Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Eur J Pain. 2013 May;17(5):676-91. doi: 10.1002/j.1532-2149.2012.00245.x. Epub 2012 Dec 3.
Stimulation of a variety of brain sites electrically or by opiates activates descending inhibitory pathways to attenuate noxious input to the spinal cord dorsal horn and produce analgesia. Analgesia induced by electrical stimulation of the periaqueductal grey (PAG) of the midbrain or medial rostral ventral medulla (RVM) matures late, towards the end or past the pre-weaning period. Descending facilitation takes precedence over inhibition. Yet opiates injected intracerebroventricularly or directly into the PAG induce analgesia relatively early in development. Our goal was to re-examine the role of opiates specific to individual receptor types in analgesia at several supraspinal sites.
Antinociception was tested following microinjection of DAMGO (μ-opiate agonist), DPDPE (∂-opiate agonist) or U50,488 (κ-opiate agonist) into the PAG, RVM or dorsal lateral pons (DLP) in 3-, 10- and 14-day-old rats.
DAMGO produced analgesia at 3 days of age at each brain area; the RVM was the most effective and the dorsal PAG was the least effective site. DPDPE produced modest analgesia at 10 and 14 days of age at the ventral PAG, RVM or DLP, but not the dorsal PAG. U50,488H was ineffective at all sites and all ages.
Antinociception could be elicited at all three sites by DAMGO as early as 3 days of age and DPDPE at 10 and 14 days of age. The degree of analgesia increased gradually during the first 2 weeks of life, and likely reflects the maturation of connections within the brain and of descending inhibitory paths from these sites.
电刺激或阿片类药物刺激各种脑区会激活下行抑制通路,从而减轻脊髓背角的有害输入,并产生镇痛作用。中脑导水管周围灰质(periaqueductal grey,PAG)或中脑吻侧腹内侧区(medial rostral ventral medulla,RVM)电刺激诱导的镇痛作用成熟较晚,接近或超过断奶前阶段。下行易化作用优先于抑制作用。然而,脑室内或 PAG 内注射阿片类药物会在发育早期诱导镇痛作用。我们的目标是重新研究特定于个体受体类型的阿片类药物在几个上脑区镇痛中的作用。
在 3、10 和 14 日龄大鼠的 PAG、RVM 或背外侧脑桥(dorsolateral pons,DLP)中微注射 DAMGO(μ-阿片类激动剂)、DPDPE(∂-阿片类激动剂)或 U50,488(κ-阿片类激动剂)后,测试抗伤害作用。
DAMGO 在每个脑区的 3 日龄时均产生镇痛作用;RVM 是最有效的,而背 PAG 是最无效的部位。DPDPE 在 10 和 14 日龄时在腹侧 PAG、RVM 或 DLP 产生适度镇痛作用,但在背 PAG 则没有。U50,488H 在所有部位和所有年龄均无效。
早在 3 日龄时,DAMGO 即可在所有三个部位引起抗伤害作用,而 DPDPE 则可在 10 和 14 日龄时引起抗伤害作用。在生命的前 2 周内,镇痛作用逐渐增加,这可能反映了脑内连接和这些部位的下行抑制通路的成熟。