Ness T J
Department of Anesthesiology, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.
Gastroenterology. 1999 Aug;117(2):388-94. doi: 10.1053/gast.1999.0029900388.
BACKGROUND & AIMS: Quantitative neurophysiological studies have identified the presence of at least 2 spinal neuronal populations (abrupt and sustained) that are excited by the noxious visceral stimulus colorectal distention. This study examined the effects of the kappa opioid receptor agonists fedotozine and U50488H on the activity of these neurons.
In decerebrate, cervical spinal cord-transected male rats, the lumbosacral spinal cord was exposed by a laminectomy. Dorsal horn neurons showing excitatory responses to colorectal distention (80 mm Hg, 20 seconds) were identified using microelectrodes. Cumulative doses of fedotozine and U50488H were administered intravenously or intrathecally, and antagonists were used.
Intravenous fedotozine and U50488H dose-dependently inhibited the evoked activity of sustained neurons. This inhibition was partially reversed by the kappa opioid antagonist norbinaltorphimine. The same agents had insignificant effects on the evoked activity of abrupt neurons. Fedotozine inhibited spontaneous activity of both abrupt and sustained neurons. Intrathecally administered U50488H had no effect on abrupt or sustained neurons, but intrathecally administered fedotozine inhibited the evoked and spontaneous activity of both groups.
Kappa opioid receptor agonists acting peripherally had differential effects on 2 spinal neuronal populations responsive to colorectal distention. Fedotozine had additional inhibitory effects acting within the spinal cord.
定量神经生理学研究已确定至少存在2种脊髓神经元群体(突然性和持续性),它们会被有害内脏刺激——结肠扩张所兴奋。本研究检测了κ阿片受体激动剂非多托嗪和U50488H对这些神经元活动的影响。
在去大脑、颈脊髓横断的雄性大鼠中,通过椎板切除术暴露腰骶部脊髓。使用微电极识别对结肠扩张(80毫米汞柱,20秒)表现出兴奋反应的背角神经元。静脉内或鞘内给予累积剂量的非多托嗪和U50488H,并使用拮抗剂。
静脉注射非多托嗪和U50488H剂量依赖性地抑制持续性神经元的诱发活动。这种抑制作用被κ阿片拮抗剂纳洛酮部分逆转。相同药物对突然性神经元的诱发活动影响不显著。非多托嗪抑制突然性和持续性神经元的自发活动。鞘内注射U50488H对突然性或持续性神经元均无影响,但鞘内注射非多托嗪抑制两组的诱发和自发活动。
外周作用的κ阿片受体激动剂对2种对结肠扩张有反应的脊髓神经元群体有不同影响。非多托嗪在脊髓内有额外的抑制作用。