理性痛大鼠痛阈的影响, 并探讨其可能机制。方法 取正常大鼠12只作为对照组(N组), 糖尿病神经痛模型制备成功的SD大鼠36只, 随机分为三组: 糖尿病神经痛组(D组)、糖尿病神经痛-空载组(DN组)和糖尿病神经痛-miR-145过表达组(agomiR-145组), 每组12只。N组和D组大鼠鞘内分别注射等剂量生理盐水10 μl, DN组大鼠鞘内注射阴性对照病毒(10 μl, 1×106TU/ml), agomiR-145组大鼠鞘内注射agomiR-145(10 μl, 1×106TU/ml)。于鞘内注药前1 d和注药后1、3、7、14 d测定四组大鼠机械缩足痛阈(MWT)和热缩足反射潜伏期(TWL)。然后采用RT-PCR法检测大鼠背根神经节(DRG)中miR-145 mRNA相对表达量,免疫荧光检测大鼠背根神经节Nav1.8阳性细胞荧光相对强度。荧光素酶报告实验验证miR-145的靶基因。结果 注药前1 d D组、DN组和agomiR-145组MWT明显低于、TWL明显短于N组(P<0.05);注药后3、7、14 d agomiR-145组MWT明显高于D组和DN组(P<0.05);注药后7、14 d agomiR-145组大鼠TWL明显长于D组和DN组(P<0.05)。D组和DN组DRG中miR-145 mRNA相对表达量明显低于N组和agomiR-145组,电压门控钠离子通道1.8(Nav1.8)阳性细胞明显多于N组和agomiR-145组(P<0.05)。荧光素酶报告实验验证miR-145作用于Nav 1.8 3′-非翻译区并调控Nav1.8的表达。结论 miR-145通过下调背根神经节Nav 1.8表达缓解糖尿病大鼠机械痛敏和热痛敏。
英文摘要:
      Objective To observe the effect of miR-145 on pain threshold and explore the possible underlying positive role of miR-145 in rats with diabetic neuropathic pain. Methods The total of 36 rats with diabetic neuropathic pain were randomly divided into three groups respectively with normal control group (group N) (n=12 for each group): diabetic neuropathic pain (DNP) group (group D), DNP-NC group (group DN) and DNP-agomiR-145 group (group agomiR-145). The rats received agomiR-145 intrathecal injection in group agomiR-145 (10 μl, 1×106TU/ml), or the negative control virus in group DN (10 μl, 1×106TU/ml), or equal volume of normal saline in other two groups. Paw mechanical withdrawal threshold (MWT) and paw withdrawal latency (TWL) were measured on the day before intrathecal injection and day 1, days 3, 7 and 14 after intrathecal injection. On the days 14 after pain-related behavioral test, the RNA expression of miR-145 in the dorsal root ganglion (DRG) was detected using reverse transcription-quantitative polymerase chain reaction (RT-PCR) assay and the expression of Nav 1.8 in DRG were detected by fluorescent immunofluorescence. In addition, a dual luciferase activity assay was used to testify the target genes of miR-145. Results MWT and TWL were decreased at 1 d before intrathecal injectionin groups D, DN and agomiR-145 than that in group N (P<0.05). The significant increase of MWT was observed in group agomiR-145 on day 3, 7, 14 than those in group D and group DN (P<0.05). TWL in group agomiR-145 was increased significantly on day 7 and day 14 compared with those in groups D and DN (P<0.05). Compared with group N, miR-145 expression level in DRG in groups D and DN were significantly lower (P<0.05). In addition, the protein expression of Nav1.8 was significantly increased in group D and DN compared with that in group N (P<0.05). Compared with groups D and DN, miR-145 expression was increased significantly and the expression of Nav1.8 in DRG was decreased significantly in group agomiR-145 (P<0.05). In addition, a dual luciferase reporter assay demonstrated that miR-145 can bind with the 3′-UTR region of Nav1.8 and regulate its expression. Conclusion Intrathecal agomiR-145 can effectively attenuate neuropathic pain of DNP rats, which may be related with down-regulation of Nav1.8 in DRG. .
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