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吗啡和内吗啡肽对离体大鼠脊髓多突触反射的影响。

Effects of morphine and endomorphins on the polysynaptic reflex in the isolated rat spinal cord.

作者信息

Tao Pao-Luh, Lai Yong-Shang, Chow Lok-Hi, Huang Eagle Yi-Kung

机构信息

Department of Pharmacology, National Defense Medical Center, P.O. Box 90048-504, Nei-Hu 104, Taipei, Taiwan, Republic of China.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2005 Jan;371(1):72-80. doi: 10.1007/s00210-004-1004-8. Epub 2004 Dec 17.

Abstract

At the spinal level, mu-opioids exert their actions on nociceptive primary afferent neurons both pre- and postsynaptically. In the present study, we used an in vitro isolated neonatal rat (11-15 days old) spinal cord preparation to examine the effects of morphine and the endogenous mu-opioid ligands endomorphin-1 (EM-1) and endomorphin-2 (EM-2) on the polysynaptic reflex (PSR) of dorsal root-ventral root (DR-VR) reflex. The actions of mu-opioids on spinal nociception were investigated by quantification of the firing frequency and the mean amplitude of the PSR evoked by stimuli with 20 x threshold intensity. EM-1 decreased the mean amplitude of PSR, whereas EM-2 and morphine decreased the firing frequency. The pattern of the effects elicited by morphine was the same as that for EM-2, except at high concentration. Naloxonazine, a selective mu(1) opioid receptor antagonist, had no significant effect on PSR by itself, but blocked the inhibition of PSR firing frequency or amplitude induced by EM-1, -2 and morphine. This may suggest that EM-1, EM-2 and morphine modulate spinal nociception differently and act mainly at the mu(1)-opioid receptors. Although they all act via mu(1)-opioid receptors, their different effects on the PSR may suggest the existence of different subtypes of the mu(1)-opioid receptor. The present data is also consistent with a further hypothesis, namely, that morphine and EM-2 activate a subtype of mu(1)-opioid receptor presynaptically, while EM-1 acts mainly through another subtype postsynaptically. However, since other reports indicate that EM-2, but not EM-1, could stimulate the release of enkephalins or dynorphin, presynaptic delta and kappa receptors may be also involved indirectly in the different regulation by mu-opioids at the spinal level.

摘要

在脊髓水平,μ-阿片类药物在突触前和突触后对伤害性初级传入神经元发挥作用。在本研究中,我们使用体外分离的新生大鼠(11 - 15日龄)脊髓标本,来研究吗啡以及内源性μ-阿片类配体脑啡肽-1(EM-1)和脑啡肽-2(EM-2)对背根-腹根(DR-VR)反射的多突触反射(PSR)的影响。通过量化20倍阈强度刺激诱发的PSR的放电频率和平均幅度,研究μ-阿片类药物对脊髓伤害感受的作用。EM-1降低了PSR的平均幅度,而EM-2和吗啡降低了放电频率。吗啡引起的效应模式与EM-2相同,除了在高浓度时。纳洛酮嗪,一种选择性μ(1)阿片受体拮抗剂,自身对PSR没有显著影响,但阻断了EM-1、-2和吗啡诱导的PSR放电频率或幅度的抑制。这可能表明EM-1、EM-2和吗啡对脊髓伤害感受的调节方式不同,且主要作用于μ(1)阿片受体。虽然它们都通过μ(1)阿片受体发挥作用,但它们对PSR的不同影响可能表明存在μ(1)阿片受体的不同亚型。目前的数据也与另一个假设一致,即吗啡和EM-2在突触前激活μ(1)阿片受体的一个亚型,而EM-1主要通过另一个亚型在突触后发挥作用。然而,由于其他报告表明EM-2而非EM-1可以刺激脑啡肽或强啡肽的释放,突触前δ和κ受体可能也间接参与了μ-阿片类药物在脊髓水平的不同调节。

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