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参与弥漫性伤害性抑制控制的脑结构研究:中脑。

Studies of the brain structures involved in diffuse noxious inhibitory controls: the mesencephalon.

作者信息

Bouhassira D, Bing Z, Le Bars D

机构信息

Institut National de la Santé et de la Recherche Médicale, Paris, France.

出版信息

J Neurophysiol. 1990 Dec;64(6):1712-23. doi: 10.1152/jn.1990.64.6.1712.

Abstract
  1. Diffuse noxious inhibitory controls (DNIC) were compared in control sham-operated rats and in rats with lesions of mesencephalic structures involved in the modulation of pain, namely the periaqueductal gray (PAG), cuneiformis nucleus (CNF), and parabrachial nucleus (PB). 2. Lesions were induced by ibotenic acid: 4 micrograms (0.2 microliter) injected bilaterally in the PAG or the CNF-PB area or 10 micrograms (0.5 microliter) injected unilaterally in the CNF or PB. Control animals were microinjected with the vehicle (artificial CSF) alone. Histological controls were performed at the end of each electrophysiological experiment. Only the animals in which the target structure (PAG, CNF, or PB) was completely destroyed in its entire rostrocaudal length were selected. With the exception of the cell bodies of the trigeminal mesencephalic nucleus, all neurons were destroyed in these regions. 3. At least 1 wk after the microinjection procedure, recordings were made from convergent neurons in both the right and left trigeminal nucleus caudalis. These neurons were activated by both noxious and nonnoxious stimuli applied to their excitatory receptive fields and gave responses due to activation of both A- and C-fibers after percutaneous electrical stimulation of their receptive fields. These types of response were inhibited by applying noxious conditioning stimuli to heterotopic areas of the body, namely immersing a paw in a 50 degrees C water bath. A virtually total block of the responses was observed during the application of the noxious conditioning stimulus, and this was followed by long-lasting poststimulus effects. 4. The general properties of neurons (sizes of receptive fields, spontaneous activity, thresholds to obtain C-fiber-evoked responses, responses to C-fiber activation) were all found to be similar in the control and the lesioned animals. The percentage inhibition of the C-fiber-evoked responses of the trigeminal convergent neurons elicited by the noxious conditioning stimuli were found to not be significantly different in any group of animals; in all the animals, inhibitions exceeded 85% during the immersion of either paw and were followed by long-lasting poststimulus effects. 5. We conclude that the PAG, CNF, and PB, three structures that are putatively involved in the modulation of pain, do not participate directly in the supraspinal part of the loop subserving DNIC. The involvement of other structure(s) and a possible indirect modulation of DNIC are discussed. It is also concluded that the PAG, CNF, and PB do not participate directly in the tonic descending inhibitory controls, which are presumed to modulate the activity of convergent neurons.
摘要
  1. 对假手术对照组大鼠以及中脑参与疼痛调制的结构(即导水管周围灰质(PAG)、楔形核(CNF)和臂旁核(PB))损伤的大鼠的弥漫性有害抑制控制(DNIC)进行了比较。2. 用鹅膏蕈氨酸诱导损伤:在PAG或CNF - PB区域双侧注射4微克(0.2微升),或在CNF或PB单侧注射10微克(0.5微升)。对照动物仅微量注射溶剂(人工脑脊液)。在每个电生理实验结束时进行组织学对照。仅选择目标结构(PAG、CNF或PB)在其整个 rostrocaudal 长度上被完全破坏的动物。除三叉神经中脑核的细胞体外,这些区域的所有神经元均被破坏。3. 在微量注射程序至少1周后,从左右三叉神经尾核的会聚神经元进行记录。这些神经元通过施加于其兴奋性感受野的有害和无害刺激而被激活,并且在经皮电刺激其感受野后,由于A纤维和C纤维的激活而产生反应。通过将爪子浸入50摄氏度水浴中,对身体的异位区域施加有害条件刺激可抑制这些类型的反应。在施加有害条件刺激期间观察到反应几乎完全被阻断,随后是持久的刺激后效应。4. 在对照动物和损伤动物中发现神经元的一般特性(感受野大小、自发活动、获得C纤维诱发反应的阈值、对C纤维激活的反应)均相似。发现有害条件刺激引起的三叉神经会聚神经元的C纤维诱发反应的抑制百分比在所有动物组中无显著差异;在所有动物中,任一爪子浸入时抑制率均超过85%,随后是持久的刺激后效应。5. 我们得出结论,PAG、CNF和PB这三个推测参与疼痛调制的结构并不直接参与DNIC所涉及的脊髓上环路部分。讨论了其他结构的参与情况以及DNIC可能的间接调制。还得出结论,PAG、CNF和PB不直接参与推测调节会聚神经元活动的紧张性下行抑制控制。

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