Nishiyama T
Department of Anesthesiology, The University of Tokyo, Hongo, Bunkyo-ku, Tokyo, Japan.
Acta Anaesthesiol Scand. 2008 Apr;52(4):493-8. doi: 10.1111/j.1399-6576.2008.01593.x.
The intrathecal N-methyl-D-aspartate (NMDA) receptor antagonist, AP-5 and the alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid (AMPA) receptor antagonist, YM 872 showed inhibition on both acute and facilitated nociception in our previous study. The present study was performed to investigate the interaction between intrathecal AP-5 and YM 872 in antinociception for acute and chronic nociception.
Sprague-Dawley rats with lumbar intrathecal catheters were tested for their thermal tail withdrawal response and for their paw flinches by formalin injection after intrathecal administration of AP-5 or YM 872. The effects of the combination were tested by an isobolographic analysis using 50% effective dose (ED50). Total fractional dose was calculated as (ED50 dose of AP-5 in combination)/(ED50 dose of AP-5 alone)+(ED50 dose of YM 872 in combination)/(ED50 dose of YM 872 alone).
Intrathecally administered AP-5, YM 872, and their combination produced dose-dependent increases of the tail-flick latency and decreases in the number of flinches in both phase 1 and 2 of the formalin test. The ED50 values of the combination were significantly lower than the calculated additive values (P<0.01). Total fractional dose value was 0.22 in the tail flick test, 0.12 in the phase 1 and 0.14 in the phase 2 of the formalin test.
An NMDA receptor antagonist, AP-5 and an AMPA receptor antagonist, YM 872 had synergistic antinociceptive effects on both acute thermal and inflammatory induced acute and facilitated nociception.
鞘内注射N-甲基-D-天冬氨酸(NMDA)受体拮抗剂AP-5和α-氨基-3-羟基-5-甲基异恶唑-4-丙酸(AMPA)受体拮抗剂YM 872在我们之前的研究中显示出对急性和易化伤害性感受均有抑制作用。本研究旨在探讨鞘内注射AP-5和YM 872在急性和慢性伤害性感受的抗伤害作用中的相互作用。
对具有腰段鞘内导管的Sprague-Dawley大鼠,在鞘内注射AP-5或YM 872后,测试其热尾撤离反应以及通过福尔马林注射测试其爪退缩反应。使用50%有效剂量(ED50)通过等效应线分析来测试联合用药的效果。总分数剂量计算为(联合用药时AP-5的ED50剂量)/(单独使用AP-5的ED50剂量)+(联合用药时YM 872的ED50剂量)/(单独使用YM 872的ED50剂量)。
鞘内注射AP-5、YM 872及其联合用药在福尔马林试验的第1期和第2期均产生了剂量依赖性的甩尾潜伏期延长和退缩次数减少。联合用药的ED50值显著低于计算出的相加值(P<0.01)。在甩尾试验中总分数剂量值为0.22,在福尔马林试验的第1期为0.12,第2期为0.14。
NMDA受体拮抗剂AP-5和AMPA受体拮抗剂YM 872对急性热刺激和炎症诱导的急性及易化伤害性感受均具有协同抗伤害作用。