TRPV Cation Channels

TRPV 阳离子通道
  • 文章类型: Journal Article
    背景:已经报道了慢性过敏性皮肤病患者的瘙痒致敏作用,并在过敏性接触性皮炎(ACD)的小鼠模型中观察到了瘙痒致敏作用。有证据表明,神经免疫相互作用可能有助于瘙痒致敏,在过敏性疾病期间,已经观察到神经节内树突状细胞(DC)的增加。然而,在过敏性疾病期间,DC如何与神经节中的感觉神经元相互作用尚不清楚。本研究旨在探讨DCs在ACD条件下在背根神经节(DRG)中的作用。特别关注DRG内的瘙痒敏化。本研究采用了用于ACD的甲苯-2,4-二异氰酸酯(TDI)小鼠模型以及DC和DRG神经元的共培养模型。
    结果:我们成功通过TDI诱导ACD,水肿的发展证明了这一点,血清总IgE水平升高,和在TDI致敏小鼠中观察到的瘙痒反应。钙成像和RT-qPCR分析显示,TDI致敏小鼠表现出外周致敏的迹象,包括TDI致敏小鼠切除的DRG中更高百分比的神经元对瘙痒原的反应以及瘙痒受体的激活和表达增加。免疫荧光和流式细胞术分析显示MHCII+细胞增加,作为DC的标记,在ACD期间在DRG内。共培养研究表明,当DRG神经元与DCs一起培养时,有一个增加的神经元的数量反应的瘙痒原和激活的受体,如TRPA1,TRPV1,H1R,TRPV4此外,免疫荧光和RT-qPCR研究证实了TRPV4的上调。
    结论:我们的发现表明,在TDI诱导的ACD条件下,DRG中MHCII细胞和瘙痒外周敏化增加。已经发现DRG中的MHCII+细胞可能通过激活瘙痒受体促进瘙痒外周敏化,如通过DRG神经元和DC之间的共培养研究所示。需要进一步的研究来鉴定负责由活化DC诱导的外周致敏的特异性介质。
    Itch sensitization has been reported in patients with chronic allergic skin diseases and observed in a mouse model of allergic contact dermatitis (ACD). There is evidence suggesting that neuroimmune interactions may contribute to itch sensitization, as an increase in dendritic cells (DCs) within ganglia has been observed during allergic conditions. However, how DCs interact with sensory neurons in ganglia during allergic conditions is still not known. This study aims to investigate the role of DCs in dorsal root ganglion (DRG) under ACD conditions, specifically focusing on itch sensitization within the DRG. The tolylene-2,4-diisocyanate (TDI) mouse model for ACD and the co-culture model of DCs and DRG neurons was employed in this study.
    We successfully induced ACD by TDI, as evidenced by the development of edema, elevated total serum IgE levels, and an observed itch reaction in TDI-sensitized mice. Calcium imaging and RT-qPCR analysis revealed that TDI-sensitized mice exhibited signs of peripheral sensitization, including a higher percentage of neurons responding to pruritogens and increased activation and expression of itch receptors in excised DRG of TDI-sensitized mice. Immunofluorescence and flow cytometric analysis displayed an increase of MHCII+ cells, which serves as a marker for DCs, within DRG during ACD. The co-culture study revealed that when DRG neurons were cultured with DCs, there was an increase in the number of neurons responsive to pruritogens and activation of itch receptors such as TRPA1, TRPV1, H1R, and TRPV4. In addition, the immunofluorescence and RT-qPCR study confirmed an upregulation of TRPV4.
    Our findings indicate that there is an increase of MHCII+ cells and itch peripheral sensitization in DRG under TDI-induced ACD condition. It has been found that MHCII+ cells in DRG might contribute to the itch peripheral sensitization by activating itch receptors, as shown through co-culture studies between DRG neurons and DCs. Further studies are required to identify the specific mediator(s) responsible for peripheral sensitization induced by activated DCs.
