Milne B, Hall S R, Sullivan M E, Loomis C
Department of Anesthesiology, Pharmacology, and Toxicology, Queen's University, Kingston, Ontario, Canada.
Anesth Analg. 2001 Sep;93(3):728-33. doi: 10.1097/00000539-200109000-00037.
The removal of spinal glycinergic inhibition by intrathecal strychnine produces an allodynia-like state in rodents. Our objective was to measure spinal prostaglandin E2 (PGE2) release during strychnine-allodynia and examine the effects of Nomega-nitro-L-arginine (L-NOARG), an inhibitor of nitric oxide synthetase. Under halothane, rats were fitted with intrathecal and spinal microdialysis catheters, and microelectrodes implanted into the locus coeruleus for measurement of catechol oxidation current (CAOC) using voltammetry. Animals were then administered urethane and treated as follows: 1) baseline control 10 min, intrathecal strychnine (40 microg) 10 min, 10 min of hair deflection, and 2) 10-min control followed by intrathecal strychnine (40 microg) with hair deflection for 60 min. Spinal dialysate samples were collected for PGE2 levels determined by using immunoassay. In separate experiments, the effect of intrathecal strychnine (40 microg) followed by hair deflection was studied in rats pretreated with intrathecal l-NOARG (50 nmol). After intrathecal strychnine, hair deflection significantly increased spinal PGE2 release (619% +/- 143%), locus coeruleus CAOC (181% +/- 6%), and mean arterial pressure (123% +/- 2%) P < 0.05. Pretreatment with intrathecal l-NOARG significantly inhibited strychnine-allodynia. In this model, hair deflection evokes spinal PGE2 release, locus coeruleus activation, and an increase in mean arterial pressure. L-NOARG pretreatment attenuated the locus coeruleus CAOC, a biochemical index of strychnine-allodynia, suggesting a mediator role of nitric oxide. A mediator role of nitric oxide is also implicated, helping to explain the pathophysiology of this allodynic pain.
鞘内注射士的宁消除脊髓甘氨酸能抑制作用可在啮齿动物中产生类似痛觉过敏的状态。我们的目的是测量士的宁诱导痛觉过敏期间脊髓前列腺素E2(PGE2)的释放,并研究一氧化氮合酶抑制剂Nω-硝基-L-精氨酸(L-NOARG)的作用。在氟烷麻醉下,给大鼠植入鞘内和脊髓微透析导管,并将微电极植入蓝斑以使用伏安法测量儿茶酚氧化电流(CAOC)。然后给动物注射乌拉坦并进行如下处理:1)基线对照10分钟,鞘内注射士的宁(40微克)10分钟,毛发轻拂10分钟,以及2)10分钟对照,随后鞘内注射士的宁(40微克)并毛发轻拂60分钟。收集脊髓透析液样本,通过免疫测定法测定PGE2水平。在单独的实验中,研究了鞘内注射L-NOARG(50纳摩尔)预处理的大鼠在鞘内注射士的宁(40微克)后进行毛发轻拂的效果。鞘内注射士的宁后,毛发轻拂显著增加了脊髓PGE2释放(619%±143%)、蓝斑CAOC(181%±6%)和平均动脉压(123%±2%),P<0.05。鞘内注射L-NOARG预处理显著抑制了士的宁诱导的痛觉过敏。在该模型中,毛发轻拂可引起脊髓PGE2释放、蓝斑激活和平均动脉压升高。L-NOARG预处理减弱了作为士的宁诱导痛觉过敏生化指标的蓝斑CAOC,提示一氧化氮起介质作用。一氧化氮的介质作用也得到了证实,这有助于解释这种痛觉过敏疼痛的病理生理学。