Martinez-Gomez J, Lopez-Garcia J A
Departamento de Fisiologia, Facultad de Medicina, Campus Universitario, Universidad de Alcala, Alcala de Henares, 28871 Madrid, Spain.
Neuropharmacology. 2007 Sep;53(3):464-71. doi: 10.1016/j.neuropharm.2007.06.007. Epub 2007 Jun 27.
The effects of modulators of L-type currents in the processing of nociceptive stimuli across sensory and motor circuits were studied using an in vitro preparation of the young mouse spinal cord. Responses to repetitive C-fibre intensity stimuli delivered to a lumbar dorsal root were simultaneously recorded from motor axons in the corresponding ventral root and from putative sensory axons in the anterolateral pathway. L-current antagonists verapamil, diltiazem and nimodipine as well as the agonist Bay K8644 were superfused at a range of concentrations and their effects on responses to afferent stimulation were assessed. All antagonists produced a concentration-dependent depression of transmission across sensory and motor pathways by inhibiting sustained firing and wind-up. All antagonists showed concentration-dependent depression of evoked firing in anterolateral fibres with LogIC50 of -4.2 for verapamil, -4.1 for diltiazem and -4.9 for nimodipine. Applied at high concentrations (>or=100 microM) verapamil and diltiazem produced almost complete blockade of the ascending signals whereas nimodipine produced only partial depression. The effects of the antagonists on motor pathways were significantly greater and the LogIC50 decreased to -5 for verapamil, to -4.9 for diltiazem and to -5.3 for nimodipine. Bay K8644 applied at 2 microM produced only a slight potentiation of responses in anterolateral axons and a very large and long-lasting potentiation of responses from motor neurons. We conclude that mice motor pathways are more sensitive to L-type current modulators than the anterolateral pathway and that analgesic effects reported for some L-type antagonists may be due to a mixture of selective and non-selective effects of these agents on sensory neurones.
利用幼鼠脊髓的体外制备方法,研究了L型电流调节剂在伤害性刺激通过感觉和运动回路的处理过程中的作用。从相应腹根中的运动轴突以及前外侧通路中的假定感觉轴突同时记录对传递至腰背根的重复性C纤维强度刺激的反应。将L型电流拮抗剂维拉帕米、地尔硫䓬和尼莫地平以及激动剂Bay K8644以一系列浓度进行灌流,并评估它们对传入刺激反应的影响。所有拮抗剂通过抑制持续放电和后放电,对感觉和运动通路的传递产生浓度依赖性抑制。所有拮抗剂对前外侧纤维诱发放电均表现出浓度依赖性抑制,维拉帕米的LogIC50为-4.2,地尔硫䓬为-4.1,尼莫地平为-4.9。高浓度(≥100μM)应用时,维拉帕米和地尔硫䓬几乎完全阻断上行信号,而尼莫地平仅产生部分抑制。拮抗剂对运动通路的作用明显更大,维拉帕米的LogIC50降至-5,地尔硫䓬降至-4.9,尼莫地平降至-5.3。2μM应用的Bay K8644仅对前外侧轴突的反应产生轻微增强,对运动神经元的反应产生非常大且持久的增强。我们得出结论,小鼠运动通路对L型电流调节剂比前外侧通路更敏感,并且一些L型拮抗剂报道的镇痛作用可能是由于这些药物对感觉神经元的选择性和非选择性作用的混合。