Gaumann D M, Yaksh T L, Post C, Wilcox G L, Rodriguez M
Department of Anesthesiology and Medicine, Mayo Clinic, Rochester, Minnesota.
Anesth Analg. 1989 May;68(5):623-32.
Effects of intrathecal (i.t.) somatostatin (SST) on nociception, motor function, and spinal cord pathology were evaluated in cats and mice. Cats chronically implanted with i.t. lumbar catheters received either a single injection of 2 mg SST i.t. (group I, N = 4), four repetitive injections on consecutive days of 2 mg SST i.t. (group II, N = 4) or saline i.t. (group III, N = 2). No analgesic effects were observed following single or repeated SST injections as evaluated by the skin twitch response. However, significant impairment of hind leg motor function ranging from unbalanced gait to paralysis was observed following the first SST i.t. injection. Histological examination of spinal cords six days after the first SST injection in group II showed multiple pyknotic neurons in all cats. Some cats showed focal demyelination in the posterior column of the spinal cord white matter. Mice received a single percutaneous injection of 50 micrograms SST i.t. (group I, N = 7), 5 micrograms SST i.t. (group II, N = 3), or saline i.t., (group III, N = 5). No analgesic effects were observed in groups II and III as evaluated by the hot plate (HP) and tail flick (TF) tests. Injection of 50 micrograms SST i.t. (group I) caused reversible flaccid hind leg paralysis in all mice and concomitant increases in HP and TF latencies. Histologic examination revealed focal demyelination in the spinal cord in three out of seven mice in this group. Present data substantiate neurotoxic effects of i.t. SST and lack of behaviorally defined antinociception at innocuous dosages.
在猫和小鼠中评估了鞘内注射生长抑素(SST)对伤害感受、运动功能和脊髓病理的影响。长期植入鞘内腰椎导管的猫接受以下处理:单次鞘内注射2mg SST(I组,N = 4)、连续4天每天重复鞘内注射2mg SST(II组,N = 4)或鞘内注射生理盐水(III组,N = 2)。通过皮肤抽搐反应评估,单次或重复注射SST后均未观察到镇痛作用。然而,在首次鞘内注射SST后,观察到后腿运动功能从步态不稳到瘫痪有显著损害。II组在首次注射SST 6天后对脊髓进行组织学检查,发现所有猫均有多个固缩神经元。一些猫在脊髓白质后柱出现局灶性脱髓鞘。小鼠接受单次经皮鞘内注射50μg SST(I组,N = 7)、5μg SST(II组,N = 3)或鞘内注射生理盐水(III组,N = 5)。通过热板(HP)和甩尾(TF)试验评估,II组和III组均未观察到镇痛作用。鞘内注射50μg SST(I组)导致所有小鼠出现可逆性弛缓性后腿麻痹,并伴有HP和TF潜伏期延长。组织学检查显示该组7只小鼠中有3只脊髓出现局灶性脱髓鞘。目前的数据证实了鞘内注射SST的神经毒性作用,以及在无害剂量下缺乏行为学定义的抗伤害感受作用。