Yamamoto T, Ohtori S, Chiba T
Department of Anesthesiology, School of Medicine, Chiba University, 260, Chiba, Japan.
Brain Res. 2000 Jul 21;871(2):192-200. doi: 10.1016/s0006-8993(00)02480-x.
Pre-emptive analgesia is thought to be produced by the prevention of spinal facilitation evoked by nociceptive input to the spinal cord. Opioid receptor-like 1 (ORL1) receptor agonist has been reported to inhibit the development of spinal facilitation. We investigated the effect of nociceptin, an ORL1 receptor agonist, on the development of thermal hyperalgesia and the expression of Fos-like immunoreactivity (Fos-LI) in the spinal dorsal horn induced by two neuropathic pain models, the chronic constriction injury model and the partial sciatic nerve injury model. Chronic constriction injury is created by placing four loosely tied ligatures around the right sciatic nerve. Partial sciatic nerve injury was created by tight ligation of one third to one half of the right sciatic nerve. All drugs were injected intrathecally 10 min before the nerve injury. The anti-hyperalgesic effect of drugs was evaluated by the measurement of the paw withdrawal latency (PWL) against thermal nociceptive stimulation. The PWLs of the injured paws were measured 7, 14 and 21 days after the nerve injury. Expression of Fos-LI was examined 2 h after the nerve injury. Intrathecal injection of nociceptin significantly delayed the development of thermal hyperalgesia and decreased the expression of Fos-LI induced by chronic constriction injury, but not that induced by partial sciatic nerve injury. These data indicate that pre-emptive administration of nociceptin might be one strategy for the prevention of the development of neuropathic pain.
超前镇痛被认为是通过防止伤害性输入脊髓所诱发的脊髓易化而产生的。据报道,阿片受体样1(ORL1)受体激动剂可抑制脊髓易化的发展。我们研究了痛敏肽(一种ORL1受体激动剂)对两种神经病理性疼痛模型(慢性压迫损伤模型和坐骨神经部分损伤模型)所诱导的热痛觉过敏的发展以及脊髓背角Fos样免疫反应性(Fos-LI)表达的影响。慢性压迫损伤是通过在右侧坐骨神经周围放置四个宽松结扎的线结来造成的。坐骨神经部分损伤是通过紧密结扎右侧坐骨神经的三分之一至二分之一来造成的。所有药物均在神经损伤前10分钟鞘内注射。通过测量对热伤害性刺激的爪退缩潜伏期(PWL)来评估药物的抗痛觉过敏作用。在神经损伤后7、14和21天测量受伤爪的PWL。在神经损伤后2小时检查Fos-LI的表达。鞘内注射痛敏肽可显著延迟热痛觉过敏的发展,并降低慢性压迫损伤所诱导的Fos-LI的表达,但对坐骨神经部分损伤所诱导的Fos-LI表达没有影响。这些数据表明,预先给予痛敏肽可能是预防神经病理性疼痛发展的一种策略。