Sawynok J, Reid A, Nance D
Department of Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada.
J Pharmacol Exp Ther. 1991 Jul 1;258(1):370-80.
The effects of intrathecal pretreatment with the neurotoxins capsaicin, 6-hydroxydopamine and 5,7-dihydroxytryptamine on spinal antinociception by adenosine analogs (NECA, 5'-N-ethylcarboxamido adenosine and CHA, N6-cyclohexyl adenosine) and morphine were examined using the rat tail flick and hot plate tests. Pretreatment with 50 micrograms capsaicin for 7 to 11 days (which reduced substance P immunoreactivity in the superficial layers of the dorsal spinal cord) produced a slight increase in the action of NECA and CHA, and reduced the action on morphine in the hot plate test but not in the tail flick test. Pretreatment with 50 to 100 micrograms 6-hydroxydopamine for 7 to 14 days (which reduced spinal cord noradrenaline levels by 54-65%) reduced spinal antinociception by NECA and CHA but not that by morphine. Pretreatment with 50 micrograms 5,7-dihydroxytryptamine (which reduced spinal cord serotonin levels by 74-89%) had no effect on any agent. Acute pretreatment with 7.5-30 micrograms phentolamine reduced the spinal antinociceptive action of noradrenaline, NECA and CHA, primarily in the hot plate test. Phentolamine (30 micrograms) also reduced the action of morphine (hot plate greater than tail flick), but did not affect the action of L-baclofen. These results suggest that spinal antinociception by adenosine analogs: 1) occurs primarily at a postsynaptic site of action (capsaicin results), and 2) is dependent on release of endogenous noradrenaline and activation of spinal adrenergic receptors (6-hydroxydopamine and phentolamine results). The reduction in the effect of morphine by capsaicin (removes a source of adenosine release) and phentolamine (antagonizes the action of endogenously released adenosine) can be explained in terms of the adenosine release hypothesis of morphine action within the spinal cord.
通过大鼠甩尾试验和热板试验,研究了鞘内注射神经毒素辣椒素、6-羟基多巴胺和5,7-二羟基色胺预处理对腺苷类似物(NECA,5'-N-乙基甲酰胺腺苷和CHA,N6-环己基腺苷)及吗啡脊髓镇痛作用的影响。用50微克辣椒素预处理7至11天(这降低了脊髓背角浅层中P物质的免疫反应性),在热板试验中,NECA和CHA的作用略有增加,吗啡的作用降低,但在甩尾试验中未出现这种情况。用50至100微克6-羟基多巴胺预处理7至14天(这使脊髓去甲肾上腺素水平降低54 - 65%),降低了NECA和CHA的脊髓镇痛作用,但未降低吗啡的脊髓镇痛作用。用50微克5,7-二羟基色胺预处理(这使脊髓5-羟色胺水平降低74 - 89%)对任何药物均无影响。用7.5 - 30微克酚妥拉明急性预处理主要在热板试验中降低了去甲肾上腺素、NECA和CHA的脊髓镇痛作用。酚妥拉明(30微克)也降低了吗啡的作用(热板试验中比甩尾试验更明显),但不影响L-巴氯芬的作用。这些结果表明,腺苷类似物的脊髓镇痛作用:1)主要发生在突触后作用部位(辣椒素试验结果),2)依赖于内源性去甲肾上腺素的释放和脊髓肾上腺素能受体的激活(6-羟基多巴胺和酚妥拉明试验结果)。辣椒素(消除腺苷释放源)和酚妥拉明(拮抗内源性释放腺苷的作用)对吗啡作用的降低可根据脊髓内吗啡作用的腺苷释放假说来解释。