Effects of GaAlAs Laser and Acupuncture Therapy at BL40 on Neuropathic Pain in Rats

위중(委中)(BL40)에 시술된 GaAlAs Laser와 침자가 신경병리성 동통에 미치는 영향

  • Lim, Jung-A (Dept. of Acupuncture, college of Oriental Medicine, Dong-Shin University) ;
  • Chae, Woo-Seok (Dept. of Acupuncture, college of Oriental Medicine, Dong-Shin University) ;
  • Lee, Suk-Hee (Dept. of Mechatronics, Gwangju Institute of Science Technology) ;
  • Jeong, Sung-Ho (Dept. of Mechatronics, Gwangju Institute of Science Technology) ;
  • Youn, Dae-Hwan (Dept. of Meridian & Acupoint, college of Oriental Medicine, Dong-Shin University) ;
  • Na, Chang-Su (Dept. of Meridian & Acupoint, college of Oriental Medicine, Dong-Shin University)
  • 임정아 (동신대학교 한의과대학 침구학교실) ;
  • 채우석 (동신대학교 한의과대학 침구학교실) ;
  • 이석희 (광주과학기술원 기전공학과) ;
  • 정성호 (광주과학기술원 기전공학과) ;
  • 윤대환 (동신대학교 한의과대학 경혈학교실) ;
  • 나창수 (동신대학교 한의과대학 경혈학교실)
  • Received : 2011.03.05
  • Accepted : 2011.06.20
  • Published : 2011.06.27

Abstract

Objectives : We have studied the effects of GaAlAs (808 nm) low level laser therapy (LLLT) and acupuncture at BL40 on neuropathic pain in rats induced by lumbar spinal nerve 5 ligation. Methods : To produce the model of neuropathic pain, under isoflurane 2.5% anesthesia, the lumbar spinal nerve 5 was ligated by 6-0 silk thread. After neuropathic surgery, we examined if the animals exhibited the behavioral sign of allodynia. The allodynia was assessed by stimulating the medial malleolus with von Frey filament and acetone. Three weeks after the neuropathic surgery, GaAlAs (808 nm) low level laser and acupuncture was inserted at BL40 once a day for 6 days. We examined the withdrawal response of neuropathic rats' legs by von Frey filament and acetone stimulation. And also the author examined c-Fos, nociceptin and nociceptin receptor in the midbrain central gray of neuropathic rats. Results : The GaAlAs (808 nm) low level laser therapy and acupuncture at BL40 decreased the withdrawal response of mechanical allodynia that assessed with von Frey filament in LLLT group on 5 and 6 times and with acetone in AT group and LLLT on 6times. The LLLT and acupuncture at BL40 decreased the c-Fos protein expression in AT and LLLT groups. The 808 nm LLLT and acupuncture at BL40 decreased the nociceptin protein and nociceptin receptor protein in LLLT group. Conclusions : We have noticed that GaAlAs (808 nm) LLLT and acupuncture at BL40 decreased mechanical allodynia in the model of neuropathic pain. c-Fos, nociceptin and nociceptin receptor expression in the central gray of that group was also decreased. This study can be used as a basic resource on a study and a treatment of pain.

