Gozariu M, Bouhassira D, Willer J, Le Bars D
Laboratoire de Neurophysiologie, Hôpital Pitié-Salpétriêre, 91 Bd de l'Hôpital, 75013, Paris, France.
Eur J Pharmacol. 2000 Apr 7;394(1):75-84. doi: 10.1016/s0014-2999(00)00114-x.
In intact rats, an inhibitory mechanism counteracts the increase in excitability of a flexor reflex, which is seen in spinal animals following temporal summation of C-fibre inputs; the Rostral Ventromedial Medulla is involved in this inhibitory mechanism. Electromyographic responses elicited by electrical stimulation of the sural nerve were recorded from the biceps femoris in four types of preparations, namely intact, sham-operated, Rostral Ventromedial Medulla-lesioned and decerebrate-spinal rats. The excitability of the C-fibre reflex was tested during and following high intensity homotopic electrical conditioning stimuli. Morphine (2 mg/kg) did not significantly change the basal test response but increased the excitability of the spinal cord during conditioning. This effect was triggered by the strength of inputs, involved the Rostral Ventromedial Medulla and was probably related to some forms of motor stimulation through dopaminergic transmission. While wind-up was not reduced, the inhibition related to Diffuse Noxious Inhibitory Controls, which occurred following the conditioning period, did. In spinal animals where inhibitory mechanisms disappear, the depressive effects of morphine were unmasked for both wind-up and post-conditioning facilitations. All effects of morphine were completely reversed by naloxone.
在完整大鼠中,一种抑制机制可抵消屈肌反射兴奋性的增加,这种增加在脊髓动物中,于C纤维输入的时间总和后可见;延髓头端腹内侧区参与了这种抑制机制。在四种类型的制备物中,即完整、假手术、延髓头端腹内侧区损伤和去大脑脊髓大鼠,记录了腓肠神经电刺激诱发的股二头肌肌电图反应。在高强度同位电刺激期间和之后,测试了C纤维反射的兴奋性。吗啡(2毫克/千克)并未显著改变基础测试反应,但在刺激期间增加了脊髓的兴奋性。这种效应由输入强度触发,涉及延髓头端腹内侧区,并且可能与通过多巴胺能传递的某些形式的运动刺激有关。虽然强直后增强未降低,但与弥漫性有害抑制控制相关的抑制在刺激期后出现了降低。在抑制机制消失的脊髓动物中,吗啡对强直后增强和刺激后易化的抑制作用被揭示出来。吗啡的所有效应都被纳洛酮完全逆转。