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中脑导水管周围灰质的大多巴胺能神经元受损后,阿片类药物的抗伤害感受作用减弱:D1(而非D2)多巴胺受体起关键作用。

Opiate anti-nociception is attenuated following lesion of large dopamine neurons of the periaqueductal grey: critical role for D1 (not D2) dopamine receptors.

作者信息

Flores Juan A, El Banoua Fadwa, Galán-Rodríguez Beatriz, Fernandez-Espejo Emilio

机构信息

Departamento de Fisiologia Medica y Biofisica, Facultad de Medicina, Universidad de Sevilla, Av. Sanchez Pizjuan 4, E-41009 Sevilla, Spain.

出版信息

Pain. 2004 Jul;110(1-2):205-14. doi: 10.1016/j.pain.2004.03.036.

Abstract

The periaqueductal grey (PAG) area is involved in pain modulation as well as in opiate-induced anti-nociceptive effects. The PAG possess dopamine neurons, and it is likely that this dopaminergic network participates in anti-nociception. The objective was to further study the morphology of the PAG dopaminergic network, along with its role in nociception and opiate-induced analgesia in rats, following either dopamine depletion with the toxin 6-hydroxydopamine or local injection of dopaminergic antagonists. Nociceptive responses were studied through the tail-immersion (spinal reflex) and the hot-plate tests (integrated supraspinal response), establishing a cut-off time to further minimize animal suffering. Heroin and morphine were employed as opiates. Histological data indicated that the dopaminergic network of the PAG is composed of two types of neurons: small rounded cells, and large multipolar neurons. Following dopamine depletion of the PAG, large neurons (not small ones) were selectively affected by the toxin (61.9% dopamine cell loss, 80.7% reduction of in vitro dopaminergic peak), and opiate-induced analgesia in the hot-plate test (not the tail-immersion test) was reliably attenuated in lesioned rats (P < 0.01). After infusions of dopaminergic ligands into the PAG, D(1) (not D(2)) receptor antagonism attenuated opiate-induced analgesia in a dose-dependent manner in the hot-plate test. The present study provides evidence that large neurons of the dopaminergic network of the PAG participate in supraspinal (not spinal) nociceptive responses after opiates through the involvement of D(1) dopamine receptors. This dopaminergic system should be included as another network within the PAG involved in opiate-induced anti-nociception.

摘要

导水管周围灰质(PAG)区域参与疼痛调节以及阿片类药物诱导的抗伤害感受作用。PAG含有多巴胺能神经元,这个多巴胺能网络可能参与抗伤害感受。本研究的目的是,在用毒素6-羟基多巴胺使多巴胺耗竭或局部注射多巴胺能拮抗剂后,进一步研究PAG多巴胺能网络的形态及其在大鼠伤害感受和阿片类药物诱导的镇痛中的作用。通过尾部浸入试验(脊髓反射)和热板试验(整合的脊髓上反应)研究伤害感受反应,设定一个截止时间以进一步减少动物痛苦。使用海洛因和吗啡作为阿片类药物。组织学数据表明,PAG的多巴胺能网络由两种类型的神经元组成:小圆形细胞和大多极神经元。PAG多巴胺耗竭后,大神经元(而非小神经元)被毒素选择性影响(多巴胺细胞损失61.9%,体外多巴胺能峰值降低80.7%),并且在损伤大鼠中,热板试验(而非尾部浸入试验)中阿片类药物诱导的镇痛作用可靠地减弱(P<0.01)。向PAG内注入多巴胺能配体后,D(1)(而非D(2))受体拮抗作用在热板试验中以剂量依赖性方式减弱阿片类药物诱导的镇痛作用。本研究提供的证据表明,PAG多巴胺能网络的大神经元通过D(1)多巴胺受体的参与,在阿片类药物作用后参与脊髓上(而非脊髓)伤害感受反应。这个多巴胺能系统应被视为PAG内另一个参与阿片类药物诱导的抗伤害感受的网络。

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