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背外侧索的麻醉性阻滞增强脊髓背角神经元的诱发活动。

Anesthetic blockade of the dorsolateral funiculus enhances evoked activity of spinal cord dorsal horn neurons.

作者信息

Pubols L M, Simone D A, Bernau N A, Atkinson J D

机构信息

Robert S. Dow Neurological Sciences Institute, Good Samaritan Hospital and Medical Center, Portland, Oregon 97209.

出版信息

J Neurophysiol. 1991 Jul;66(1):140-52. doi: 10.1152/jn.1991.66.1.140.

Abstract
  1. A previous study of cat lumbar dorsal horn neurons found reduced responsiveness to A-fiber stimulation 1.5-12 h after thoracic dorsolateral funiculus (DLF) lesions. The present study was undertaken to determine whether this was due to the loss of descending activity or to factors specifically associated with injury by examining the response properties of dorsal horn cells before and during lidocaine blockade of the ipsilateral DLF. Electric shocks applied to the dorsal columns were used to search for dorsal horn cells. Noxious and nonnoxious cutaneous mechanical stimuli and graded electrical stimuli applied to the tibial nerve were used to activate peripheral afferent fibers. Cells were classed as low threshold (LT), high threshold (HT), or multireceptive (MR), according to their responses to natural stimuli. Baseline data were collected from a total of 58 cells. Twelve of these were further studied after lidocaine injection of the DLF. All cells examined with lidocaine were in dorsal horn laminae III-V. 2. All cells responded to activation of tibial nerve A fibers. However, the median threshold for the HT and MR cells (200 microA) was significantly higher than that of the LT cells (75 microA). Some cells in each class were also activated by C fibers (10, 70, and 64% of the LT, HT, and MR cells, respectively). 3. For the cells that were further characterized by lidocaine blockade of the DLF, all LT cells (n = 3) responded only to A-fiber stimulation, and all HT (n = 3) and MR cells (n = 6) responded to both A- and C-fiber stimulation. 4. For LT cells, responses evoked by mechanical and electrical stimuli were unaltered by lidocaine blockade. 5. HT and MR cells showed enhanced responses to electrical stimulation of C fibers during DLF blockade. There was no consistent effect of the blockade on A-fiber-evoked responses. 6. Two of three HT and four of six MR cells studied with lidocaine had spontaneous activity, which exhibited a small but significant increase during DLF blockade. 7. Receptive fields for noxious stimulation expanded in two of six MR cells during DLF blockade. Two of three HT cells developed responses to tactile stimuli during the blockade. 8. In two additional cells (1 HT and 1 MR), spontaneous activity and responses to C-fiber input increased after the DLF was cut.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 先前一项对猫腰段背角神经元的研究发现,在胸段背外侧索(DLF)损伤后1.5 - 12小时,对A纤维刺激的反应性降低。本研究旨在通过检查利多卡因阻断同侧DLF之前和期间背角细胞的反应特性,确定这是由于下行活动丧失还是与损伤相关的特定因素所致。对背柱施加电击以寻找背角细胞。对胫神经施加有害和无害的皮肤机械刺激以及分级电刺激以激活外周传入纤维。根据细胞对自然刺激的反应,将其分为低阈值(LT)、高阈值(HT)或多感受性(MR)细胞。共收集了58个细胞的基线数据。其中12个细胞在DLF注射利多卡因后进一步研究。所有用利多卡因检查的细胞均位于背角Ⅲ - Ⅴ层。2. 所有细胞对胫神经A纤维的激活均有反应。然而,HT和MR细胞的中位阈值(200微安)显著高于LT细胞(75微安)。每类中的一些细胞也被C纤维激活(分别为LT、HT和MR细胞的10%、70%和64%)。3. 对于通过利多卡因阻断DLF进一步表征的细胞,所有LT细胞(n = 3)仅对A纤维刺激有反应,所有HT细胞(n = 3)和MR细胞(n = 6)对A纤维和C纤维刺激均有反应。4. 对于LT细胞,机械和电刺激诱发的反应不受利多卡因阻断的影响。5. HT和MR细胞在DLF阻断期间对C纤维电刺激的反应增强。阻断对A纤维诱发的反应没有一致的影响。6. 用利多卡因研究的三个HT细胞中的两个和六个MR细胞中的四个有自发活动,在DLF阻断期间自发活动有小幅但显著的增加。7. 在DLF阻断期间,六个MR细胞中的两个有害刺激感受野扩大。三个HT细胞中的两个在阻断期间对触觉刺激产生反应。8. 在另外两个细胞(1个HT和1个MR)中,切断DLF后自发活动和对C纤维输入的反应增加。(摘要截断于400字)

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