Koetzner Lee, Hua Xiao-Ying, Lai Josephine, Porreca Frank, Yaksh Tony
Department of Anesthesiology, University of California, San Diego, La Jolla, California 92093-0818, USA.
J Neurosci. 2004 Feb 11;24(6):1451-8. doi: 10.1523/JNEUROSCI.1517-03.2004.
Spinal dynorphin is hypothesized to contribute to the hyperalgesia that follows tissue and nerve injury or sustained morphine exposure. We considered that these dynorphin actions are mediated by a cascade involving the spinal release of excitatory amino acids and prostaglandins. Unanesthetized rats with lumbar intrathecal injection and loop dialysis probes received intrathecal NMDA, dynorphin A(1-17), or dynorphin A(2-17). These agents elicited an acute release of glutamate, aspartate, and taurine but not serine. The dynorphin peptides and NMDA also elicited a long-lasting spinal release of prostaglandin E2. Prostaglandin release evoked by dynorphin A(2-17) or NMDA was blocked by the NMDA antagonist amino-5-phosphonovalerate as well the cyclooxygenase (COX) inhibitor ibuprofen. To identify the COX isozyme contributing to this release, SC 58236, a COX-2 inhibitor, was given and found to reduce prostaglandin E2 release evoked by either agent. Unexpectedly, the COX-1 inhibitor SC 58560 also reduced dynorphin A(2-17)-induced, but not NMDA-induced, release of prostaglandin E2. These findings reveal a novel mechanism by which elevated levels of spinal dynorphin seen in pathological conditions may produce hyperalgesia through the release of excitatory amino acids and in part by the activation of a constitutive spinal COX-1 and -2 cascade.
脊髓强啡肽被认为与组织和神经损伤或长期吗啡暴露后出现的痛觉过敏有关。我们认为这些强啡肽的作用是由一个涉及脊髓释放兴奋性氨基酸和前列腺素的级联反应介导的。对未麻醉的大鼠进行腰段鞘内注射并植入环路透析探针,然后分别鞘内注射NMDA、强啡肽A(1-17)或强啡肽A(2-17)。这些药物引起谷氨酸、天冬氨酸和牛磺酸的急性释放,但不引起丝氨酸的释放。强啡肽肽段和NMDA也引起前列腺素E2的长时间脊髓释放。强啡肽A(2-17)或NMDA引起的前列腺素释放被NMDA拮抗剂氨基-5-磷酸缬氨酸以及环氧化酶(COX)抑制剂布洛芬阻断。为了确定参与这种释放的COX同工酶,给予COX-2抑制剂SC 58236,发现其可减少这两种药物引起的前列腺素E2释放。出乎意料的是,COX-1抑制剂SC 58560也减少了强啡肽A(2-17)诱导的前列腺素E2释放,但不影响NMDA诱导的释放。这些发现揭示了一种新机制,即在病理状态下脊髓强啡肽水平升高可能通过释放兴奋性氨基酸并部分通过激活脊髓组成型COX-1和COX-2级联反应而产生痛觉过敏。