Hamlin Adam S, McNally Gavan P, Osborne Peregrine B
Pain Management Research Institute (Kolling Institute), The University of Sydney at the Royal North Shore Hospital, St Leonards, NSW 2065, Australia.
Neuropharmacology. 2007 Aug;53(2):330-43. doi: 10.1016/j.neuropharm.2007.05.017. Epub 2007 Jun 2.
Opioid-induced analgesia can be followed by spontaneous pain in humans, and hyperalgesia in rodents. In this study, opioid-induced hyperalgesia was measured by the tail-flick test when acute abstinence was precipitated by administering naloxone to drug naive rats that had experienced morphine analgesia for only 30 min. In a further experiment, the drug treatment that previously caused opioid-induced hyperalgesia was found to increase neurons expressing nuclear c-Fos or zif268 proteins in extended amygdalar regions targeted by projections of the ascending spino-parabrachio-amygdaloid nociceptive pathway. Transcription factor induction, however, was not detected in multiple brain regions known to respond in parallel with the same extended amygdalar structures when (1) rats are exposed to interoceptive/physical stressors, or (2) naloxone is used to precipitate abstinence in opioid dependent rats. Surprisingly, in many regions c-Fos induction by morphine was reduced or blocked by naloxone, even though these subjects had also experienced the effects of morphine for 30 min prior to antagonist administration. It is suggested transcription factor induction during opioid hyperalgesia in non-dependent rats could support the induction or consolidation of neural plasticity in nociceptive amygdaloid circuitry previously suggested to function in bi-directional control of pain and expression of pain-related behaviors.
阿片类药物引起的镇痛作用之后,人类可能会出现自发痛,啮齿动物会出现痛觉过敏。在本研究中,对仅接受过30分钟吗啡镇痛的未用药大鼠注射纳洛酮引发急性戒断时,通过甩尾试验测量阿片类药物引起的痛觉过敏。在进一步的实验中,发现先前引起阿片类药物所致痛觉过敏的药物治疗会增加在延髓杏仁核区域表达核c-Fos或zif268蛋白的神经元数量,这些区域是由脊髓-臂旁核-杏仁核伤害性感受通路的投射所靶向的。然而,当(1)大鼠暴露于内感受性/身体应激源时,或(2)使用纳洛酮使阿片类药物依赖大鼠戒断时,在已知与相同的延髓杏仁核结构平行反应的多个脑区未检测到转录因子诱导。令人惊讶的是,在许多区域,吗啡诱导的c-Fos被纳洛酮降低或阻断,尽管这些实验对象在给予拮抗剂之前也已经经历了30分钟的吗啡作用。有人提出,非依赖性大鼠在阿片类药物痛觉过敏期间转录因子的诱导可能支持伤害性杏仁核神经回路中神经可塑性的诱导或巩固,先前认为该神经回路在疼痛的双向控制和疼痛相关行为的表达中起作用。