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  • 文章类型: Journal Article
    跨膜离子通道经常通过在失活时形成孔衬螺旋的束交叉来调节离子渗透。所产生的物理收缩被认为是对离子渗透施加主要自由能屏障的事实上的门。有趣的是,许多离子通道还包含由束交叉封闭的高度疏水的内孔,即使在没有物理收缩的情况下,也会发生自发的去湿并产生“蒸汽屏障”以阻止离子流。使用原子模拟,我们表明,疏水门控和束交叉机制在人TRPV4通道中共存并相互补充。特别是,下孔的单个亲水突变可以增加孔的水合作用,并将离子渗透自由能障减少约一半,而不影响束穿过。我们认为,疏水门控可能在具有疏水内孔的其他束交叉离子通道中起关键作用。
    Transmembrane ion channels frequently regulate ion permeation by forming bundle crossing of the pore-lining helices when deactivated. The resulting physical constriction is believed to serve as the de facto gate that imposes the major free energy barrier to ion permeation. Intriguingly, many ion channels also contain highly hydrophobic inner pores enclosed by bundle crossing, which can undergo spontaneous dewetting and give rise to a \"vapor barrier\" to block ion flow even in the absence of physical constriction. Using atomistic simulations, we show that hydrophobic gating and bundle-crossing mechanisms co-exist and complement one and another in the human TRPV4 channel. In particular, a single hydrophilic mutation in the lower pore can increase pore hydration and reduce the ion permeation free energy barrier by about half without affecting the bundle crossing. We believe that hydrophobic gating may play a key role in other bundle-crossing ion channels with hydrophobic inner pores.
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  • 文章类型: English Abstract
    目的:探讨并验证瞬时受体电位香草酸4(TRPV4)对软骨细胞退变的影响。
    方法:选择新生SD大鼠,提取原代软骨细胞,并通过甲苯胺蓝染色和阿辛蓝染色进行鉴定;利用IL-1β,TRPV4抑制剂用于治疗炎症条件下的软骨细胞,用RT-PCR方法检测软骨细胞基质金属肽酶13(MMP-13),与血小板反应蛋白5(ADAMTS-5),一氧化氮合酶2(NOS2),胶原蛋白,软骨细胞中II型α1(Col2α1)和聚集蛋白聚糖(Acan)mRNA;用不同浓度的TRPV4过表达质粒处理原代软骨细胞,筛选最佳过表达剂量。在最佳TRPV4过表达剂量下,检测软骨细胞中TRPV4,MMP-13,ADAMTS-5,NOS2,Col2α1和Acan的mRNA表达。
    结果:甲苯胺蓝染色和阿尔辛蓝染色将提取的细胞鉴定为原代软骨细胞;RT-PCR显示,在炎症条件下,用TRPV4抑制剂处理的软骨细胞中TRPV4、MMP-13、ADAMTS-5、NOS2mRNA。Col2α1mRNA的表达明显下降(P<0.05),Col2α1mRNA表达增加(P<0.05)。虽然AcanmRNA的表达没有显著差异,总体趋势也在增加。软骨细胞中Col2α1和AcanmRNA的表达显著降低(P<0.05),NOS2mRNA表达增加(P<0.05),MMP-13和ADAMTS-5差异无统计学意义(P>0.05)。
    结论:抑制TRPV4的表达可下调软骨细胞退变相关基因的表达。
    OBJECTIVE: To explore and verify that transient receptor potential vanilloid 4(TRPV4) affects chondrocyte degeneration.
    METHODS: Neonatal SD rats were selected, primary chondrocytes were extracted, and identified by toluidine blue staining and alcian blue staining;an in vitro chondrocyte inflammation model was constructed by IL-1β, and TRPV4 inhibitor was used to treat chondrocytes under inflammatory conditions, and the chondrocytes were treated by RT-PCR method was used to detect matrix metallopeptidase 13(MMP-13), a disintegrin and metalloproteinase with thrombospondin 5, (ADAMTS-5)、nitric oxide synthase 2(NOS2)、Collagen, type II alpha 1(Col2α1)and aggrecan (Acan) mRNA in chondrocytes; primary chondrocytes were treated with different concentrations of TRPV4 overexpression plasmid, and the optimal overexpression dose was screened. The mRNA expressions of TRPV4, MMP-13, ADAMTS-5, NOS2, Col2α1 and Acan in chondrocytes under the optimal TRPV4 overexpression dose were detected.
