Bakshi R, Newman A H, Faden A I
Department of Neurology, University of California, San Francisco 94121.
J Neurosci. 1990 Dec;10(12):3793-800. doi: 10.1523/JNEUROSCI.10-12-03793.1990.
The endogenous opioid dynorphin A-(1-17) (Dyn A) has been implicated as a mediator of tissue damage after traumatic spinal cord injury (TSCI) and causes hindlimb paralysis when administered intrathecally. Motor impairment following intrathecal Dyn A is attenuated by antagonists of excitatory amino acids (EAAs); whether opioid receptors mediate such injury has been questioned. TSCI causes various biochemical changes associated with secondary tissue damage, including alterations in tissue amio acids, phospholipids, and fatty acids. Such changes reflect injury severity and correlate with motor dysfunction. The present studies examined whether dynorphin administration causes similar biochemical alterations and whether effects of Dyn A can be modified by treatment with opioid-receptor antagonists. At 24 hr after intrathecal Dyn A, there were significant declines in tissue levels of glutamate, aspartate, and glycine. Increases in total free fatty acids were found at 2 and 24 hr, reflecting changes in both saturated and unsaturated components, which were associated with significant decreases in tissue cholesterol and phospholipid phosphorus at the earlier time point. Each of these neurochemical changes, as well as corresponding motor deficits, were limited by pretreatment with the opioid antagonist nalmefene. In separate experiments, both nalmefene and the selective kappa-opioid antagonist nor-binaltorphimine (nor-BNI) limited dynorphin-induced motor dysfunction; effects of nor-BNI were dose related, and those of nalmefene were stereospecific. Therefore, behavioral and neurochemical consequences of Dyn A administration are mediated in part through opiate receptors, most likely kappa-receptors.(ABSTRACT TRUNCATED AT 250 WORDS)
内源性阿片肽强啡肽A-(1-17)(Dyn A)被认为是创伤性脊髓损伤(TSCI)后组织损伤的介质,鞘内注射时会导致后肢麻痹。鞘内注射Dyn A后的运动障碍可被兴奋性氨基酸(EAA)拮抗剂减轻;阿片受体是否介导这种损伤一直受到质疑。TSCI会引起各种与继发性组织损伤相关的生化变化,包括组织氨基酸、磷脂和脂肪酸的改变。这些变化反映了损伤的严重程度,并与运动功能障碍相关。本研究探讨了强啡肽给药是否会引起类似的生化改变,以及Dyn A的作用是否可以通过阿片受体拮抗剂治疗来改变。鞘内注射Dyn A后24小时,组织中谷氨酸、天冬氨酸和甘氨酸水平显著下降。在2小时和24小时时发现总游离脂肪酸增加,反映了饱和和不饱和成分的变化,这与早期时间点组织胆固醇和磷脂磷的显著降低有关。这些神经化学变化以及相应的运动缺陷都因阿片拮抗剂纳美芬预处理而受到限制。在单独的实验中,纳美芬和选择性κ-阿片受体拮抗剂nor-脑啡肽原吗啡(nor-BNI)都限制了强啡肽诱导的运动功能障碍;nor-BNI的作用与剂量相关,纳美芬的作用具有立体特异性。因此,Dyn A给药的行为和神经化学后果部分是通过阿片受体介导的,最有可能是κ-受体。(摘要截短至250字)