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孕酮迅速募集雌性特有的阿片类诱导性痛觉过敏机制。

Progesterone rapidly recruits female-typical opioid-induced hyperalgesic mechanisms.

机构信息

Neuropsychology Program, Queens College, City University of New York, Flushing, NY 11367, United States.

出版信息

Physiol Behav. 2010 Dec 2;101(5):759-63. doi: 10.1016/j.physbeh.2010.08.018. Epub 2010 Sep 15.

Abstract

Continuous morphine treatment can paradoxically increase nociception (i.e. hyperalgesia) in male and female mice, but sex differences have been reported. Here, we studied progesterone modulation of these differences by assessing nociception on the tail-withdrawal test in male and female mice rendered hyperalgesic during continuous infusion of two different morphine doses (1.6 and 40.0mg/kg/24h). Although the lower morphine infusion dose increased nociception in both sexes by infusion Day 4, this hyperalgesia dissipated by Day 6 in males and ovariectomized females, but not gonadally intact females. A single subcutaneous progesterone (0.0016mg/kg) injection to males and ovariectomized females on Day 6 caused hyperalgesia to recur within 30min and to persist for a minimum of 120min. The larger morphine infusion dose also increased nociception in both sexes on Days 4 and 6. However, the NMDA receptor antagonist MK-801 (0.05mg/kg) reversed hyperalgesia in males and ovariectomized females but not gonadally intact females on infusion Day 6. Subcutaneous progesterone (0.0016mg/kg) injection inhibited this reversal in male and ovariectomized female mice but had no effect on nociception in saline-infused mice of either sex. These data confirm our previous findings that male and female mice utilize distinct hyperalgesic mechanisms, and show for the first time that a single progesterone bolus dose can recruit female-typical hyperalgesia in ovariectomized females and males.

摘要

持续的吗啡治疗会反常地增加雄性和雌性小鼠的痛觉(即痛觉过敏),但已报道存在性别差异。在这里,我们通过评估雄性和雌性小鼠在尾巴退缩测试中的痛觉来研究孕激素对这些差异的调节作用,这些小鼠在连续输注两种不同吗啡剂量(1.6 和 40.0mg/kg/24h)后变得痛觉过敏。尽管较低的吗啡输注剂量在第 4 天增加了两性的痛觉,但这种痛觉过敏在雄性和去卵巢雌性中在第 6 天消散,但在性腺完整的雌性中没有。在第 6 天给雄性和去卵巢雌性单次皮下注射孕激素(0.0016mg/kg)会导致痛觉过敏在 30 分钟内再次出现,并持续至少 120 分钟。较大的吗啡输注剂量在第 4 天和第 6 天也增加了两性的痛觉。然而,NMDA 受体拮抗剂 MK-801(0.05mg/kg)在第 6 天逆转了雄性和去卵巢雌性的痛觉过敏,但没有逆转性腺完整雌性的痛觉过敏。皮下注射孕激素(0.0016mg/kg)抑制了雄性和去卵巢雌性小鼠的这种逆转,但对两性盐水输注小鼠的痛觉没有影响。这些数据证实了我们之前的发现,即雄性和雌性小鼠利用不同的痛觉过敏机制,并首次表明单次孕激素冲击剂量可以在去卵巢雌性和雄性中招募女性特有的痛觉过敏。

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