目的 观察三叉神经节神经元胞体中钠通道蛋白Nav1.8、Nav1.9mRNA在大鼠拔牙后的表达及作用,探讨拔牙术后外周组织疼痛的机制。方法Wister成年鼠30只,分为5组,每组6只,拔除大鼠右下磨牙,取同侧与对侧自体对照。采用体外快速构建cRNA标准曲线实时(realtime,RT)反转录聚合酶链反应(PCR)法,分别检测拔牙后30min、2h、1d、3d、6d时间点Nav1.8、Nav1.9mRNA的表达。结果Nav1.8、Nay1.9mRNA在拔牙后30min无明显变化,2h开始缓慢上调,至第3天时表达明显上调。在第3天Nav1.8、Nav1.9mRNA与对照组相比,分别上调27.0%、24.5%(P〈0.05),第6天表达开始下降。结论拔牙后疼痛产生与钠通道蛋白Nav1.8、Nav1.9mRNA表达上调有关,提示钠通道蛋白参与拔牙后外周组织疼痛的调节。
Objective To observe the expression and function of extraction. Methods Real-time reverse transcription PCR paralleled with vitro-established cRNA standard curves was applied to measure the expression of Nav1. 8, Nav1. 9 at 30 min, 2 h, 1 d, 3 d and 6 d respectively after extraction of rat right mandibular molars. The right mandibular molars were used as control. Results Both Nav1. 8 and Nav1. 9 mRNA in right trigeminal ganglion showed little change after 30 min, and increased slowly after 2 h. Nav1. 8, Nay1.9 mRNA expressions increased by 27% and 24. 5% respectively compared to the left trigeminal ganglion after 3 d, reaching the highest level ( P 〈 0. 05 ) , and then the expressions began decreasing from 6 d. Conclusions The pain caused by molar extraction is related to the up-regulation of expressions of sodium channels protein Navl. 8 and Nav1. 9 mRNA, indicating the participation of sodium channels in regulations of peripheral tissue pain after molar extraction.