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吗啡对大鼠角叉菜胶诱导的伤害感受的情感和感觉成分的不同影响。

Differential effects of morphine on the affective and the sensory component of carrageenan-induced nociception in the rat.

作者信息

van der Kam Elizabeth Louise, De Vry Jean, Schiene Klaus, Tzschentke Thomas Michael

机构信息

Grünenthal GmbH, Preclinical Research and Development, Department of Pharmacology, Zieglerstrasse 6, 52078 Aachen, Germany.

出版信息

Pain. 2008 Jun;136(3):373-379. doi: 10.1016/j.pain.2007.07.027. Epub 2007 Sep 6.

Abstract

Pain is generally considered to have a sensory and an affective component. Clinical research has suggested that morphine more potently attenuates the affective component as compared to the sensory component. Because preclinical nociception models typically focus on the sensory component of nociception, and do not assess the affective component, it is unclear whether this potency difference of morphine can also be found in preclinical models. We therefore adapted the place conditioning paradigm to investigate negative affect accompanying carrageenan-induced (0.5% intraplantar) inflammatory nociception in rats. We found that carrageenan produced clear conditioned place aversion (CPA). Morphine (0.01-10mg/kg i.p.) dose-dependently reduced carrageenan-induced CPA with a minimal effective dose (MED) of 0.03mg/kg. Since morphine has a rewarding effect by itself, morphine-induced conditioned place preference (CPP) was also investigated. Morphine induced CPP with a MED of 1mg/kg, suggesting that the rewarding effect of morphine was not responsible for reducing carrageenan-induced CPA. We also demonstrated that morphine reduced carrageenan-induced mechanical nociception as assessed in the Randall Selitto paradigm with a MED of 1mg/kg. It is concluded that the CPA model allows for an assessment of the negative affective component of carrageenan-induced nociception. Moreover, morphine was able to reduce the affective component of nociception at doses that did not affect the sensory component of nociception, and this effect was not due to its rewarding properties. The fact that this finding mirrors the clinical situation validates the use of the CPA model for assessing the affective component of nociception.

摘要

疼痛通常被认为具有感觉和情感两个成分。临床研究表明,与感觉成分相比,吗啡能更有效地减弱情感成分。由于临床前伤害感受模型通常聚焦于伤害感受的感觉成分,而不评估情感成分,因此尚不清楚吗啡的这种效力差异在临床前模型中是否也能被发现。我们因此采用条件性位置偏爱范式来研究角叉菜胶诱导(0.5%足底注射)的大鼠炎性伤害感受所伴随的负面情绪。我们发现角叉菜胶产生了明显的条件性位置厌恶(CPA)。吗啡(0.01 - 10mg/kg腹腔注射)剂量依赖性地降低了角叉菜胶诱导的CPA,最小有效剂量(MED)为0.03mg/kg。由于吗啡本身具有奖赏效应,因此也研究了吗啡诱导的条件性位置偏爱(CPP)。吗啡诱导CPP的MED为1mg/kg,这表明吗啡的奖赏效应并非其降低角叉菜胶诱导的CPA的原因。我们还证明,在兰德尔 - 塞利托范式中评估时,吗啡以1mg/kg的MED降低了角叉菜胶诱导的机械性伤害感受。结论是,CPA模型能够评估角叉菜胶诱导的伤害感受的负面情感成分。此外,吗啡能够在不影响伤害感受感觉成分的剂量下降低伤害感受的情感成分,且这种效应并非因其奖赏特性。这一发现与临床情况相符这一事实验证了CPA模型在评估伤害感受情感成分方面的应用。

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