    RESULTS: Toluidine blue staining and Alcian blue staining identified the extracted cells as primary chondrocytes;RT-PCR showed that TRPV4, MMP-13, ADAMTS-5, NOS2 mRNA in chondrocytes treated with TRPV4 inhibitor under inflammatory conditions. The expression of Col2α1 mRNA was significantly decreased (P<0.05), and the expression of Col2α1 mRNA was increased (P<0.05). Although there was no significant difference in the expression of Acan mRNA, the overall trend was also increasing. The expression of Col2α1 and Acan mRNA in chondrocytes was significantly decreased (P<0.05), and the expression of NOS2 mRNA was increased(P<0.05), but there was no significant difference in MMP-13 and ADAMTS-5 (P>0.05).
    CONCLUSIONS: Inhibiting the expression of TRPV4 can down-regulate the expression of genes related to chondrocyte degeneration.
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  • 文章类型: Journal Article
    未经证实:胃食管反流病(GORD)是一种慢性高发病率疾病,与睡眠障碍(SD)有双向关系,可能通过食管粘膜中的瞬时受体电位1型香草素受体(TRPV1)发生。然而,相关机制仍不清楚,本研究的目的是调查TRPV1是否与GORD患者的SD相关.
    未经评估:进行了一项病例对照研究。筛选后,共有88名受试者被分配到GORD,没有睡眠障碍(GORD+NOSD,n=28),GORD共病睡眠障碍(GORD+SD,n=30)和匹配的健康对照(n=30)。通过消化内镜从参与者那里获得粘膜组织,通过RT-qPCR和Westernblot检测不同组食管黏膜中TRPV1的表达水平,并分析了GORD与SD的相关性。
    未经批准:在这项研究中,我们发现胃食管反流病诊断问卷(GerdQ)评分与匹兹堡睡眠质量指数(PSQI)评分呈正相关,但与总睡眠时间(TST)呈负相关.我们还发现TRPV1在GORD+SD患者食管黏膜中的表达水平明显高于GORD+NOSD患者,它们都高于健康对照组。
    未经评估:当前的研究表明,GORD与睡眠障碍之间存在更紧密的联系,食管黏膜TRPV1可能是影响GORD患者睡眠的重要因素。
    Gastro-oesophageal reflux disease (GORD) is a chronic high-morbidity disease with a bidirectional relationship with sleep disturbance (SD) that may occur via the transient receptor potential vanilloid type 1 receptor (TRPV1) in the oesophageal mucosa. Yet the related mechanism was still unclear, the aim of this study is to investigate whether TRPV1 is associated with the presence of SD in GORD patients.
    A case-control study was performed. After the screening, A total of 88 subjects were assigned to GORD without sleep disturbance (GORD + NOSD, n = 28), GORD comorbid sleep disturbance (GORD + SD, n = 30) and matched healthy controls (n = 30). Mucosal tissue was obtained from the participants by digestive endoscopy, the levels of TRPV1 expressed in the oesophageal mucosa were detected via RT-qPCR and western blot in different groups, and the correlation between GORD and SD were also analysed.
    In this study, we found that the Gastroesophageal Reflux Disease Diagnostic Questionnaire (GerdQ) scores was positively correlated with Pittsburgh Sleep Quality Index (PSQI) scores but negatively correlated with total sleep time (TST). We also found that the level of TRPV1 expressed in the oesophageal mucosa of GORD + SD was significantly higher than GORD + NOSD patients, and they were all higher than healthy controls.
    The current study suggested a closer link exists between GORD and sleep disturbance, and TRPV1 in oesophageal mucosa may be a crucial factor affecting sleep in GORD patients.
