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μ阿片受体激动剂的阈剂量可增强延髓呼吸神经元放电的振荡模式并降低放电阈值。

Oscillation patterns are enhanced and firing threshold is lowered in medullary respiratory neuron discharges by threshold doses of a μ-opioid receptor agonist.

作者信息

Lalley Peter M, Mifflin Steve W

机构信息

Department of Neuroscience, University of Wisconsin Medical Sciences Center, Madison, Wisconsin; and

Institute for Cardiovascular and Metabolic Disease, University of North Texas Health Science Center, Fort Worth, Texas.

出版信息

Am J Physiol Regul Integr Comp Physiol. 2017 May 1;312(5):R727-R738. doi: 10.1152/ajpregu.00120.2016. Epub 2017 Feb 15.

Abstract

μ-Opioid receptors are distributed widely in the brain stem respiratory network, and opioids with selectivity for μ-type receptors slow in vivo respiratory rhythm in lowest effective doses. Several studies have reported μ-opioid receptor effects on the three-phase rhythm of respiratory neurons, but there are until now no reports of opioid effects on oscillatory activity within respiratory discharges. In this study, effects of the μ-opioid receptor agonist fentanyl on spike train discharge properties of several different types of rhythm-modulating medullary respiratory neuron discharges were analyzed. Doses of fentanyl that were just sufficient for prolongation of discharges and slowing of the three-phase respiratory rhythm also produced pronounced enhancement of spike train properties. Oscillation and burst patterns detected by autocorrelation measurements were greatly enhanced, and interspike intervals were prolonged. Spike train properties under control conditions and after fentanyl were uniform within each experiment, but varied considerably between experiments, which might be related to variability in acid-base balance in the brain stem extracellular fluid. Discharge threshold was shifted to more negative levels of membrane potential. The effects on threshold are postulated to result from opioid-mediated disinhibition and postsynaptic enhancement of -methyl-d- aspartate receptor current. Lowering of firing threshold, enhancement of spike train oscillations and bursts and prolongation of discharges by lowest effective doses of fentanyl could represent compensatory adjustments in the brain stem respiratory network to override opioid blunting of CO/pH chemosensitivity.

摘要

μ-阿片受体广泛分布于脑干呼吸网络中,对μ型受体具有选择性的阿片类药物在最低有效剂量下会减缓体内呼吸节律。多项研究报道了μ-阿片受体对呼吸神经元三相节律的影响,但迄今为止,尚无关于阿片类药物对呼吸放电振荡活动影响的报道。在本研究中,分析了μ-阿片受体激动剂芬太尼对几种不同类型的调节节律的延髓呼吸神经元放电的锋电位序列放电特性的影响。刚好足以延长放电和减缓三相呼吸节律的芬太尼剂量也显著增强了锋电位序列特性。通过自相关测量检测到的振荡和爆发模式大大增强,峰峰间期延长。在每个实验中,对照条件下和芬太尼处理后的锋电位序列特性是一致的,但不同实验之间差异很大,这可能与脑干细胞外液酸碱平衡的变异性有关。放电阈值向更负的膜电位水平移动。推测对阈值的影响是由阿片类药物介导的去抑制作用和N-甲基-D-天冬氨酸受体电流的突触后增强作用导致的。最低有效剂量的芬太尼降低放电阈值、增强锋电位序列振荡和爆发以及延长放电,可能代表脑干呼吸网络中的代偿性调整,以克服阿片类药物对CO/ pH化学敏感性的抑制作用。

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