• Bao-Feng Ma, John P Williams, Jian-Feng Zhang, Ruo-Guo Wang, Jian Guo, and Jian-Xiong An.
• School of Anesthesiology, Weifang Medical University & Department of Anesthesiology, Pain & Sleep Medicine, Affiliated Hospital of Weifang Medical University, Shandong, China; Department of Anesthesiology, Pain & Sleep Medicine, Aviation General Hospital of China Medical University & Beijing Institute of Translational Medicine, Chinese Academy of Sciences, Beijing, China; Department of Anesthesiology, The Third Affiliated Hospital of Jinzhou Medical University, Liaoning, China.
• Pain Physician. 2022 Jul 1; 25 (4): E629-E640.

BackgroundThalamic pain (TP), also known as central post-stroke pain, is a chronic neuropathic pain syndrome that follows a stroke and is a severe pain that is usually intractable. No universally applicable and effective therapies have been proposed. Emerging studies have reported that electroacupuncture (EA) can potentially be used as an effective therapy for the treatment of neuropathic pain. However, whether EA influences TP and if so, by what potential mechanism, remains poorly understood.ObjectiveThe aim of this study was to detect the efficacy of EA and explore possible mechanisms for treating TP.Study DesignControlled animal study.SettingThe laboratory at the Aviation General Hospital of China Medical University and Beijing Institute of Translational Medicine.MethodsMale Sprague Dawley rats were randomly divided into 3 groups (n = 15 / group): sham-operated (SH) group, thalamic pain model (TP) group, EA treatment (EA) group. After the TP rat model was successfully established, EA was used for intervention. During the experiment, the mechanical pain thresholds of rats were detected among the groups. The right thalamus of the rats was extracted on postoperative day 28 for RNA-sequencing (RNA-Seq) analysis to find the changes in gene expression in different groups of rats. The key genes were screened using reverse transcription-polymerase chain reaction (RT-PCR) detection and subsequently identified with western blotting and immunofluorescence.ResultsThe mechanical withdrawal threshold (MWT) value of the right facial skin in the TP group and the EA group decreased significantly on the 3rd day after surgery, compared to the SH group (P < 0.01). From 7 to 28 days, the MWT value increased continually in the EA group; however, there was no significant change in the TP group. The results of RNA-seq showed that compared to the TP group, 377 genes changed in the EA group. Moreover, ADCY1 expression increased significantly in the TP group as compared to the SH group, while EA treatment reversed the expression of ADCY1.LimitationsIn addition to ADCY1, the mechanism(s) of other signaling pathways in TP need to be explored in future research.ConclusionsEA treatment may promote the recovery of TP model rat by regulating ADCY1 expression.

15 keywords...

hide…