Keywords

References

  1. Merskey H, Bogduk N. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. 2nd ed. Seattle : IASP Press. 1994 : 40-3, 212.
  2. Mitchell SW. Injuries of Nerve and Their Consequences. Philadelphia : Lippincott. 1872 : 252.
  3. Wegert S, Ossipov MH, Nicholas ML, Bian D, Vanderah TW. Differential activities of intrathecal MK-801 or morphine to alter responses to thermal and mechanical stimuli in normal or nerve-injured rats. Pain. 1997 ; 71(1) : 57-64. https://doi.org/10.1016/S0304-3959(97)03337-X
  4. 이우용. 신경병증성 통증. 인제의학. 2002 ; 23(5) : 171-4.
  5. Hayashida K, Obata H, Nakajima K, Eisenach JC. Gabapentin acts within the locus coeruleus to alleviate neuropathic pain. Anesthesiology. 2008 ; 109(6) : 1077-84. https://doi.org/10.1097/ALN.0b013e31818dac9c
  6. 河北醫學院. 靈樞經校釋 下冊. 北京: 人民衛生出版社. 1982 : 352.
  7. 楊維傑編. 黃帝內經 素問 靈樞 譯解. 서울 : 成輔社. 1980 : 23-50.
  8. Tuner J, Hode L. Low Level Laser Therapy : Clinical Practice and Scientific Background. Grangesberg Sweden : Prima Books. 1999.
  9. 위통순, 윤대환, 윤여충, 나창수. 白鼠의 神經病理性疼痛에 대한 後谿 委中 穴位 毫鍼療法과 레이저 侵襲照射 鍼療法과의 비교 연구. 대한경락경혈학회지. 2005 ; 22(2) : 9-24.
  10. 임선주, 윤대환, 나창수. 列缺, 蠡溝, 列缺配蠡溝에 侵襲的으로 照射된 레이저鍼療法이 高脂血症 白鼠에 미치는 영향. 대한경락경혈학회지. 2005 ; 22(3) : 1-16.
  11. 방상희, 윤대환, 조명래, 임현진, 나창수. 列缺, 蠡溝에 대한 용량별 He-Ne 레이저침 照射가 高脂肪 食餌로 유발된 高脂血症 白鼠에 미치는 영향. 대한경락경혈학회지. 2006 ; 23(1) : 1-14.
  12. 나창수, 윤대환, 최찬헌, 이석희, 오광환, 정성호. 神門, 太白穴에 시행된 直刺法, 手技瀉法 및 침습형 레이저 시술이 고혈압 백서에 미치는 영향. 대한경락경혈학회지. 2008 ; 25(2) : 199-210.
  13. Gouw-Soares S, Tanji E, Haypek P, Cardoso W, Eduardo CP. The use of Er:YAG, Nd:YAG and Ga-Al-As lasers in periapical surgery: a 3-year clinical study. J Clin Laser Med Surg. 2001 ; 19(4) : 193-8. https://doi.org/10.1089/104454701316918961
  14. Stergioulas A. Low-power laser treatment in patients with frozen shoulder: preliminary results. Photomed Laser Surg. 2008 ; 26(2) : 99-105. https://doi.org/10.1089/pho.2007.2138
  15. 대한침구학회 교재편찬위원회 편저. 鍼灸學 上. 서울 : 집문당. 2008 : 146-7.
  16. 이배환, 손진훈, 박용구. 신경병리성 통증과 아편계 약물이 효능. 한국뇌학회지. 2001 ; 1(1) : 53-64.
  17. 이배환. 신경병리성 동통의 조절에 있어서 아드레날린계와 아편계의 상호작용. 한국심리학회지. 2001 ; 13(1) : 31-43.
  18. Bennett GJ, Xie YK. A peripheral mononeuropathy in rat that produces disorders of pain sensation like those seen in man. Pain. 1988 ; 33 : 87-107. https://doi.org/10.1016/0304-3959(88)90209-6
  19. Seltzer Z, Dubner R, Shir Y. A novel behavioral model of neuropathic pain disorders produced in rats by partial sciatic nerve injury. Pain. 1990 ; 43 : 205-18. https://doi.org/10.1016/0304-3959(90)91074-S
  20. Kim SH, Chung JM. An experimental model for peripheral neuropathy produced by segmental spinal nerve ligation in the rat. Pain. 1992 ; 50 : 355-63. https://doi.org/10.1016/0304-3959(92)90041-9
