神经胶质细胞:阿片类镇痛的新型反向调节因子。
Glia: novel counter-regulators of opioid analgesia.
作者信息
Watkins Linda R, Hutchinson Mark R, Johnston Ian N, Maier Steven F
机构信息
Department of Psychology and the Center for Neuroscience, University of Colorado at Boulder, Boulder, CO 80309-0345, USA.
出版信息
Trends Neurosci. 2005 Dec;28(12):661-9. doi: 10.1016/j.tins.2005.10.001. Epub 2005 Oct 24.
Development of analgesic tolerance and withdrawal-induced pain enhancement present serious difficulties for the use of opioids for pain control. Although neuronal mechanisms to account for these phenomena have been sought for many decades, their bases remain unresolved. Within the past four years, a novel non-neuronal candidate has been uncovered that opposes acute opioid analgesia and contributes to development of opioid tolerance and tolerance-associated pain enhancement. This novel candidate is spinal cord glia. Glia are important contributors to the creation of enhanced pain states via the release of neuroexcitatory substances. New data suggest that glia also release neuroexcitatory substances in response to morphine, thereby opposing its effects. Controlling glial activation could therefore increase the clinical utility of analgesic drugs.
镇痛耐受性的发展以及戒断引起的疼痛增强给使用阿片类药物控制疼痛带来了严重困难。尽管数十年来一直在寻找解释这些现象的神经元机制,但其基础仍未得到解决。在过去四年中,发现了一种新的非神经元候选因素,它对抗急性阿片类镇痛作用,并促进阿片类耐受性和耐受性相关的疼痛增强的发展。这种新的候选因素是脊髓神经胶质细胞。神经胶质细胞通过释放神经兴奋性物质,对增强疼痛状态的产生起着重要作用。新数据表明,神经胶质细胞也会对吗啡做出反应而释放神经兴奋性物质,从而对抗其作用。因此,控制神经胶质细胞的激活可能会提高镇痛药的临床效用。