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对雄性大鼠进行长期卵巢性类固醇治疗会产生抗伤害感受:基于性别的不同镇痛机制的鉴定。

Prolonged ovarian sex steroid treatment of male rats produces antinociception: identification of sex-based divergent analgesic mechanisms.

作者信息

Liu N J, Gintzler A R

机构信息

Department of Biochemistry, State University of New York, Health Science Center at Brooklyn, Brooklyn, USA.

出版信息

Pain. 2000 Mar;85(1-2):273-81. doi: 10.1016/s0304-3959(99)00278-x.

Abstract

Simulation of the pregnancy blood concentration profile of 17beta-estradiol (E(2)) and progesterone (P) in nonpregnant ovariectomized rats has been shown to result in a significant elevation of nociceptive response thresholds. The present report demonstrates that spinal opioid antinociceptive responsiveness to these ovarian steroids is not sex-specific. Treatment of orchidectomized sexually mature males with an analogous regimen of E(2) and P also elicits an antinociception, the robustness and temporal profile of which is comparable with that previously observed in females. Neither E(2) nor P, alone, is sufficient to produce antinociception in male rats, as was previously demonstrated in females. Neurobiological substrates and antinociceptive mechanisms underlying ovarian sex steroid antinociception do, however, exhibit sex specificity. In males, the analgesia resulting from ovarian steroid treatment derives from the independent contributions of spinal kappa and mu, not delta, opioid receptor pathways that are additive, not synergistic. Spinal alpha(2)-noradrenergic receptor activity and its attendant analgesic synergy with spinal opioid systems do not contribute to ovarian sex steroid analgesia in males. This is in contrast to the previous demonstrations that ovarian sex steroid-induced antinociception in females results from antinociceptive synergy between activated spinal kappa/delta opioid as well as alpha(2)-noradrenergic receptor systems. The current data reveal that ovarian steroid-activated multiplicative spinal antinociceptive pathways that had been demonstrated in female rats are not manifest in their male counterparts.

摘要

在未怀孕的去卵巢大鼠中模拟17β-雌二醇(E₂)和孕酮(P)的妊娠血药浓度曲线已显示会导致伤害性反应阈值显著升高。本报告表明,脊髓阿片类药物对这些卵巢类固醇的抗伤害感受反应并非性别特异性的。用类似的E₂和P方案治疗去势的性成熟雄性大鼠也会引发抗伤害感受,其强度和时间曲线与先前在雌性大鼠中观察到的相当。正如先前在雌性大鼠中所证明的那样,单独使用E₂或P都不足以在雄性大鼠中产生抗伤害感受。然而,卵巢性类固醇抗伤害感受的神经生物学底物和抗伤害感受机制确实表现出性别特异性。在雄性大鼠中,卵巢类固醇治疗产生的镇痛作用源于脊髓κ和μ阿片受体途径的独立作用,而非δ阿片受体途径,这些途径是相加而非协同的。脊髓α₂-去甲肾上腺素能受体活性及其与脊髓阿片系统伴随的镇痛协同作用对雄性大鼠的卵巢性类固醇镇痛作用没有贡献。这与先前的研究结果形成对比,先前的研究表明,雌性大鼠中卵巢性类固醇诱导的抗伤害感受是由激活的脊髓κ/δ阿片受体以及α₂-去甲肾上腺素能受体系统之间的抗伤害感受协同作用引起的。目前的数据表明,在雌性大鼠中已证明的卵巢类固醇激活的脊髓抗伤害感受相乘途径在雄性大鼠中并不明显。

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