Khasar Sachia G, Miao Frederick J-P, Gear Robert W, Green Paul G, Levine Jon D
Department of Oral and Maxillofacial Surgery and UCSF/NIH Pain Center, University of California, San Francisco, California 94143, USA.
J Pain. 2003 Jun;4(5):278-83. doi: 10.1016/s1526-5900(03)00631-x.
In male rats, activity in subdiaphragmatic vagal afferents modulates nociception via an adrenal medulla-dependent mechanism. Because both the vagus and adrenal medullae are sexually dimorphic, we evaluated vagotomy-induced changes in mechanical nociceptive threshold and inflammatory hyperalgesia in female rats and compared them to those previously reported in male rats. We have found that (1) mechanical nociceptive threshold is lower in female rats than in male rats, perhaps because of tonic release of adrenal medullary factors in female rats; (2) mechanical nociceptive threshold in female rats is influenced to a lesser degree by activity in the subdiaphragmatic vagus; (3) vagotomy-induced enhancement of bradykinin hyperalgesia is greater in female rats; (4) in female rats, in contrast to male rats, celiac plus celiac accessory branch vagotomy failed to fully account for the enhancement of bradykinin hyperalgesia in complete subdiaphragmatic vagotomy; and (5) in female rats, in contrast to male rats, adrenal medullectomy plus subdiaphragmatic vagotomy only partially (approximately 30%) reversed the effect of vagotomy on bradykinin hyperalgesia. These findings demonstrate sexual dimorphism in the modulation of both mechanical nociceptive threshold and bradykinin-induced hyperalgesia by activity in subdiaphragmatic vagal afferents as well as the adrenal medulla.
在雄性大鼠中,膈下迷走神经传入纤维的活动通过一种依赖肾上腺髓质的机制调节痛觉。由于迷走神经和肾上腺髓质均具有性别差异,我们评估了迷走神经切断术对雌性大鼠机械性痛觉阈值和炎性痛觉过敏的影响,并将其与先前在雄性大鼠中报道的结果进行比较。我们发现:(1)雌性大鼠的机械性痛觉阈值低于雄性大鼠,这可能是由于雌性大鼠中肾上腺髓质因子的持续性释放;(2)膈下迷走神经的活动对雌性大鼠机械性痛觉阈值的影响较小;(3)迷走神经切断术引起的缓激肽痛觉过敏增强在雌性大鼠中更明显;(4)与雄性大鼠不同,在雌性大鼠中,切断腹腔神经节加腹腔神经节副支迷走神经并不能完全解释完全膈下迷走神经切断术中缓激肽痛觉过敏的增强;(5)与雄性大鼠不同,在雌性大鼠中,肾上腺髓质切除术加膈下迷走神经切断术仅部分(约30%)逆转了迷走神经切断术对缓激肽痛觉过敏的影响。这些发现表明,膈下迷走神经传入纤维以及肾上腺髓质的活动在调节机械性痛觉阈值和缓激肽诱导的痛觉过敏方面存在性别差异。