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Document Description
Title
A
study
of the
role
of
spinal
prostaglandins
and
nitric
oxide
early
after
nerve
injury
Author
O'Rielly
,
Darren
Douglas
,
1977-
Description
Thesis
(Ph.D)--Memorial
University
of
Newfoundland
,
2009.
Medicine
Date
2008
Pagination
xxxiv, 264 leaves : ill. (some col.)
Subject
Allodynia;
Nervous
system--Wounds
and
injuries;
Nitric
oxide--Physiological
effect;
Prostaglandins--Physiological
effect;
Lumbosacral
Plexus--injuries;
Lumbosacral
Plexus--physiopathology;
Nitric
Oxide;
Prostaglandins
E
Subject.MESH
Lumbosacral
Plexus--injuries;
Lumbosacral
Plexus--physiopathology;
Nitric
Oxide;
Prostaglandins
E
Degree
Ph.D
Degree Grantor
Memorial University of Newfoundland. Faculty of Medicine
Discipline
Medicine
Language
Eng
Notes
Includes
bibliographical
references
(leaves
213-264).
Abstract
Allodynia
is
an
abnormal
state
in
which
pain
is
triggered
by
innocuous
sensory
stimuli.
Previous
work
in
our
laboratory
has
shown
that
L5/L6
spinal
nerve
ligation
(SNL)
induces
robust
mechanical
allodynia
in the
rat
which
consists
of
two
distinct
phases:
(a)
an
early
spinal
prostaglandin
(PG)-dependent
phase
lasting
approximately
seven
to
ten
days;
and
(b)
a
delayed
PG-independent
phase
lasting
at
least
seventy
days.
Importantly
, the
former
is
a
prerequisite
to and a
trigger
for the
more
complex
and
time-dependent
changes
underlying
long-term
,
irreversible
allodynia.
Interfering
with
critical
signaling
events
early
after
nerve
injury
is
a
logical
strategy
by
which
chronic
neuropathic
pain
might
be
prevented.
Such
an
approach
requires
a
clear
understanding
of the
sequence
,
time-course
and
pharmacology
of these
early
signals.
--
In
light
of the
apparent
pathogenic
role
of
spinal
PG
early
after
nerve
injury
, the
present
research
investigated
the
SNL-induced
changes
in
spinal
PG
synthesis
and
signaling
, their
relevance
to the
development
of
spinal
hyperexcitability
and
allodynia
, and the
mechanisms
underlying
the
changes
in
PG
synthesis
and
signaling
in the
spinal
PG-dependent
phase.
The
specific
objectives
were:
--
(1)
To
characterize
the
effect
of
SNL
on
A-
and
C-fiber
mediated
reflex
responses
(AFRR
and
CFRR
,
respectively)
in the
affected
hind
limb
, and to
determine
the
temporal
and
spatial
relationship
of these
changes
to
SNL-induced
allodynia.
--
(2)
To
determine
if the
SNL-induced
changes
in the
AFRR
and
CFRR
(i.e.
spinal
hyperexcitability)
are
spinal
PG-dependent
, and if
so
, to
determine
the
relevant
cyclooxygenase
(COX)
isoform(s).
--
(3)
To
determine
if
SNL
triggers
the
activation
of
nuclear
factor
kappa-B
(NFκB)
in the
affected
spinal
cord
which
initiate
the
delayed
induction
of
spinal
COX-2.
--
(4)
To
determine
if the
sensitivity
to
PG
E
type
(PGE
2
)
is
exaggerated
during
spinal
PG-dependent
allodynia
, and if this
abnormal
state
is
limited
to the
affected
spinal
cord
three
days
after
SNL.
--
(5)
To
determine
if
PG-dependent
spinal
hyperexcitability
and
mechanical
allodynia
are
mediated
by
E-type
prostaglandin
(EP)
receptors
, and to
investigate
the
changes
in the
expression
of
spinal
EP
1-3
receptor
subtypes
and the
glycine-α3
receptor
subunit
(GLY-α3R)
three
days
after
SNL.
--
(6)
To
determine
if
disrupting
spinal
PG
synthesis/signaling
immediately
after
SNL
(i.e.
pre-emptive
treatment)
prevents
the
development
of
PG-dependent
spinal
hyperexcitability
and
mechanical
allodynia.
--
(7)
To
determine
if
spinal
PG-dependent
hyperexcitability
is
affected
by the
SNL-induced
generation
of
spinal
nitric
oxide
(NO)
, and if
so
, to
investigate
relevant
NO
synthase
(NOS)
isoform(s).
Type
Text
Resource Type
Electronic
thesis
or
dissertation
Format
Image/jpeg;
Application/pdf
Source
Paper copy kept in the Centre for Newfoundland Studies, Memorial University Libraries
Local Identifier
a3241893
Rights
The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission.
Collection
Electronic
Theses
and
Dissertations
Scanning Status
Completed
PDF File
(32.74
MB)
--
http://collections.mun.ca/PDFs/theses/ORielly_DarrenDouglas.pdf
CONTENTdm file name
60691.cpd