Hämäläinen Minna M, Gebhart G F, Brennan Timothy J
Department of Pharmacology, College of Medicine, The University of Iowa, Iowa City, IA 52242, USA.
J Neurophysiol. 2002 Feb;87(2):712-20. doi: 10.1152/jn.00207.2001.
The purpose of this study was to examine which primary afferent fibers are sensitized to mechanical stimuli after an experimental surgical incision to the glabrous skin of the rat hindpaw. Afferent fibers teased from the L(5) dorsal root or the tibial nerve were recorded in anesthetized rats. The mechanical response properties of each fiber were characterized before and 45 min after an incision (or sham procedure) within the mechanical receptive field. Sensitization is characterized by an expansion of the mechanical receptive field, an increase in background activity, an increase in response magnitude, or a decrease in response threshold. After incision, the background activity and response properties of Abeta-fibers (n = 9) to mechanical stimuli were unchanged. Four of 13 mechanosensitive Adelta-fibers exhibited sensitization after the incision; response threshold decreased, response magnitude increased, or receptive field size increased. Background activity of Adelta-fibers was not increased by the incision. Sensitization was observed in 4 of 18 mechanosensitive C-fibers 45 min after the incision. Background activity of C-fibers was not increased by the incision. In a group of mechanically insensitive afferent fibers (MIAs), 3 of 7 Adelta-fibers and 4 of 10 C-fibers sensitized 45 min after incision. Response threshold was decreased in only 2 of 17 MIAs; receptive field size increased in 7 of 17 MIAs. Abeta-fibers did not sensitize after the incision, and only 8 of 31 (26%) mechanosensitive Adelta- and C-fibers gave evidence of sensitization. In a group of MIA Adelta- and C-fibers, a greater percentage of 17 fibers studied (41%) were sensitized after incision. In this model, the principal effect of an incision, when examined 45 min after the insult, is an increase in receptive field size of the afferents, particularly those characterized as MIAs. To the extent that the mechanical hyperalgesia characterized in the same model is initiated in the periphery, it would appear that spatial summation of modestly increased response magnitude is important to the development of hyperalgesia.
本研究的目的是检测在对大鼠后爪无毛皮肤进行实验性手术切口后,哪些初级传入纤维对机械刺激敏感。从L(5)背根或胫神经分离出的传入纤维在麻醉的大鼠中进行记录。在切口(或假手术)前及切口后45分钟,对机械感受野内每条纤维的机械反应特性进行表征。敏化的特征是机械感受野扩大、背景活动增加、反应幅度增加或反应阈值降低。切口后,Aβ纤维(n = 9)对机械刺激的背景活动和反应特性未发生变化。13条机械敏感的Aδ纤维中有4条在切口后出现敏化;反应阈值降低、反应幅度增加或感受野大小增加。切口并未增加Aδ纤维的背景活动。切口后45分钟,18条机械敏感的C纤维中有4条出现敏化。切口并未增加C纤维的背景活动。在一组机械不敏感传入纤维(MIA)中,7条Aδ纤维中有3条和10条C纤维中有4条在切口后45分钟出现敏化。17条MIA中只有2条反应阈值降低;17条MIA中有7条感受野大小增加。Aβ纤维在切口后未出现敏化,31条机械敏感的Aδ和C纤维中只有8条(26%)有敏化迹象。在一组MIA的Aδ和C纤维中,所研究的17条纤维中有更大比例(41%)在切口后出现敏化。在该模型中,在损伤后45分钟进行检测时,切口的主要作用是增加传入纤维的感受野大小,尤其是那些被归类为MIA的纤维。就同一模型中表征的机械性痛觉过敏在周围组织引发而言,似乎适度增加的反应幅度的空间总和对痛觉过敏的发展很重要。