下丘脑脊髓催产素能抗伤害感受由γ-氨基丁酸能神经元和阿片类神经元介导,这些神经元可减少脊髓细胞的Aδ和C纤维初级传入兴奋。

Hypothalamospinal oxytocinergic antinociception is mediated by GABAergic and opiate neurons that reduce A-delta and C fiber primary afferent excitation of spinal cord cells.

作者信息

Condés-Lara Miguel, Rojas-Piloni Gerardo, Martínez-Lorenzana Guadalupe, López-Hidalgo Mónica, Rodríguez-Jiménez Javier

机构信息

Instituto de Neurobiología, Universidad Nacional Autónoma de México, Campus UNAM-Juriquilla, Querétaro 76230, Mexico.

出版信息

Brain Res. 2009 Jan 9;1247:38-49. doi: 10.1016/j.brainres.2008.10.030. Epub 2008 Oct 28.

Abstract

Recent results implicate a new original mechanism involving oxytocin (OT), as a mediator via descending fibers of the paraventricular hypothalamic nucleus (PVN), in antinociception and analgesia. In rats electrical stimulation of the PVN or topical application of OT selectively inhibits A-delta and C fiber responses in superficial dorsal horn neurons, and this inhibition is reversed by a selective OT antagonist. However, little is known about the mechanisms and the spinal elements participating in this phenomenon. Here we show that topical application of bicuculline blocks the effects produced by PVN electrical stimulation or OT application. PVN electrical stimulation also activates a subpopulation of neurons in lamina II. These PVN-On cells are responsible for the amplification of local GABAergic inhibition. This result reinforces the suggestion that a supraspinal descending control of pain processing uses a specific neuronal pathway in the spinal cord in order to produce antinociception involving a GABAergic interneuron. Moreover, the topical administration of naloxone or a mu-opiate receptor antagonist beta-funaltrexamine only partially blocks the inhibitory effects produced by OT application or PVN electrical stimulation. Thus, this OT mechanism only involves opiate participation to a minor extent. The OT-specific, endogenous descending pathway represents an interesting mechanism to resolve chronic pain problems in special the neuropathic pain.

摘要

近期研究结果表明,一种涉及催产素(OT)的新机制作为通过下丘脑室旁核(PVN)下行纤维的介质,参与了抗伤害感受和镇痛过程。在大鼠中,电刺激PVN或局部应用OT可选择性抑制浅表背角神经元中的A-δ和C纤维反应,且这种抑制作用可被选择性OT拮抗剂逆转。然而,对于参与该现象的机制和脊髓元件知之甚少。在此我们表明,局部应用荷包牡丹碱可阻断PVN电刺激或OT应用所产生的效应。PVN电刺激还可激活Ⅱ层中的一群神经元。这些PVN兴奋型细胞负责增强局部GABA能抑制作用。该结果进一步支持了这样一种观点,即脊髓上对疼痛处理的下行控制利用脊髓中的特定神经元通路来产生涉及GABA能中间神经元的抗伤害感受。此外,局部应用纳洛酮或μ-阿片受体拮抗剂β-芬太尼可部分阻断OT应用或PVN电刺激所产生的抑制作用。因此,这种OT机制仅在较小程度上涉及阿片类物质的参与。OT特异性内源性下行通路是解决慢性疼痛问题(特别是神经性疼痛)的一种有趣机制。

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