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  • 文章类型: Journal Article
    心肌病是肌营养不良(MD)患者死亡的主要原因。Tranilast,一种广泛使用的抗过敏药物,已显示出对瞬时受体电位阳离子通道亚家族V成员2的抑制活性,并改善了MD患者的心功能。为了确定评估曲尼司特给药后心功能改善的尿液生物标志物,我们进行了一项针对氧化脂肪酸的尿代谢组学研究.伴随着曲尼司特的临床试验,收集24周以上患有晚期心力衰竭的MD患者的尿液标本.尿中四联菌-PGDM(四联菌-前列腺素D代谢物)的水平,前列腺素D2的代谢产物在曲尼司特给药后12周显着降低,并与BNP相关。这些结果表明,前列腺素介导的炎症,随着MD患者心力衰竭的病理进展而增加,被衰减了。曲尼司特给药后4周,尿前列腺素E3(PGE3)水平显着增加。PGE3和8-羟基-2'-脱氧鸟苷的尿水平之间存在正相关,氧化应激标志物。高PGE3水平可能对高氧化应激MD患者的心肌病具有保护作用。虽然进一步的验证研究是必要的,尿tetranor-PGDM和PGE3水平可能有助于目前了解曲尼司特给药后MD患者的晚期心力衰竭程度.
    Cardiomyopathy is the leading cause of death in patients with muscular dystrophy (MD). Tranilast, a widely used anti-allergic drug, has displayed inhibitory activity against the transient receptor potential cation channel subfamily V member 2 and improved cardiac function in MD patients. To identify urinary biomarkers that assess improved cardiac function after tranilast administration, we performed a urinary metabolomic study focused on oxidative fatty acids. Accompanying the clinical trial of tranilast, urine specimens were collected over 24 weeks from MD patients with advanced heart failure. Urinary levels of tetranor-PGDM (tetranor-prostaglandin D metabolite), a metabolite of prostaglandin D2, significantly decreased 12 weeks after tranilast administration and were correlated with BNP. These results suggest that prostaglandin-mediated inflammation, which increases with the pathological progression of heart failure in MD patients, was attenuated. Urinary prostaglandin E3 (PGE3) levels significantly increased 4 weeks after tranilast administration. There were positive correlations between the urinary levels of PGE3 and 8-hydroxy-2\'-deoxyguanosine, an oxidative stress marker. High PGE3 levels may have a protective effect against cardiomyopathy in MD patients with high oxidative stress. Although further validation studies are necessary, urinary tetranor-PGDM and PGE3 levels may help the current understanding of the extent of advanced heart failure in patients with MD after tranilast administration.
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    文章类型: Journal Article
    已发现瞬时受体电位阳离子通道亚家族V成员1(TRPV1)在患有神经性疼痛(NP)的下腰痛(LBP)患者中过表达,但潜在的机制仍不清楚。在本研究中,通过免疫印迹证实了NP患者窦椎神经活检中TRPV1蛋白水平的上调,但TRPV1mRNA水平无明显变化。通过生物信息学工具预测靶向TRPV1mRNA的miRNA,通过双荧光素酶分析证实了miRNA与TRPV1之间的相互作用。通过在脂多糖刺激后使用sNF96.2细胞分析和证实NFKB1信号传导和TRPV1表达之间的相关性。我们发现18个miRNAs中有5个抑制了TRPV1的表达,miR-375和miR-455水平与NP患者TRPV1蛋白水平呈负相关。MiR-375和miR-455被鉴定为通过靶向TRPV1mRNA的3'UTR抑制TRPV1表达。NFKB1信号激活下调miR-375和miR-455的表达,从而上调TRPV1蛋白水平。总之,我们部分揭示了TRPV1在NP慢性LBP患者中过度表达的机制,并为NP治疗提供了两种潜在的候选miRNA.
