Department of Anesthesiology and Pain Medicine, Jeju National University College of Medicine, Jeju, Republic of Korea.
J Anesth. 2011 Dec;25(6):884-91. doi: 10.1007/s00540-011-1240-2. Epub 2011 Oct 9.
Mild cutaneous thermal injury, leading to a first-degree burn, induces a sensation of burning pain and enhances the pain sensitivity of the skin. Opioid and α(2) receptor agonists are commonly used to reduce such hyperalgesia. We investigated conditions that induced adequate thermal hyperalgesia in rats and compared the effects of μ, δ, κ, and α(2) receptors at the level of the spinal cord in this model.
A total of 149 male Sprague-Dawley rats were submitted to this study. A first-degree burn injury was induced in the hind paw by contact with a hot plate. The nociceptive threshold was determined by measuring the time from the application of a light beam to the hind paw to the withdrawal response (paw withdrawal latency, PWL). Various hot-plate exposure times and light beam intensities were tested to determine the conditions that induced adequate hyperalgesia. We also tested the effects of intrathecal morphine (μ agonist), DPDPE ([D-Pen2, D-Pen5] enkephalin, a δ agonist), U50488H (trans(+)-3,4-dichloro-N-methyl-N-[2-(1-pyrrolidinyl) cyclohexyl]-benzacetamide methane sulfonate salt, a κ agonist), and ST-91 (2-[2,6-diethyl-phenylamino]-2-imidazoline, an α(2) agonist) on PWL.
A first-degree burn was induced by contact with the hot plate for 45 s. Using current of 5.0 A, PWL was reduced by 40% from baseline. Intrathecally administered morphine, DPDPE, and ST-91, but not U50488H, showed dose-dependent antinociceptive effects in both injured and normal paws.
Based on these findings, we could find adequate conditions for thermal hyperalgesia model. In this experimental model, μ, δ, and α(2) receptor agonists produced antinociceptive effects at the level of the spinal cord, but the κ receptor agonist did not.
轻度皮肤热损伤导致一度烧伤,引起灼热痛感觉,并增强皮肤的痛觉敏感性。阿片类和α2受体激动剂常用于减轻这种痛觉过敏。我们研究了在大鼠中诱导足够的热痛觉过敏的条件,并在该模型中比较了脊髓水平的μ、δ、κ和α2受体的作用。
共有 149 只雄性 Sprague-Dawley 大鼠参与了这项研究。通过接触热板在后爪上造成一度烧伤。通过测量从光束施加到后爪到撤回反应(后爪撤回潜伏期,PWL)的时间来确定伤害感受阈值。测试了各种热板暴露时间和光束强度,以确定诱导足够痛觉过敏的条件。我们还测试了鞘内吗啡(μ激动剂)、DPDPE([D-Pen2,D-Pen5]脑啡肽,δ激动剂)、U50488H(反式(+)-3,4-二氯-N-甲基-N-[2-(1-吡咯烷基)环己基]-苯乙酰基-甲磺酸铵盐,κ激动剂)和 ST-91(2-[2,6-二乙基-苯氨基]-2-咪唑啉,α2激动剂)对 PWL 的影响。
用热板接触 45 秒可引起一度烧伤。使用 5.0 A 的电流,PWL 从基线降低 40%。鞘内给予吗啡、DPDPE 和 ST-91,但不是 U50488H,在受伤和正常爪子中均显示出剂量依赖性的镇痛作用。
根据这些发现,我们可以找到足够的热痛觉过敏模型条件。在这个实验模型中,μ、δ 和 α2 受体激动剂在脊髓水平产生镇痛作用,但 κ 受体激动剂没有。