Hao X J, Xu J X, Aldskogius H, Seiger Å, Wiesenfeld-Hallin Z
Department of Clinical Physiology, Section of Clinical Neurophysiology, Karolinska Institute, HuddingeSweden Department of Anatomy, Karolinska Institute, StockholmSweden Department of Geriatric Medicine, Karolinska Institute, HuddingeSweden.
Pain. 1991 May;45(2):175-185. doi: 10.1016/0304-3959(91)90186-2.
We report behaviours suggesting the presence of allodynia elicited by non-noxious brushing and mechanical pressure following photochemically induced ischaemic spinal cord injury in the rat. Female rats were intravenously injected with Erythrosin B and the T10 vertebra was irradiated with a laser beam for 1, 5 or 10 min. These procedures initiated an intravascular photochemical reaction, resulting in ischaemic spinal cord injury. After irradiation a clear allodynia was observed in most rats. The animals vocalized intensely to light touch during gentle handling and were clearly agitated to light brushing of the flanks. The vocalization threshold in response to the mechanical pressure measured with von Frey hairs was markedly decreased during this period. In some animals the existence of spontaneous pain was suggested by spontaneous vocalization. The duration of the allodynia varied among animals from several hours to several days. The severity and duration of allodynia seemed not to be related to the duration of irradiation. In sham-operated rats a slight, transient allodynia was also noted around the wound within a few hours after surgery, which was effectively relieved by systemic morphine (2 mg/kg, i.p.). Morphine (2 mg/kg, i.p.) also partially relieved the allodynia in spinally injured rats 4 h after irradiation. However, morphine, even at a higher dose (5 mg/kg, i.p.), failed to alleviate the allodynia in spinally injured rats 24-48 h after the injury. Systemic injection of the GABAB agonist baclofen (0.01-0.1 mg/kg, i.p.), but not the GABAA agonist muscimol (1 mg/kg, i.p.), effectively relieved allodynia during this period. Pretreatment with guanethidine 24 h and just prior to the irradiation (20 mg/kg, s.c.) did not prevent the occurrence of allodynia in spinal cord injured rats. The present observation is the first to show that ischaemic spinal cord injury could result in cutaneous mechanical allodynia. This phenomenon is resistant to morphine and may not involve the sympathetic system. Histological examination of allodynic animals 3 days after spinal cord injury revealed considerable morphological damage in the dorsal spinal cord of a rat irradiated for 5 min. The related dorsal roots were also slightly affected in this animal, while the dorsal root ganglia were normal. However, in rats irradiated for 1 min, despite the existence of strong allodynia, no damage could be found at this time in the spinal cord, dorsal roots or dorsal root ganglia. It is suggested that functional deficits in the GABAB system in the spinal cord may be related to this allodynia-like phenomenon.(ABSTRACT TRUNCATED AT 400 WORDS)
我们报告了一些行为,这些行为表明在大鼠光化学诱导的缺血性脊髓损伤后,无害的刷擦和机械压力会引发异常性疼痛。给雌性大鼠静脉注射赤藓红B,并对T10椎骨用激光束照射1、5或10分钟。这些操作引发了血管内光化学反应,导致缺血性脊髓损伤。照射后,大多数大鼠出现明显的异常性疼痛。在轻柔处理过程中,动物对轻触会强烈发声,对侧腹的轻刷也会明显躁动。在此期间,用von Frey毛发测量的对机械压力的发声阈值明显降低。在一些动物中,自发发声提示存在自发痛。异常性疼痛的持续时间在不同动物中从数小时到数天不等。异常性疼痛的严重程度和持续时间似乎与照射时间无关。在假手术大鼠中,术后数小时内伤口周围也出现轻微、短暂的异常性疼痛,全身注射吗啡(2mg/kg,腹腔注射)可有效缓解。照射后4小时,吗啡(2mg/kg,腹腔注射)也可部分缓解脊髓损伤大鼠的异常性疼痛。然而,即使给予更高剂量(5mg/kg,腹腔注射)的吗啡,也无法缓解脊髓损伤大鼠损伤后24 - 48小时的异常性疼痛。在此期间,全身注射GABAB激动剂巴氯芬(0.01 - 0.1mg/kg,腹腔注射)可有效缓解异常性疼痛,而GABAA激动剂蝇蕈醇(1mg/kg,腹腔注射)则无效。在照射前24小时及照射时皮下注射胍乙啶(20mg/kg)并不能预防脊髓损伤大鼠异常性疼痛的发生。本观察首次表明缺血性脊髓损伤可导致皮肤机械性异常性疼痛。这种现象对吗啡有抗性,可能与交感神经系统无关。脊髓损伤3天后对异常性疼痛动物进行组织学检查发现,照射5分钟的大鼠脊髓背侧有相当程度的形态学损伤。该动物的相关背根也略有受累,而背根神经节正常。然而,在照射1分钟的大鼠中,尽管存在强烈的异常性疼痛,但此时在脊髓、背根或背根神经节中未发现损伤。提示脊髓中GABAB系统的功能缺陷可能与这种类似异常性疼痛的现象有关。(摘要截短至400字)