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中脑导水管周围灰质和脊髓5-羟色胺能通路在吗啡镇痛中的作用:损伤及5-羟色胺耗竭的影响

Involvement of the periaqueductal grey matter and spinal 5-hydroxytryptaminergic pathways in morphine analgesia: effcts of lesions and 5-hydroxytryptamine depletion.

作者信息

Deakin J F, Dostrovsky J O

出版信息

Br J Pharmacol. 1978 May;63(1):159-65. doi: 10.1111/j.1476-5381.1978.tb07785.x.

Abstract

1 Electrolytic lesions of the periaqueductal grey matter (PAG) were made in rats. The analgesia produced by intraperitoneal injection of morphine (10 and 20 mg/kg), tested by the tail flick and hot plate methods, was substantially reduced in the lesioned rats. Baseline pain thresholds were unaffected by the lesions.2 The lesion effects were not due to damage to the dorsal raphé nucleus. The extent of histologically determined damage to the dorsal raphé and the resulting decrease in striatal 5-hydroxytryptamine (5-HT) and 5-hydroxyindoleacetic acid (5-HIAA) concentrations did not correlate with the reduction in morphine analgesia produced by the lesion. Furthermore, microinjections of 5, 6-dihydroxytryptamine (5,6-DHT) into the dorsal raphé nucleus produced a similar fall in 5-HIAA levels but had no effect on morphine analgesia.3 Selective destruction of the periventricular catecholamine system produced by microinjection of 6-hydroxydopamine (6-OHDA) caused a slight decrease in morphine analgesia, thus raising the possibility that catecholamines may be involved in the action of morphine in the PAG.4 5,7-Dihydroxytryptamine-induced lesions of the spinal cord 5-hydroxytryptaminergic pathways reduced cord 5-HT concentration by 70% and markedly attenuated morphine analgesia as determined by the tail flick test.5 These experiments provide additional evidence that the PAG is a major site of action of opiates in producing analgesia. Furthermore, they have demonstrated the probable involvement of spinal 5-hydroxytryptaminergic pathways in the mediation of opiate analgesic effects.

摘要

1 在大鼠中制作中脑导水管周围灰质(PAG)的电解损伤。通过甩尾法和热板法测试,腹腔注射吗啡(10和20mg/kg)产生的镇痛作用在损伤大鼠中显著降低。基线疼痛阈值不受损伤影响。

2 损伤效应并非由于中缝背核受损。组织学确定的中缝背核损伤程度以及纹状体5-羟色胺(5-HT)和5-羟吲哚乙酸(5-HIAA)浓度的相应降低与损伤所致吗啡镇痛作用的降低无关。此外,向中缝背核微量注射5,6-二羟基色胺(5,6-DHT)使5-HIAA水平出现类似下降,但对吗啡镇痛作用无影响。

3 微量注射6-羟基多巴胺(6-OHDA)对脑室周围儿茶酚胺系统进行选择性破坏,导致吗啡镇痛作用略有降低,因此增加了儿茶酚胺可能参与吗啡在PAG中作用的可能性。

4 5,7-二羟基色胺诱导的脊髓5-羟色胺能通路损伤使脊髓5-HT浓度降低70%,并通过甩尾试验确定显著减弱了吗啡镇痛作用。

5 这些实验提供了额外证据,表明PAG是阿片类药物产生镇痛作用的主要作用部位。此外,它们还证明了脊髓5-羟色胺能通路可能参与阿片类镇痛作用的介导。

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