Sympathetic fibre sprouting in the skin contributes to pain-related behaviour in spared nerve injury and cuff models of neuropathic pain

Molecular Pain

Alfredo Ribeiro-da-Silva¹  Noosha Yousefpour²  Claire Magnussen²  Francisney P. Nascimento² 

[1] Department of Anatomy and Cell Biology, McGill University, Montreal H3A 0C7, QC, Canada;Alan Edwards Centre for Research on Pain, McGill University, Montreal H3A 0G1, QC, Canada

关键词: Tyrosine hydroxylase;    Dopamine beta-hydroxylase;    Sympathectomy;    Guanethidine;    Skin;    Sprouting;    Neuropathic pain;    Sympathetic nervous system;    CGRP;    NF200;    Innervation;   

Others  :  1228792
DOI  :  10.1186/s12990-015-0062-x

 received in 2015-08-12, accepted in 2015-09-08,  发布年份 2015

【 摘 要 】

Background

Cuff and spared nerve injury (SNI) in the sciatic territory are widely used to model neuropathic pain. Because nociceptive information is first detected in skin, it is important to understand how alterations in peripheral innervation contribute to pain in each model. Over 16 weeks in male rats, changes in sensory and autonomic innervation of the skin were described after cuff and SNI using immunohistochemistry to label myelinated (neurofilament 200 positive—NF200+) and peptidergic (calcitonin gene-related peptide positive—CGRP+) primary afferents and sympathetic fibres (dopamine β-hydroxylase positive—DBH+)

Results

Cuff and SNI caused an early loss and later reinnervation of NF200 and CGRP fibres in the plantar hind paw skin. In both models, DBH+ fibres sprouted into the upper dermis of the plantar skin 4 and 6 weeks after injury. Despite these similarities, behavioural pain measures were significantly different in each model. Sympathectomy using guanethidine significantly alleviated mechanical allodynia 6 weeks after cuff, when peak sympathetic sprouting was observed, having no effect at 2 weeks, when fibres were absent. In SNI animals, mechanical allodynia in the lateral paw was significantly improved by guanethidine at 2 and 6 weeks, and the development of cold hyperalgesia, which roughly paralleled the appearance of ectopic sympathetic fibres, was alleviated by guanethidine at 6 weeks. Sympathetic fibres did not sprout into the dorsal root ganglia at 2 or 6 weeks, indicating their unimportance to pain behaviour in these two models.

Conclusions

Alterations in sympathetic innervation in the skin represents an important mechanism that contributes to pain in cuff and SNI models of neuropathic pain.

【 授权许可】

   
2015 Nascimento et al.

【 图 表 】

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