Schepers R J, Mahoney Janet Lynn, Gehrke Brenda Jean, Shippenberg Toni Shaun
University of Maryland School of Medicine, 660 West Redwood Street, Baltimore, MD 21201, USA Integrative Neuroscience Section, Behavioral Neuroscience Branch, National Institutes of Health/National Institute on Drug Abuse Intramural Research Program, 333 Cassell Drive, Baltimore, MD 21224, USA.
Pain. 2008 Aug 31;138(2):423-439. doi: 10.1016/j.pain.2008.01.023. Epub 2008 Mar 19.
Peripheral inflammation evokes functional and biochemical changes in the periphery and spinal cord which result in central sensitization and hypersensitivity. Inhibitory control systems from the rostral ventromedial medulla (RVM) are also activated. The present study investigates whether endogenous kappa-opioid receptor (KOPr) systems contribute to these neuroadaptations. Inflammation was induced by intraplantar injection of complete Freund's adjuvant (CFA) into one hindpaw. Mechanical and thermal thresholds were determined using the Von Frey and radiant heat tests, respectively. KOPr gene deletion in mice or systemic administration of the long-acting KOPr antagonist, norbinaltorphimine (norBNI) significantly exacerbated mechanical and thermal hypersensitivity of the ipsilateral, inflamed paw. Thermal and mechanical thresholds of the non-inflamed, contralateral hindpaw were unaffected by CFA treatment. However, gene deletion as well as norBNI treatment resulted in mechanical, but not thermal hypersensitivity of the non-inflamed paw. Similar results were obtained when norBNI was administered intrathecally or into the RVM in rats. These data demonstrate a previously unrecognized role of endogenous KOPr systems in inhibiting hyperalgesia during inflammation. Furthermore, they demonstrate that decreased KOPr activity in either the spinal cord or RVM not only enhances mechanical and thermal hyperalgesia of the inflamed limb but also leads to an unmasking of mechanical hyperalgesia at a site remote from inflammation. The differential effects of KOPr antagonism on mechanical versus thermal thresholds for the non-inflamed paw support the notion that distinct neuroanatomical or neurochemical mechanisms modulate the processing of thermal versus mechanical stimuli.
外周炎症会在外周和脊髓引发功能及生化变化,进而导致中枢敏化和超敏反应。来自延髓头端腹内侧区(RVM)的抑制控制系统也会被激活。本研究旨在探究内源性κ-阿片受体(KOPr)系统是否参与了这些神经适应性变化。通过将完全弗氏佐剂(CFA)足底内注射到一侧后爪来诱导炎症。分别使用von Frey和辐射热测试来测定机械阈值和热阈值。小鼠中的KOPr基因缺失或长效KOPr拮抗剂诺宾阿尔托啡(norBNI)的全身给药显著加剧了同侧发炎爪子的机械性和热性超敏反应。CFA处理未影响未发炎的对侧后爪的热阈值和机械阈值。然而,基因缺失以及norBNI处理导致了未发炎爪子的机械性超敏反应,但未导致热性超敏反应。当在大鼠鞘内或向RVM注射norBNI时也获得了类似结果。这些数据证明了内源性KOPr系统在炎症期间抑制痛觉过敏方面存在先前未被认识到的作用。此外,它们表明脊髓或RVM中KOPr活性的降低不仅会增强发炎肢体的机械性和热性痛觉过敏,还会导致在远离炎症部位出现机械性痛觉过敏。KOPr拮抗作用对未发炎爪子的机械阈值和热阈值的不同影响支持了这样一种观点,即不同的神经解剖学或神经化学机制调节热刺激与机械刺激的处理过程。