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发情周期和性腺激素缺乏对四种品系雌性大鼠痛觉及阿片类药物抗痛觉作用的影响

Influence of estrous cycle and gonadal hormone depletion on nociception and opioid antinociception in female rats of four strains.

作者信息

Terner Jolan M, Lomas Lisa M, Picker Mitchell J

机构信息

Department of Psychology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-3270, USA.

出版信息

J Pain. 2005 Jun;6(6):372-83. doi: 10.1016/j.jpain.2005.01.354.

Abstract

UNLABELLED

Evidence suggests that gonadal hormones can modulate sensitivity to nociceptive stimuli and opioid antinociception. However, cross-study comparisons addressing the nature of this modulation have been complicated by a number of methodologic factors, including the use of different rodent strains and opioids. The present study examined the influence of estrous cycle and gonadal hormone depletion (ovariectomy) on thermal nociception and opioid antinociception in female F344, Lewis, Long Evans, and Wistar rats. Estrous cycle-dependent differences in nociceptive sensitivity were not observed in any of the strains. Ovariectomy decreased nociceptive sensitivity relative to their intact female counterparts. In normal cycling females, morphine and buprenorphine were generally most potent in metestrus and proestrus and least potent in estrus. The magnitude of these differences was consistently larger with buprenorphine. Ovariectomy increased the antinociceptive potency of morphine and buprenorphine, with this effect also being larger with buprenorphine. These data suggest that in adult females of a number of rat strains, estrous cycle and gonadal hormone depletion modulate the antinociceptive potency of opioids, with the magnitude of this effect being dependent on the type of opioid. In contrast, depletion of gonadal hormones, but not estrous cycle, modulates thermal nociceptive sensitivity in adult female rats.

PERSPECTIVE

Gonadal hormones influence opioid antinociception, and this effect is apparent across different genetic backgrounds. These results suggest that the phase of the menstrual cycle might alter the effectiveness of certain opioids administered to relieve pain in women.

摘要

未标记

有证据表明,性腺激素可调节对伤害性刺激和阿片类药物镇痛作用的敏感性。然而,由于一些方法学因素,包括使用不同的啮齿动物品系和阿片类药物,涉及这种调节性质的跨研究比较变得复杂。本研究考察了动情周期和性腺激素缺失(卵巢切除术)对雌性F344、Lewis、Long Evans和Wistar大鼠热痛觉和阿片类药物镇痛作用的影响。在任何品系中均未观察到伤害性感受敏感性的动情周期依赖性差异。与完整雌性大鼠相比,卵巢切除术降低了伤害性感受敏感性。在正常动情周期的雌性大鼠中,吗啡和丁丙诺啡通常在动情后期和动情前期作用最强,在发情期作用最弱。丁丙诺啡的这些差异幅度始终更大。卵巢切除术增加了吗啡和丁丙诺啡的镇痛效力,丁丙诺啡的这种作用也更大。这些数据表明,在多种大鼠品系的成年雌性中,动情周期和性腺激素缺失调节阿片类药物的镇痛效力,这种作用的幅度取决于阿片类药物的类型。相比之下,性腺激素缺失而非动情周期调节成年雌性大鼠的热痛觉敏感性。

观点

性腺激素影响阿片类药物的镇痛作用,且这种作用在不同遗传背景下均明显。这些结果表明,月经周期阶段可能会改变给予女性以缓解疼痛的某些阿片类药物的疗效。

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