    Transient receptor potential cation channel subfamily V member 1 (TRPV1) has been found over-expressed in low back pain (LBP) patients with neuropathic pain (NP), but the underlying mechanism is still unclear. In the present study, the up-regulation of the TRPV1 protein level in sinuvertebral nerve biopsies from patients with NP was verified by immunoblotting, but the TRPV1 mRNA level was not significantly changed. MiRNAs targeting TRPV1 mRNA were predicted by a bioinformatic tool, and the interactions between the miRNAs and TRPV1 were confirmed by dual luciferase assay. The correlation between NFKB1 signalling and TRPV1 expression was analysed and confirmed by using sNF96.2 cells after lipopolysaccharide stimulation. We found that five out of 18 miRNAs repressed TRPV1 expression, and the levels of miR-375 and miR-455 were negatively correlated with the protein level of TRPV1 in patients with NP. MiR-375 and miR-455 were identified to repress TRPV1 expression via targeting the 3\'UTR of TRPV1 mRNA. NFKB1 signalling activation down-regulated the expression of miR-375 and miR-455, and thus up-regulated the TRPV1 protein level. In conclusion, we partially unveiled the mechanism of how TRPV1 is over-expressed in chronic LBP patients with NP and provided two potential candidate miRNAs for NP treatment.
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  • 文章类型: Journal Article
    背景:脂肪组织的慢性炎症可能是导致T2DM脂肪组织胰岛素抵抗发展的关键因素之一。瞬时受体电位香草酸4型(TRPV4)可参与多种细胞炎症反应。在这项研究中,我们评估了TRPV4通道蛋白在T2DM脂肪组织炎症通路中的作用.
    方法:基于公共数据库的基因表达谱数据,生物信息学方法筛选TRPV4通道蛋白参与T2DM脂肪细胞调控的靶基因群。构建成熟脂肪细胞模型,验证靶基因的表达水平,评价TRPV4通道抑制对炎症相关通路靶基因的调节作用。
    结果:在shTRPV4脂肪细胞中,筛选了144个表达下调的基因,构建PPI网络,筛选出包含15个基因的核心模块,通过富集分析,核心基因主要富集在Toll样受体信号通路中。构建成熟脂肪细胞模型发现TRPV4抑制剂HC067047具有上调信号通路中相关基因表达水平的抑制作用。
    结论:我们的发现表明,抑制TRPV4在脂肪细胞中的表达后,T2DM脂肪组织中高表达的促炎细胞因子和趋化因子的表达降低,提示TRPV4可能成为治疗T2DM的潜在药物靶点。
    Chronic inflammation of adipose tissue may be one of the key factors contributing to the development of insulin resistance in T2DM adipose tissue. Transient receptor potential vanilloid type 4 (TRPV4) can be involved in a variety of cellular inflammatory responses. In this study, we evaluated the role of TRPV4 channelin in the T2DM adipose tissue inflammatory pathway.
    Based on the gene expression profiling data of the public database, bioinformatics methods were used to screen the target gene population of the TRPV4 channel protein involved in the regulation of T2DM fat cells. A mature adipocyte model was constructed to verify the expression level of target genes and to evaluate the regulatory effect of TRPV4 channel inhibition on target genes of inflammation-related pathways.
    In shTRPV4 adipocytes, 144 genes with downregulation expression were screened, a PPI network was constructed and a core module containing 15 genes was screened out, and the core genes were mainly enriched in the Toll-like receptor signaling pathway through enrichment analysis. Constructing a mature adipocyte model found that the TRPV4 inhibitor HC067047 inhibited the effect of upregulation of the expression level of the relevant gene in the signaling pathway.
    Our findings suggest that the expression of highly expressed pro-inflammatory cytokines and chemokines in T2DM adipose tissue decreases after inhibiting the expression of TRPV4 in adipocytes, suggesting that TRPV4 may become a potential drug target for the treatment of T2DM.
