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Synergistic Interaction Between Dexmedetomidine and Ulinastatin Against Vincristine-Induced Neuropathic Pain in Rats

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机构: [1]Guangdong Women & Children Hosp, Dept Anesthesiol, Guangzhou, Guangdong, Peoples R China; [2]Sun Yat Sen Univ, Dept Anesthesiol, State Key Lab Oncol Southern China, Canc Ctr,Collaborat Innovat Ctr Canc Med, East 651 Dongfeng Rd, Guangzhou, Guangdong, Peoples R China; [3]Sun Yat Sen Univ, Guangdong Prov Key Lab Brain Funct & Dis, Zhongshan Sch Med, Guangzhou, Guangdong, Peoples R China; [4]Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Rehabil Med, Guangzhou, Guangdong, Peoples R China; [5]Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Anesthesiol, 107 Yanjiang West Rd, Guangzhou, Guangdong, Peoples R China
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关键词: Neuropathic pain dexmedetomidine ulinastatin alpha(2)-adrenergic receptor cytokine dorsal root ganglion

摘要:
Antimicrotubulin chemotherapeutic agents such as vincristine (VCR), often induce peripheral neuropathic pain. It is usually permanent and seriously harmful to cancer patients' quality of life and can result in the hampering of clinical treatments. Currently, there is no definitive therapy, and many of the drugs approved for the treatment of other neuropathic pain have shown little or no analgesic effect. It is therefore vital to find new and novel therapeutic strategies for patients suffering from chemotherapeutic agent-induced neuropathic pain to improve patients' quality of life. This study shows that intrathecal injections of dexmedetomidine (DEX), or intraperitoneally administered ulinastatin (UTI) significantly reduces Sprague Dawley rats' mechanical allodynia induced by VCR via upregulation of interleukin-10 expression and activating the alpha(2)-adrenergic receptor in dorsal root ganglion (DRG). Moreover, when combined there is a synergistic interaction between DEX and UTI, which acts against VCR-induced neuropathic pain. This synergistic interaction between DEX and UTI may be partly attributed to a common analgesic pathway in which the upregulation of interleukin -10 plays an important role via activating alpha(2)-adrenergic receptor in rat dorsal root ganglion. The combined use of DEX and UTI does not affect the rat's blood pressure, heart rate, sedation, motor score, spatial learning, or memory function. All of these show that the combined use of DEX and UTI is an effective method in relieving VCR-induced neuropathic pain in rats. Perspective: This article documents the synergistic interaction between 2 widely used drugs, DEX and UTI, against VCR-induced neuropathic pain. The results provide a potential target and novel drug administrated method for the clinical treatment of chemotherapy-induced peripheral neuropathic pain. (C) 2017 by the American Pain Society

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 神经科学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 神经科学
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第一作者机构: [1]Guangdong Women & Children Hosp, Dept Anesthesiol, Guangzhou, Guangdong, Peoples R China; [2]Sun Yat Sen Univ, Dept Anesthesiol, State Key Lab Oncol Southern China, Canc Ctr,Collaborat Innovat Ctr Canc Med, East 651 Dongfeng Rd, Guangzhou, Guangdong, Peoples R China;
通讯作者:
通讯机构: [2]Sun Yat Sen Univ, Dept Anesthesiol, State Key Lab Oncol Southern China, Canc Ctr,Collaborat Innovat Ctr Canc Med, East 651 Dongfeng Rd, Guangzhou, Guangdong, Peoples R China; [5]Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Anesthesiol, 107 Yanjiang West Rd, Guangzhou, Guangdong, Peoples R China
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