Kajander K C, Wakisaka S, Bennett G J
Neurobiology and Anesthesiology Branch, National Institute of Dental Research, National Institutes of Health, Bethesda, MD 20892.
Neurosci Lett. 1992 Apr 27;138(2):225-8. doi: 10.1016/0304-3940(92)90920-3.
The activity of myelinated primary afferents was recorded from the dorsal roots 1-3 days after creation of a painful peripheral neuropathy in rats. The effects on spontaneous discharge of acute transections at various points along the injured sciatic nerve and the dorsal root were determined, as were the effects of K+ channel blockers applied topically to two putative sites of impulse origin: the injured region of the nerve and the dorsal root ganglion (DRG). Transections just proximal to the nerve injury and just distal to the DRG failed to halt the discharge, but spontaneous discharge disappeared when the transection was made just proximal to the DRG (i.e. between the DRG and recording electrode). K+ channel blockers (4-aminopyridine and gallamine triethiodide) applied to the DRG increased the frequency of spontaneous discharge or initiated activity from silent fibers. Applications of K+ channel blockers to the injured region of the nerve were without effect. Thus, the spontaneous discharge and the sensitivity to K+ channel blockade seen in A beta and A delta primary afferents at the time of the onset of the neuropathic pain syndrome appear to originate in the DRG.
在大鼠产生疼痛性周围神经病变后1 - 3天,从背根记录有髓初级传入纤维的活动。确定了沿受损坐骨神经和背根不同部位进行急性横断对自发放电的影响,以及将钾通道阻滞剂局部应用于两个假定的冲动起源部位(神经损伤区域和背根神经节(DRG))的影响。在神经损伤近端和DRG远端的横断未能阻止放电,但当在DRG近端(即DRG与记录电极之间)进行横断时,自发放电消失。应用于DRG的钾通道阻滞剂(4 - 氨基吡啶和三碘季铵酚)增加了自发放电频率或使静息纤维产生活动。将钾通道阻滞剂应用于神经损伤区域则没有效果。因此,在神经性疼痛综合征发作时,Aβ和Aδ初级传入纤维中出现的自发放电以及对钾通道阻滞的敏感性似乎起源于DRG。