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  • 文章类型: Journal Article
    瞬时受体电位香草酸(TRPV)通道在人体生理中起着各种重要作用。作为膜蛋白,这些通道受其内源性脂质环境的调节,因为最近大量的结构研究揭示了功能性和结构性脂质结合位点。此外,已经表明,外源配体可以与这些脂质中的一些交换以改变通道门控。这里,我们使用分子动力学模拟来研究TRPV家族的一个成员,TRPV2与内源性脂质和药理学调节剂大麻二酚(CBD)相互作用。通过计算将TRPV2重构为典型的质膜环境,其中包括磷脂,胆固醇,和磷脂酰肌醇(PIP)在内小叶,我们表明,大多数相互作用的表面脂质是磷脂,对头组类型没有很强的特异性。有趣的是,我们观察到通道的C端膜近端区域优先与PIP脂质结合。我们还对模拟中的两种结构脂质进行了建模:一种在香草体袋中,另一种在电压传感器样结构域(VSLD)袋中。模拟表明,VSLD脂质抑制了VSLD残留物的波动,而香草素类脂在其结合姿态和对蛋白质动力学的影响方面都表现出异质性。在我们的模拟系统中添加CBD导致了开放的选择性过滤器和结构重排,其中包括锚蛋白重复结构域的顺时针旋转,TRP螺旋线,和VSLD。一起,这些结果揭示了内源性脂质与外源性配体之间的相互作用及其对TRPV2稳定性和通道门控的影响。本文受版权保护。保留所有权利。
    Transient receptor potential vanilloid (TRPV) channels play various important roles in human physiology. As membrane proteins, these channels are modulated by their endogenous lipid environment as the recent wealth of structural studies has revealed functional and structural lipid binding sites. Additionally, it has been shown that exogenous ligands can exchange with some of these lipids to alter channel gating. Here, we used molecular dynamics simulations to examine how one member of the TRPV family, TRPV2, interacts with endogenous lipids and the pharmacological modulator cannabidiol (CBD). By computationally reconstituting TRPV2 into a typical plasma membrane environment, which includes phospholipids, cholesterol, and phosphatidylinositol (PIP) in the inner leaflet, we showed that most of the interacting surface lipids are phospholipids without strong specificity for headgroup types. Intriguingly, we observed that the C-terminal membrane proximal region of the channel binds preferentially to PIP lipids. We also modelled two structural lipids in the simulation: one in the vanilloid pocket and the other in the voltage sensor-like domain (VSLD) pocket. The simulation shows that the VSLD lipid dampens the fluctuation of the VSLD residues, while the vanilloid lipid exhibits heterogeneity both in its binding pose and in its influence on protein dynamics. Addition of CBD to our simulation system led to an open selectivity filter and a structural rearrangement that includes a clockwise rotation of the ankyrin repeat domains, TRP helix, and VSLD. Together, these results reveal the interplay between endogenous lipids and an exogenous ligand and their effect on TRPV2 stability and channel gating.
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  • 文章类型: Journal Article
    中风后可立即出现严重头痛。由于头痛是由三叉神经脑膜传入的激活引起的,我们评估了接受皮质光血栓形成的小鼠脑膜传入神经活性的变化。皮质光血栓形成可引起大小可变的同侧病变,与对侧感觉运动损伤有关。机械敏感性Piezo1通道的伤害性放电,由激动剂Yoda1激活,在缺血半球的脑膜传入增加。这些脑膜传入在基线和Yoda1激活机械敏感性Piezo1通道期间也具有较高的最大尖峰频率。此外,在这些脑膜传入中,在辣椒素诱导瞬时受体电位香草素1(TRPV1)通道的整个过程中,伤害性放电是活跃的。在同一组小鼠或对照小鼠的对侧半头骨上没有观察到这种激活。我们的数据表明,能够维持高频尖峰活动的机械敏感性Piezo1通道和伤害性TRPV1通道参与小鼠实验性缺血性中风后的三叉神经痛疼痛反应。
    Stroke can be followed by immediate severe headaches. As headaches are initiated by the activation of trigeminal meningeal afferents, we assessed changes in the activity of meningeal afferents in mice subjected to cortical photothrombosis. Cortical photothrombosis induced ipsilateral lesions of variable sizes that were associated with contralateral sensorimotor impairment. Nociceptive firing of mechanosensitive Piezo1 channels, activated by the agonist Yoda1, was increased in meningeal afferents in the ischemic hemispheres. These meningeal afferents also had a higher maximal spike frequency at baseline and during activation of the mechanosensitive Piezo1 channel by Yoda1. Moreover, in these meningeal afferents, nociceptive firing was active during the entire induction of transient receptor potential vanilloid 1 (TRPV1) channels by capsaicin. No such activation was observed on the contralateral hemi-skulls of the same group of mice or in control mice. Our data suggest the involvement of mechanosensitive Piezo1 channels capable of maintaining high-frequency spiking activity and of nociceptive TRPV1 channels in trigeminal headache pain responses after experimental ischemic stroke in mice.
