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背外侧索损伤改变了鞘内注射蝇蕈醇和巴氯芬在大鼠脊髓神经结扎诱导的神经病理性疼痛不同阶段的抗痛觉过敏作用。

The lesion of dorsolateral funiculus changes the antiallodynic effect of the intrathecal muscimol and baclofen in distinct phases of neuropathic pain induced by spinal nerve ligation in rats.

作者信息

Dias Quintino Moura, Prado Wiliam A

机构信息

Oswaldo Cruz Foundation (FIOCRUZ), Porto Velho, Rondônia, Brazil.

Department of Pharmacology, Ribeirao Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.

出版信息

Brain Res Bull. 2016 Jun;124:103-15. doi: 10.1016/j.brainresbull.2016.04.001. Epub 2016 Apr 5.

Abstract

The abnormal firing of damaged primary afferents and the changes in the central nervous system (CNS) play important role in the initiation and maintenance phases of neuropathic pain. These phases of neuropathic pain involve changes in the GABAergic control of descending pathways that travel through the dorsolateral funiculus (DLF). The present study shows that unilateral DLF lesion increased the antiallodynic effect of muscimol (0.2μg/5μL) (a GABAA receptor agonist) in the initiation, but not maintenance phase of the mechanical allodynia induced by a spinal nerve ligation (SNL) of the ipsilateral hindpaw of rats. The unilateral DLF lesion increased the antiallodynic effect of baclofen (0.8μg/5μL) (a GABAB receptor agonist) in the initiation phase and reduced your effect in the maintenance phase of the mechanical allodynia induced by a spinal nerve ligation (SNL) of the ipsilateral paw of rats. The unilateral DLF lesion significantly reduced the proallodynic effect of an intrathecal injection of phaclofen (30μg/5μL) (a GABAB receptor antagonist), but not bicuculline (0.3μg/5μL) (a GABAA receptor antagonist). The effect of DLF lesion on the proallodynic effect of phaclofen was observed in the maintenance, but not in the initiation phase of the mechanical allodynia induced by SNL. We than conclude that the spinal GABAergic neurotransmission is negatively modulated by DLF using GABAA and GABAB receptors, in the initiation phase of mechanical allodynia induced by SNL. In addition, the integrity of DLF is necessary for the effectiveness of GABAergic transmission that occurs via spinal GABAB, but not GABAA receptors, in the maintenance phase of mechanical allodynia induced by SNL.

摘要

受损初级传入神经的异常放电以及中枢神经系统(CNS)的变化在神经性疼痛的起始和维持阶段起着重要作用。神经性疼痛的这些阶段涉及通过背外侧索(DLF)下行通路的GABA能控制的变化。本研究表明,单侧DLF损伤增强了蝇蕈醇(0.2μg/5μL)(一种GABAA受体激动剂)在大鼠同侧后爪脊髓神经结扎(SNL)诱导的机械性异常性疼痛起始阶段而非维持阶段的抗痛觉过敏作用。单侧DLF损伤增强了巴氯芬(0.8μg/5μL)(一种GABAB受体激动剂)在大鼠同侧爪脊髓神经结扎(SNL)诱导的机械性异常性疼痛起始阶段的抗痛觉过敏作用,并减弱了其在维持阶段的作用。单侧DLF损伤显著降低了鞘内注射巴氯芬(30μg/5μL)(一种GABAB受体拮抗剂)的促痛觉过敏作用,但未降低荷包牡丹碱(0.3μg/5μL)(一种GABAA受体拮抗剂)的促痛觉过敏作用。在SNL诱导的机械性异常性疼痛的维持阶段而非起始阶段观察到了DLF损伤对巴氯芬促痛觉过敏作用的影响。我们由此得出结论,在SNL诱导的机械性异常性疼痛起始阶段,脊髓GABA能神经传递通过GABAA和GABAB受体受到DLF的负性调节。此外,在SNL诱导的机械性异常性疼痛维持阶段,DLF的完整性对于通过脊髓GABAB而非GABAA受体发生的GABA能传递的有效性是必要的。

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