Kumazawa T, Mizumura K, Sato J, Minagawa M
Department of Nervous and Sensory Functions, Nagoya University, Japan.
Brain Res. 1989 Sep 18;497(2):231-8. doi: 10.1016/0006-8993(89)90267-9.
Effects of opioids on the activity of visceral nociceptors were tested using the in vitro testis-spermatic nerve preparations excised from deeply anesthetized dogs. Morphine, DADLE and dynorphin (10 microM) elicited discharges of polymodal receptors in approximately 1/3 of the tested cases. The incidence of the excitatory response of morphine increased at higher concentrations. The excitatory responses were quite variable among preparations and showed a strong tendency for tachyphylaxis. Similar increases in discharges were elicited when morphine was applied during the steady state of the response evoked by bradykinin (BK) or BK mixed with prostaglandin E2. Pretreatment of morphine for 5 min significantly augmented the subsequent BK responses for 30 min or more. Naloxone per se induced neither excitation nor augmentation of the subsequent BK response, however it reversed the augmenting effect of morphine on BK response. In contrast with previous reports proposing peripheral analgesic effects of opioids, suppressive effects on nociceptors were never observed in the present experiment. Peripheral effects of opioids were discussed.
使用从深度麻醉的狗身上切除的体外睾丸 - 精索神经制备物,测试了阿片类药物对内脏伤害感受器活性的影响。吗啡、DADLE和强啡肽(10微摩尔)在大约1/3的测试病例中引发了多模式感受器的放电。吗啡兴奋性反应的发生率在较高浓度时增加。兴奋性反应在不同的制备物中差异很大,并且表现出强烈的快速耐受倾向。当在缓激肽(BK)或BK与前列腺素E2混合诱发的反应的稳定状态期间应用吗啡时,也会引发类似的放电增加。吗啡预处理5分钟可使随后的BK反应显著增强30分钟或更长时间。纳洛酮本身既不诱导兴奋,也不增强随后的BK反应,然而它可逆转吗啡对BK反应的增强作用。与先前提出阿片类药物具有外周镇痛作用的报道相反,在本实验中从未观察到对伤害感受器的抑制作用。讨论了阿片类药物的外周作用。