Sweeney M I, White T D, Sawynok J
Department of Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada.
J Pharmacol Exp Ther. 1991 Dec;259(3):1013-8.
Intracerebroventricular (i.c.v.) administration of morphine produces antinociception which is antagonized by intrathecal (i.t.) injection of adenosine receptor antagonists, suggesting that adenosine release from the spinal cord may partially mediate antinociception produced by supraspinal morphine. In the present study we have examined this hypothesis directly. Administration of 40 nmol of morphine i.c.v. acutely to rats increased tail-flick and hot-plate nociceptive latencies. This antinociception was antagonized by i.t. theophylline (12 nmol) and 8-phenyltheophylline (1.2 and 12 nmol), but was potentiated by a high dose of theophylline (120 nmol). The same dose of i.c.v. morphine increased the release of adenosine into i.t. perfusates by 40 to 60% above basal release values, and also released a nucleotide which was identified as cyclic AMP by using high performance liquid chromatography. This release of adenosine and cyclic AMP was reduced after i.t. pretreatment with 5,7-dihydroxytryptamine (100 micrograms) but not 6-hydroxydopamine (100 micrograms). Spinal release of purines induced by i.c.v. morphine also was reduced by i.t. perfusion with 50 microM methysergide whereas 50 microM phentolamine had no effect. These data suggest that i.c.v. morphine activates descending serotonergic pathways to release purines from the spinal cord, and that such release is secondary to release of 5-hydroxytryptamine. Extracellular adenosine may contribute significantly to antinociception produced by supraspinal morphine.
脑室内(i.c.v.)注射吗啡可产生抗伤害感受作用,鞘内(i.t.)注射腺苷受体拮抗剂可拮抗这种作用,这表明脊髓释放的腺苷可能部分介导了脊髓上吗啡产生的抗伤害感受作用。在本研究中,我们直接检验了这一假设。给大鼠急性脑室内注射40 nmol吗啡可增加甩尾和热板伤害感受潜伏期。这种抗伤害感受作用可被鞘内注射茶碱(12 nmol)和8-苯基茶碱(1.2和12 nmol)拮抗,但高剂量茶碱(120 nmol)可增强这种作用。相同剂量的脑室内吗啡使鞘内灌注液中腺苷的释放量比基础释放值增加40%至60%,并且还释放出一种核苷酸,通过高效液相色谱法鉴定为环磷酸腺苷。在用5,7-二羟色胺(100微克)而非6-羟多巴胺(100微克)进行鞘内预处理后,腺苷和环磷酸腺苷的这种释放减少。鞘内灌注50 microM甲基麦角新碱也可减少脑室内吗啡诱导的脊髓嘌呤释放,而50 microM酚妥拉明则无作用。这些数据表明,脑室内吗啡激活下行5-羟色胺能通路,从脊髓释放嘌呤,且这种释放是5-羟色胺释放的继发结果。细胞外腺苷可能对脊髓上吗啡产生的抗伤害感受作用有显著贡献。