McMullan Simon, Lumb Bridget M
Hypertension and Stroke Research Laboratory, Royal North Shore Hospital, St Leonards, Sydney, NSW 2065, Australia.
J Physiol. 2006 Oct 15;576(Pt 2):547-56. doi: 10.1113/jphysiol.2006.117754. Epub 2006 Aug 17.
The aim of this study was to further understand the central processing of inputs arising from unmyelinated and myelinated nociceptors by (i) determining the response characteristics of Class 2 dorsal horn neurones to preferential activation of C- and A-fibre heat nociceptors, and (ii) investigating the control exerted by the dorsolateral/lateral region of the midbrain periaqueductal grey (DL/L-PAG) on C- and A-fibre-evoked responses of these neurones. The use of different rates of skin heating to preferentially activate unmyelinated (C-fibre; 2.5 degrees C s(-1)) versus myelinated (A-fibre; 7.5 degrees C s(-1)) heat nociceptors revealed that, in response to C-nociceptor activation, Class 2 neurones encode well only over the first 5 degrees C above threshold, and that at higher temperatures responses decline. In contrast, responses to A-nociceptor activation are linear and encode skin temperature over more than 10 degrees C, and almost certainly into the tissue-damaging range. PAG stimulation raised thresholds and decreased significantly the magnitude of responses to A- and C-nociceptor activation. However, differences were revealed in the effects of descending control on the relationships between skin temperature and neuronal firing rate; the linear relationship that occurred over the first 5 degrees C of slow rates of skin heating was no longer evident, whereas that to fast rates of skin heating was maintained over the entire range, albeit shifted to the right. These data indicate that the sensori-discriminative information conveyed in A-fibre nociceptors is maintained and that the information from C-nociceptors is lost in the presence of descending control from the DL/L-PAG. The data are discussed in relation to the role of the DL/L-PAG in mediating active coping strategies.
(i) 确定2类背角神经元对C纤维和A纤维热伤害感受器优先激活的反应特性,以及 (ii) 研究中脑导水管周围灰质背外侧/外侧区域 (DL/L-PAG) 对这些神经元的C纤维和A纤维诱发反应的控制作用。使用不同的皮肤加热速率来优先激活无髓鞘(C纤维;2.5℃/s)与有髓鞘(A纤维;7.5℃/s)热伤害感受器,结果显示,响应C伤害感受器激活时,2类神经元仅在高于阈值的最初5℃范围内编码良好,而在更高温度下反应下降。相比之下,对A伤害感受器激活的反应是线性的,并且在超过10℃的范围内编码皮肤温度,几乎可以肯定会进入组织损伤范围。PAG刺激提高了阈值,并显著降低了对A和C伤害感受器激活的反应幅度。然而,下行控制对皮肤温度与神经元放电率之间关系的影响存在差异;在皮肤缓慢加热的最初5℃范围内出现的线性关系不再明显,而对快速加热速率的线性关系在整个范围内得以维持,尽管向右偏移。这些数据表明,在存在来自DL/L-PAG的下行控制时,A纤维伤害感受器中传递的感觉辨别信息得以保留,而来自C伤害感受器的信息则丢失了。结合DL/L-PAG在介导主动应对策略中的作用对这些数据进行了讨论。