Xu Jun, Richebe Philippe, Brennan Timothy J
Department of Pharmacology, University of Iowa Hospitals and Clinics, IA, USA.
Eur J Pain. 2009 Sep;13(8):820-8. doi: 10.1016/j.ejpain.2008.10.005. Epub 2008 Dec 9.
Dorsal horn neuron (DHN) sensitization can be induced and maintained by nociceptor activation. In previous studies, only a small increase in ongoing DHN activity was present immediately after plantar incision; yet, powerful activation of nociceptors was prominent 1 day after incision. In the present study, rats underwent plantar incision or sham surgery as control. One day later pain behaviors were measured; then DHN activity and response properties to mechanical stimulation were recorded in vivo. In some neurons with spontaneous activity, the incision was anesthetised using bupivacaine. Spontaneous activity was identified in 9 of 27 neurons in the control group and in 16 of 26 neurons (P<0.05) in the incision group; the spontaneous activity in incised animals (19.1+/-8.5 imp/s) was also greater than in controls (10.6+/-6.1 imp/s, P<0.05). For neurons without spontaneous activity, the responses to mechanical stimuli of the incision group were greater (P<0.01); for neurons with spontaneous activity, there was no such difference. After bupivacaine injection, no difference was present in the amount of spontaneous activity between the two groups. This study demonstrates that 1 day after incision, DHN sensitization manifests in markedly increased spontaneous activities, enhanced responses to mechanical stimuli and expanded receptive fields (RFs). Separate groups of neurons appear to transmit spontaneous activity and enhanced responses to mechanical stimuli. Inhibition of spontaneous activity by blockade of afferent input indicates that the prolonged spinal hyperactivity remains largely dependent on the ongoing primary afferent activity.
背角神经元(DHN)敏化可由伤害感受器激活诱导并维持。在先前的研究中,足底切开术后立即仅有持续的DHN活动出现小幅增加;然而,伤害感受器的强烈激活在切开术后1天较为显著。在本研究中,大鼠接受足底切开术或假手术作为对照。1天后测量疼痛行为;然后在体内记录DHN活动以及对机械刺激的反应特性。在一些有自发活动的神经元中,使用布比卡因对切口进行麻醉。对照组27个神经元中有9个出现自发活动,切口组26个神经元中有16个出现自发活动(P<0.05);切开动物的自发活动(19.1±8.5次/秒)也高于对照组(10.6±6.1次/秒,P<0.05)。对于无自发活动的神经元,切口组对机械刺激的反应更强(P<0.01);对于有自发活动的神经元,则无此差异。注射布比卡因后,两组之间的自发活动量无差异。本研究表明,切开术后1天,DHN敏化表现为自发活动显著增加、对机械刺激的反应增强以及感受野(RFs)扩大。不同组的神经元似乎分别传递自发活动和对机械刺激的增强反应。通过阻断传入输入抑制自发活动表明,脊髓的持续高活性在很大程度上仍依赖于持续的初级传入活动。