Han Seung R, Lee Min K, Lim Koang H, Yang Gwi Y, Jeon Hye J, Ju Jin S, Yoon Young W, Kim Sung K, Ahn Dong K
Department of Oral Physiology and BrainKorea 21, School of Dentistry, Kyungpook National University, 188-1, SamDeok 2ga, Chung-gu, Daegu 700-412, Republic of Korea.
Eur J Pain. 2008 Apr;12(3):361-70. doi: 10.1016/j.ejpain.2007.07.002. Epub 2007 Sep 4.
The present study investigated the role of peripheral opioid receptors in mustard oil-induced nociceptive behavior and inflammation in the masseter muscles of lightly anesthetized rats. Experiments were carried out on male Sprague-Dawley rats weighing between 300 and 400 g. After initial anesthesia with sodium pentobarbital (40 mg/kg, i.p.), one femoral vein was cannulated and connected to an infusion pump for the intravenous infusion of sodium pentobarbital. The rate of infusion was adjusted to provide a constant level of anesthesia. Mustard oil (MO, 30 microl) was injected into the mid-region of the left masseter muscle via a 30-gauge needle. Intramuscularly-administered morphine significantly reduced shaking behavior but not MO-induced inflammation. Intramuscular pretreatment with naloxone, an opioid receptor antagonist, reversed antinociception produced by intramuscularly-administered morphine, while intracisternal administration of naloxone did not affect the antinociception of peripheral morphine. Pretreatment with d-Pen-Cys-Tyr-D-Trp-Orn-Thr-Pen-Thr-NH2 (CTOP), a mu opioid receptor antagonist, but not naltrindole, a delta opioid receptor antagonist, nor norbinaltorphimine (nor-BNI), a kappa opioid receptor antagonist, reversed intramuscularly-administered morphine-induced antinociception. These results indicate that intramuscularly-administered morphine produces antinociception in craniofacial muscle nociception and that this intramuscularly-administered morphine-induced antinociception is mediated by a peripheral mu opioid receptor. Our observations further support the clinical approach of administering opioids in the periphery for the treatment of craniofacial muscle nociception.
本研究调查了外周阿片受体在轻度麻醉大鼠咬肌中芥子油诱导的伤害性感受行为和炎症中的作用。实验选用体重在300至400克之间的雄性Sprague-Dawley大鼠。先用戊巴比妥钠(40毫克/千克,腹腔注射)进行初始麻醉后,将一根股静脉插管并连接至输液泵,用于静脉输注戊巴比妥钠。调整输注速率以维持恒定的麻醉水平。通过30号针头将芥子油(MO,30微升)注射到左咬肌中部区域。肌肉注射吗啡可显著减少颤抖行为,但对MO诱导的炎症无影响。用阿片受体拮抗剂纳洛酮进行肌肉预处理,可逆转肌肉注射吗啡产生的抗伤害感受作用,而脑池内注射纳洛酮不影响外周吗啡的抗伤害感受作用。用μ阿片受体拮抗剂d-Pen-Cys-Tyr-D-Trp-Orn-Thr-Pen-Thr-NH2(CTOP)预处理可逆转肌肉注射吗啡诱导的抗伤害感受作用,而δ阿片受体拮抗剂纳曲吲哚或κ阿片受体拮抗剂 norbinaltorphimine(nor-BNI)预处理则无此作用。这些结果表明,肌肉注射吗啡在颅面部肌肉伤害感受中产生抗伤害感受作用,且这种肌肉注射吗啡诱导的抗伤害感受作用是由外周μ阿片受体介导的。我们的观察结果进一步支持了在外周给予阿片类药物治疗颅面部肌肉伤害感受的临床方法。