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全身应用吗啡可选择性抑制大鼠广泛伤害性传入的丘脑连接。

Systemic morphine selectively depresses a thalamic link of widespread nociceptive inputs in the rat.

作者信息

Monconduit Lénaïc, Bourgeais Laurence, Bernard Jean-François, Villanueva Luis

机构信息

Physiopharmacologie du Système Nerveux, INSERM U-161, 2 rue d'Alésia, 75014 Paris, France.

出版信息

Eur J Pain. 2002;6(1):81-7. doi: 10.1053/eujp.2001.0308.

Abstract

The lateral part of the ventromedial thalamus (VM l) relays nociceptive inputs from the whole body surface to the dorsolateral frontal cortex. The aim of the present study was to investigate the effects of systemic morphine on nociceptive activity evoked in VM l neurones either by thermal (48 degrees C) or by supramaximal percutaneous electrical stimuli. The noxious thermal evoked responses were depressed by 10.8 +/- 10.1%, 48.3 +/- 23.0% and 67.3 +/- 10.1%, 5 min after i.v. injections of 1.0, 1.73 and 3.0 mg/kg of morphine, respectively. Moreover, strong depressive effects on the Adelta- and C-fibre responses were already present 5 min after the injection. The responses were significantly reduced by 7.2 +/- 5.9%, 32.5 +/ 11.1% and 37.2 +/- 11.8% for Adelta fibres after i.v. injections of 1.0, 1.73 and 3.0 mg/kg of morphine, respectively. The corresponding values for C-fibre evoked responses were 16.3 +/- 16.2%, 57.0 +/- 12.0% and 69.0 +/- 8.2%. The dose of morphine that reduced VM l neuronal nociceptive responses by 50% (1.73 mg/kg) was around 3.5 times lower than that necessary to inhibit the responses of its spinal or medullary relays under similar experimental conditions. These results, added to the data of the literature, suggest that supraspinal effects of morphine are primarily mediated at the thalamic level. It is tempting to speculate that morphine-induced reductions of attentional or psychomotor responses related to pain may be mediated by its action on VM l.

摘要

腹内侧丘脑外侧部(VM l)将来自全身表面的伤害性传入信号中继至背外侧额叶皮质。本研究的目的是探究全身应用吗啡对VM l神经元由热刺激(48摄氏度)或超强经皮电刺激诱发的伤害性活动的影响。静脉注射1.0、1.73和3.0mg/kg吗啡后5分钟,有害热诱发反应分别降低了10.8±10.1%、48.3±23.0%以及67.3±10.1%。此外,注射后5分钟对Aδ和C纤维反应就已经有很强的抑制作用。静脉注射1.0、1.73和3.0mg/kg吗啡后,Aδ纤维反应分别显著降低了7.2±5.9%、32.5±11.1%和37.2±11.8%。C纤维诱发反应的相应数值分别为16.3±16.2%、57.0±12.0%和69.0±8.2%。在相似实验条件下,使VM l神经元伤害性反应降低50%的吗啡剂量(1.73mg/kg)比抑制其脊髓或延髓中继反应所需剂量低约3.5倍。这些结果,结合文献数据,表明吗啡的脊髓上作用主要在丘脑水平介导。很容易推测,吗啡引起的与疼痛相关的注意力或精神运动反应降低可能是由其对VM l的作用介导的。

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