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  • 文章类型: Journal Article
    辣椒素通过香草素受体作用于感觉神经。已经针对啮齿动物和人类的功能性下尿路(LUT)状况对TRPV1进行了广泛研究。我们旨在(1)提供有关辣椒素和TRPV1及其作用机制的背景信息以及临床使用的基础,(2)回顾在啮齿动物中使用急性膀胱内辣椒素滴注(AICI)来模拟涉及辣椒素敏感C纤维的各种LUT疾病,(3)讨论未来的创新治疗方法。对主要文献数据库进行了全面搜索,直到2022年6月。辣椒素敏感性和抗性无髓膀胱传入C纤维均参与非神经源性膀胱过度活动症/逼尿肌过度活动症(OAB/DO)。AICI是研究模仿人类OAB的传入多动的合适模型。辣椒素敏感性C纤维也参与神经源性DO(NDO)和NDO治疗的潜在靶标。AICI已成功测试用于人类的NDO治疗。辣椒素敏感的膀胱传入神经是NDO治疗的目标。TRPV1-免疫反应性神经纤维参与间质性膀胱炎/膀胱疼痛综合征(IC/PBS)的发病机理。AICI实验模型似乎与针对难治性IC/BPS的针对膀胱传入神经的治疗的临床前研究有关。在实验性膀胱出口梗阻(BOO)中,辣椒素敏感性膀胱传入神经的活性增加。AICI模型也可能与由与BOO相关的C-纤维过度兴奋导致的膀胱病症有关。总之,对于各种膀胱疾病,有选择性阻断TRPV1通道的理由.AICI模型在临床上与研究其中膀胱C-纤维传入神经过度兴奋的病理生理状况相关,并根据其病理生理学评估膀胱疾病的创新治疗方法。
    Capsaicin acts on sensory nerves via vanilloid receptors. TRPV1 has been extensively studied with respect to functional lower urinary tract (LUT) conditions in rodents and humans. We aimed to (1) provide background information on capsaicin and TRPV1 and its mechanisms of action and basis for clinical use, (2) review the use of acute intravesical capsaicin instillation (AICI) in rodents to mimic various LUT disorders in which capsaicin sensitive C-fibers are involved and (3) discuss future innovative treatments. A comprehensive search of the major literature databases until June 2022 was conducted. Both capsaicin-sensitive and resistant unmyelinated bladder afferent C-fibers are involved in non-neurogenic overactive bladder/detrusor overactivity (OAB/DO). AICI is a suitable model to study afferent hyperactivity mimicking human OAB. Capsaicin-sensitive C-fibers are also involved in neurogenic DO (NDO) and potential targets for NDO treatment. AICI has been successfully tested for NDO treatment in humans. Capsaicin-sensitive bladder afferents are targets for NDO treatment. TRPV1-immunoreactive nerve fibers are involved in the pathogenesis of interstitial cystitis/painful bladder syndrome (IC/PBS). The AICI experimental model appears relevant for the preclinical study of treatments targeting bladder afferents for refractory IC/BPS. The activity of capsaicin-sensitive bladder afferents is increased in experimental bladder outlet obstruction (BOO). The AICI model may also be relevant for bladder disorders resulting from C-fiber hyperexcitabilities related to BOO. In conclusion, there is a rationale for the selective blockade of TRPV1 channels for various bladder disorders. The AICI model is clinically relevant for the investigation of pathophysiological conditions in which bladder C-fiber afferents are overexcited and for assessing innovative treatments for bladder disorders based on their pathophysiology.
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