Department of Anesthesiology, University of Alabama at Birmingham, Birmingham, AL, USA.
Brain Res. 2011 Apr 22;1386:118-26. doi: 10.1016/j.brainres.2011.02.081. Epub 2011 Mar 2.
This investigation examined the effect of footshock on responses of 283 spinal dorsal horn neurons (DHNs) to urinary bladder distension (UBD). Female rats were treated with seven daily sessions of footshock (chronic footshock, CFS), six accommodation sessions followed by one exposure to footshock (acute footshock, AFS) or handled similarly without receiving any footshock (no footshock, NFS). After the final footshock or NFS session, rats were anesthetized, a laminectomy performed and extracellular single-unit recordings of L6-S1 DHNs obtained in intact or spinalized preparations. Neurons were classified as Type I-inhibited by heterotopic noxious conditioning stimuli (HNCS) or as Type II-not inhibited by HNCS-and characterized for spontaneous activity and for neuronal discharges evoked by graded UBD. A differential effect of footshock-induced stress was noted on neuronal subgroups. In intact preparations, Type I neurons were less responsive to UBD after either chronic or acute stress, while Type II neurons demonstrated significantly augmented responses to UBD. This enhanced neuronal responsiveness to UBD was present in spinalized preparations following exposure to CFS but not AFS. Type I neurons were still less responsive to stress in spinalized preparations following CFS and AFS. This study provides further evidence that (1) at least two populations of spinal neurons exist which encode for visceral stimuli and are likely to have distinct roles in visceral nociception, and that (2) the chronic stress-induced enhancement of DHN responses to UBD involves changes at the spinal level while the acute stress effects are dependent on a supraspinal substrate.
本研究考察了足底电击对 283 个脊髓背角神经元(DHN)对膀胱扩张(UBD)反应的影响。雌性大鼠接受了 7 天的足底电击(慢性足底电击,CFS)、6 次适应治疗,随后接受一次足底电击(急性足底电击,AFS)或类似处理但不接受任何足底电击(无足底电击,NFS)。在最后一次足底电击或 NFS 后,对大鼠进行麻醉,进行椎板切除术,并在完整或脊髓化的制剂中获得 L6-S1 DHN 的细胞外单细胞记录。神经元被分类为 I 型(由异位伤害性条件刺激(HNCS)抑制)或 II 型(不受 HNCS 抑制),并对自发性活动和分级 UBD 诱发的神经元放电进行特征描述。足底电击引起的应激对神经元亚群有不同的影响。在完整制剂中,无论是慢性还是急性应激后,I 型神经元对 UBD 的反应性降低,而 II 型神经元对 UBD 的反应显著增强。这种增强的 UBD 神经元反应性在暴露于 CFS 后在脊髓化制剂中存在,但在 AFS 后不存在。CFS 和 AFS 后,I 型神经元在脊髓化制剂中对应激的反应仍然较低。本研究进一步证明:(1)至少存在两种编码内脏刺激的脊髓神经元群体,它们在内脏伤害感受中可能具有不同的作用;(2)慢性应激引起的 DHN 对 UBD 的反应增强涉及脊髓水平的变化,而急性应激效应依赖于中枢神经系统水平的底物。