Haghparast Abbas, Gheitasi Izad-Panah, Lashgari Reza
Department of Physiology and Pharmacology, School of Medicine and Neuroscience Research Center, Kerman University of Medical Sciences, P.O. Box 444, Kerman, Iran.
Eur J Pain. 2007 Nov;11(8):855-62. doi: 10.1016/j.ejpain.2006.12.010. Epub 2007 Feb 8.
The nucleus cuneiformis (CnF), located just ventrolateral to the periaqueductal gray, is part of the descending pain modulatory system. Neurons in the CnF project to medullary nucleus raphe magnus (NRM), which plays an important role on pain modulation. In this study, we investigated the effect of microinjection of the non-competitive NMDA receptor antagonist MK-801, the competitive NMDA receptor antagonist AP-7, and the kainate/AMPA receptor antagonist DNQX, alone or in combination with morphine into the nucleus cuneiformis on morphine-induced analgesia to understand the role of glutamatergic receptors in the modulating activity of morphine. Antinociception was assessed with the tail-flick test. Morphine (10, 20, 40 microg in 0.5 microl saline) had an antinociceptive effect, increasing tail-flick latency in a dose-dependent manner. Microinjection of MK-801 (10 microg/0.5 microl saline) and AP7 (3 microg/0.5 microl saline) prior to morphine microinjection (10 microg/0.5 microl saline) attenuated the antinociceptive effects of morphine, whereas DNQX (0.5 microg/0.5 microl saline) showed a partial antinociceptive effect and potentiated the analgesic effect of morphine. These results indicated that the NMDA receptor partially potentiates the antinociceptive effect of morphine. Our results suggest that NMDA but not non-NMDA receptors are involved in the antinociception produced by morphine in the CnF. The non-NMDA receptors in this area may have a facilitatory effect on nociceptive transmission. The fact that morphine's effect was potentiated by NMDA receptor suggests that projection neurons within the CnF are under tonic, glutamatergic input and when the influence of this input is blocked, the descending inhibitory system is inactivated.
楔状核(CnF)位于导水管周围灰质的腹外侧,是下行疼痛调制系统的一部分。CnF中的神经元投射到延髓中缝大核(NRM),后者在疼痛调制中起重要作用。在本研究中,我们研究了单独或与吗啡联合向楔状核微量注射非竞争性NMDA受体拮抗剂MK-801、竞争性NMDA受体拮抗剂AP-7和海人藻酸/AMPA受体拮抗剂DNQX对吗啡诱导镇痛的影响,以了解谷氨酸能受体在吗啡调制活性中的作用。采用甩尾试验评估镇痛作用。吗啡(10、20、40微克溶于0.5微升生理盐水中)具有镇痛作用,以剂量依赖方式增加甩尾潜伏期。在微量注射吗啡(10微克/0.5微升生理盐水)之前微量注射MK-801(10微克/0.5微升生理盐水)和AP7(3微克/0.5微升生理盐水)可减弱吗啡镇痛作用,而DNQX(0.5微克/0.5微升生理盐水)显示出部分镇痛作用并增强了吗啡的镇痛效果。这些结果表明,NMDA受体部分增强了吗啡的镇痛作用。我们的结果提示,NMDA而非非NMDA受体参与了吗啡在CnF中产生的镇痛作用。该区域的非NMDA受体可能对伤害性感受传递具有促进作用。NMDA受体增强吗啡作用这一事实表明,CnF内的投射神经元受到持续性谷氨酸能输入的影响,当这种输入的影响被阻断时,下行抑制系统失活。