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[应激诱导镇痛]

[Stress-induced analgesia].

作者信息

Takahashi M

机构信息

Department of Pharmacology, Faculty of Pharmaceutical Sciences, Nagasaki University, Japan.

出版信息

Yakubutsu Seishin Kodo. 1991 Oct;11(5):279-95.

PMID:1842152
Abstract

The emotional responses induced when individuals are confronted with noxious or threatening stimuli, or with a disadvantageous environment, must be a signal of alertness, usually accompanied by an analgesic effect which might be elicited by activation of intrinsic pain-inhibitory systems (stress-induced analgesia, SIA), as one of the basic adaptive mechanisms of animals and humans. In this report, the author will present the involvement of opioid or non-opioid mediated mechanism, role of the emotional responses, endocrinological implication such as hypothalamus-pituitary-adrenal cortex-axis and hypothalamus-sympatho-adrenal medulla-axis, and relation to classical neurotransmitters and their receptors, in the production of analgesia induced by exposure to stresses, especially footshock, forced swimming and psychological stresses. Furthermore, the author also will discuss the possible underlying mechanism in the blockade of the development of tolerance to morphine analgesia by concurrent exposure to footshock or psychological stress, which is one of our recent findings.

摘要

当个体面临有害或威胁性刺激,或处于不利环境时所引发的情绪反应,必定是一种警觉信号,通常伴随着一种镇痛效应,这种效应可能由内在疼痛抑制系统的激活(应激诱导镇痛,SIA)所引发,这是动物和人类的基本适应性机制之一。在本报告中,作者将阐述阿片类或非阿片类介导机制的参与情况、情绪反应的作用、下丘脑 - 垂体 - 肾上腺皮质轴和下丘脑 - 交感 - 肾上腺髓质轴等内分泌学意义,以及在应激(尤其是电击、强迫游泳和心理应激)诱导的镇痛产生过程中与经典神经递质及其受体的关系。此外,作者还将讨论同时暴露于电击或心理应激下对吗啡镇痛耐受性发展的阻断作用的可能潜在机制,这是我们最近的发现之一。

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