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脊髓注射吗啡对脊髓阿片类镇痛通路的性别差异募集。

Sexually dimorphic recruitment of spinal opioid analgesic pathways by the spinal application of morphine.

作者信息

Liu Nai-Jiang, von Gizycki Hans, Gintzler Alan R

机构信息

Department of Biochemistry, State University of New York Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.

出版信息

J Pharmacol Exp Ther. 2007 Aug;322(2):654-60. doi: 10.1124/jpet.107.123620. Epub 2007 May 8.

Abstract

Current evidence for sex-based nociception and antinociception, largely confined to behavioral measures of pain sensitivity, chronic pain syndromes, and analgesic efficacy, provides little mechanistic insights into biological substrates causally associated with sexual dimorphic pain experience. Spinal cord has been shown to be a central nervous system region in which regulation of opioid antinociceptive substrates manifest sexual dimorphism. This site was therefore chosen to explore whether or not differential mechanisms underlie comparable spinal opioid antinociception in male and female rodents. Intrathecal (i.t.) application of morphine to male and female rats produces a thermal antinociception equivalent in magnitude and temporal profile. Nevertheless, it results from the sex-based differential recruitment of spinal analgesic components. As expected, the spinal micro-opioid receptor is critical for i.t. morphine antinociception in both sexes. However, in females, but not males, activation by i.t. morphine of spinal kappa-opioid receptors is a prerequisite for spinal morphine antinociception. Furthermore, in females, but not males, i.t. application of antidynorphin antibodies substantially attenuates the antinociception produced by i.t. morphine. This indicates that the antinociception that results from the i.t. application of morphine in females requires the functional recruitment of spinal dynorphin. Female-specific recruitment by i.t. morphine of a spinal dynorphin/kappa-opioid receptor pathway results from organizational consequences of ovarian sex steroids and not the absence of testicular hormones. These observations suggest that sexual dimorphic pain and analgesic mechanisms might be far more pervasive than commonly thought and underscore the imperative for including female as well as male subjects in all studies of pain and antinociception.

摘要

目前关于基于性别的伤害感受和抗伤害感受的证据,很大程度上局限于疼痛敏感性、慢性疼痛综合征和镇痛效果的行为测量,对于与性别二态性疼痛体验有因果关系的生物学底物,几乎没有提供机制方面的见解。脊髓已被证明是中枢神经系统的一个区域,其中阿片类抗伤害感受底物的调节表现出性别二态性。因此,选择这个部位来探究在雄性和雌性啮齿动物中,可比的脊髓阿片类抗伤害感受是否存在不同的机制。向雄性和雌性大鼠鞘内注射吗啡会产生在强度和时间特征上相当的热镇痛作用。然而,这是基于性别的脊髓镇痛成分不同募集的结果。正如预期的那样,脊髓微阿片受体对两性鞘内注射吗啡的镇痛作用都至关重要。然而,在雌性而非雄性中,鞘内注射吗啡激活脊髓κ-阿片受体是脊髓吗啡镇痛的先决条件。此外,在雌性而非雄性中,鞘内注射抗强啡肽抗体可显著减弱鞘内注射吗啡产生的镇痛作用。这表明鞘内注射吗啡在雌性中产生的镇痛作用需要脊髓强啡肽的功能性募集。鞘内注射吗啡对脊髓强啡肽/κ-阿片受体途径的雌性特异性募集是卵巢性类固醇组织学作用的结果,而非缺乏睾丸激素的结果。这些观察结果表明,性别二态性疼痛和镇痛机制可能比普遍认为的更为普遍,并强调在所有疼痛和抗伤害感受研究中纳入雌性和雄性受试者的必要性。

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