  21. DeLeo JA, Coombs DW, Willenbring S, Dolburn RW, Fromm C, Wagner R, Twitchell BB. Characterization of a neuropathic pain model. Sciatic cryoneurolysis in the rat. Pain. 1994 ; 56 : 9-16. https://doi.org/10.1016/0304-3959(94)90145-7
  22. Lee BH, Won R, Baik EJ, Lee SH, Moon CH. An animal model of neuropathic pain employing injury to the sciatic nerve branches. Neuroreport. 2000 ; 11(4) : 657-61. https://doi.org/10.1097/00001756-200003200-00002
  23. 丁光迪 主編. 諸病源候論校注(上). 北京: 人民衛生出版社. 1992 : 152.
  24. 木下晴都. 좌골신경통과 침구. 대구 : 동양종합 통신교육출판부. 1985 : 19-22, 33-54.
  25. 丁光迪 主編. 諸病源候論校注(下). 北京: 人民衛生出版社. 1992 : 854.
  26. 이상훈, 정병식, 윤형석, 조성규, 이윤호, 김성욱. 委中穴자락의 요통에 대한 치료효과. 대한침구학회지. 2002 ; 19(1) : 65-75.
  27. 정정희, 윤대환, 나창수, 유충열, 윤여충, 조명래. 後谿, 委中, 後谿配委中 침자가 백서의 신경병리성 동통억제 및 c-Fos 단백 발현에 미치는 영향. 대한침구학회지. 2004 ; 21(1) : 240-51.
  28. 오창록, 나창수, 유충열, 조명래. 委中, 後谿, 委中配後谿 전침 및 침자가 백서의 신경병리성 동통 억제에 미치는 영향. 대한침구학회지. 2005 ; 22(1) : 77-90.
  29. 김용남. 한방물리치료학. 서울 : 서원당. 1995 : 451-70.
  30. Gam AN, Thorsen H, Lonnberg F. The effect of low-level laser therapy on musculoskeletal pain: a meta-analysis. Pain. 1993 ; 52(1) : 63-6. https://doi.org/10.1016/0304-3959(93)90114-5
  31. 이승호, 이승헌, 박히준, 소광섭, 임사비나. 저출력레이저 침 치료에 관한 국내 문헌 분석. 대한경락경혈학회지. 2005 ; 22(2) : 237-55.
  32. 김재호, 허원. 안과 영역에서의 레이저광의 의학적 응용. 대한의학협회지. 1984 ; 27(2) : 103-12.
  33. 장인수, 강현철, 강신화. He-Ne 레이저 혈관내 조사(ILIB)가 고지혈증에 미치는 영향에 대한 임상보고. 대한한방내과학회지. 2000 ; 22(4) : 549-54.
  34. 장인수 심근백 역. 레이저치료학. 서울 : 도서출판 정담. 2006 : 45-9.
  35. Shir Y, Seltzer Z. Effects of sympathectomy in a model of causalgiform pain produced by partial sciatic nerve injury in rats. Pain. 1991 ; 45(3) : 309-20. https://doi.org/10.1016/0304-3959(91)90056-4
  36. Heavner JE, Calvillo O, Racz GB. Thermal grill illusion and complex regional pain syndrome type I (reflex sympathetic dystrophy). Reg Anesth. 1997 ; 22(3) : 257-9. https://doi.org/10.1016/S1098-7339(06)80011-8
  37. Abbadie C, Besson JM. c-Fos expression in rat lumbar spinal cord during the development of adjuvant induced arthritis. Neuroscience. 1992 ; 48 : 985-93. https://doi.org/10.1016/0306-4522(92)90287-C
  38. 천상우, 민승기. 흰쥐 삼차신경 척수감각핵 미측소핵 세포의 흥분성 시냅스 전도에 대한 nociceptin의 효과. 대한악안면성형재건외과학회지. 2003 ; 25(3) : 214-21.
  39. Meunier JC, Mollereau C, Toll L, Suaudeau C, Moisand C, Alvinerie P, Butour JL, Guillemot JC, Ferrara P, Monsarrat B. Isolation and structure of the endogenous agonist of opioid receptor-like ORL1 receptor. Nature. 1995 ; 377(6549) : 532-5. https://doi.org/10.1038/377532a0
  40. Jaggi AS, Singh N. Role of different brain areas in peripheral nerve injury-induced neuropathic pain. Brain Res. 2011 ; 1381 : 187-201.