Weng H-R, Dougherty P M
The Department of Anesthesiology and Pain Medicine, The Division of Anesthesiology and Critical Care, The University of Texas M.D. Anderson Cancer Center, Houston, TX 77030, USA.
Neuroscience. 2005;132(3):823-31. doi: 10.1016/j.neuroscience.2005.01.039.
C fiber dorsal root reflexes (DRR) contribute to neurogenic inflammation and possibly also to touch-evoked pain (allodynia) induced by intradermal capsaicin. The responses of C fibers in the sural nerve to graded mechanical stimuli before and following intradermal capsaicin were studied in 39 adult male rats. Two-thirds of 111 fibers were without spontaneous activity, while the remaining fibers averaged 1.41+/-0.25 spontaneous antidromic spikes per second. Among the quiescent C fibers only two had excitatory receptive fields, whereas the active C fibers showed three patterns of activity, an excitatory response, an inhibitory response, or no response to mechanical stimulation. The excitatory responses were to high intensity mechanical stimuli alone, while inhibitory responses were evoked in a graded fashion by both noxious and innocuous mechanical stimuli. Intradermal injection of capsaicin increased spontaneous and evoked DRRs in all C fibers with excitatory responses to mechanical stimuli, but none acquired responses to innocuous stimuli. Capsaicin initially produced inhibition of spontaneous activity in C fibers with inhibitory or no receptive fields, but this later resumed and achieved a rate higher than baseline. Mechanical stimuli re-applied following the resumption of spontaneous discharges failed to produce any response. Spontaneous DRRs were increased by topical application of 1 mM beta-alanine (a competitive antagonist for GABA transporters) and abolished by ipsilateral spinal nerve L5 lesion, verifying antidromic origin. The role of C fiber DRRs in normal sensory transmission and during hyperalgesia is discussed.
C纤维背根反射(DRR)参与神经源性炎症,也可能参与皮内注射辣椒素诱发的触觉性疼痛(异常性疼痛)。在39只成年雄性大鼠中研究了皮内注射辣椒素前后腓肠神经中C纤维对分级机械刺激的反应。111根纤维中有三分之二无自发活动,其余纤维平均每秒有1.41±0.25次自发逆向冲动放电。在静止的C纤维中,只有两根具有兴奋性感受野,而活跃的C纤维表现出三种活动模式:对机械刺激的兴奋性反应、抑制性反应或无反应。兴奋性反应仅针对高强度机械刺激,而抑制性反应由有害和无害机械刺激分级诱发。皮内注射辣椒素增加了所有对机械刺激有兴奋性反应的C纤维的自发和诱发DRR,但没有一根获得对无害刺激的反应。辣椒素最初抑制了具有抑制性或无感受野的C纤维的自发活动,但后来这种抑制恢复并达到高于基线的速率。自发放电恢复后重新施加的机械刺激未能产生任何反应。局部应用1 mMβ-丙氨酸(GABA转运体的竞争性拮抗剂)可增加自发DRR,而同侧L5脊神经损伤可消除自发DRR,证实了逆向起源。本文讨论了C纤维DRR在正常感觉传递和痛觉过敏过程中的作用。