Bossut D F, Mayer D J
Department of Physiology, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298.
Brain Res. 1991 May 17;549(1):52-8. doi: 10.1016/0006-8993(91)90598-p.
Recent studies have shown that analgesia is potentiated by naltrexone (NTX) and naloxone (NAL) pretreatment in rats exposed for the first time to electroacupuncture (EA). In the present study, we have investigated the role of the pituitary-adrenal axis and of brainstem and spinal cord structures in EA analgesia and its potentiation by NTX. The pituitary and adrenal glands do not participate in the production of EA analgesia, but may produce a non-opioid substance which interferes with the development of EA analgesia. Spinalization or dorsolateral funiculi lesions blocked EA analgesia, and intrathecal NTX had no effect. These results indicate that supraspinal structures are necessary to produce and potentiate EA analgesia. Contrary to their critical role in morphine and other models of environmentally produced analgesia nucleus raphe alatus and raphe structures dorsal to it are not necessary for the development of EA analgesia. These structures, however, may contain opiate synapses on which NTX may act as an agonist to potentiate analgesia. The various components which appear to participate in the production of EA analgesia imply a complex circuit of pain modulation systems and indicate that an organism can adapt to distinct environmental conditions with versatile means to avoid pain.
最近的研究表明,在首次接受电针(EA)刺激的大鼠中,纳曲酮(NTX)和纳洛酮(NAL)预处理可增强镇痛效果。在本研究中,我们研究了垂体-肾上腺轴以及脑干和脊髓结构在EA镇痛及其被NTX增强过程中的作用。垂体和肾上腺不参与EA镇痛的产生,但可能产生一种非阿片类物质,该物质会干扰EA镇痛的发展。脊髓横断或背外侧索损伤会阻断EA镇痛,鞘内注射NTX则无效。这些结果表明,脊髓上结构对于产生和增强EA镇痛是必需的。与它们在吗啡和其他环境性产生镇痛模型中的关键作用相反,中缝翼核及其背侧的中缝结构对于EA镇痛的发展并非必需。然而,这些结构可能含有阿片类突触,NTX可能作为激动剂作用于这些突触以增强镇痛效果。似乎参与EA镇痛产生的各种成分意味着疼痛调节系统存在复杂的回路,并表明生物体可以通过多种方式适应不同的环境条件以避免疼痛。