Martin Thomas J, Strassburg Tracy J, Grigg Amanda L, Kim Susy A, Ririe Douglas G, Eisenach James C
From the Pain Mechanisms Lab, Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Anesthesiology. 2017 Aug;127(2):372-381. doi: 10.1097/ALN.0000000000001702.
Both acute and chronic pain result in a number of behavioral symptoms in patients, including cognitive effects such as decreased attention and working memory. Intraperitoneal administration of dilute lactic acid in rodents has been used to induce abdominal inflammation and produce effects in behavioral assays of both sensory-discriminative and affective pain modalities.
Intraperitoneal injection of dilute lactic acid was used to study the impact of abdominal inflammation on an operant task requiring sustained visual attention in rats (N = 7 to 15/group) that adapts dynamically to performance ability. The effects of ketoprofen and morphine on lactic acid-induced impairment were compared with those on the disruptive effects of scopolamine.
Lactic acid impaired performance in a concentration-dependent manner, increasing the duration of cue presentation required to maintain optimal performance from 0.5 ± 0.2 s (mean ± SD) to 17.2 ± 11.4 s after the administration of 1.8% (v/v) (N = 13). The latency to emit correct responses and to retrieve the food reward were both increased by lactic acid. All effects of lactic acid injection were reversed by both ketoprofen and morphine in a dose-dependent manner. Scopolamine, however, produced dose-dependent, nonpain-related disruption in sustained attention that was not altered by either ketoprofen or morphine.
These data demonstrate that abdominal inflammation induced by lactic acid produces robust disruption in a visual attention-based operant task and that this disruption is reversed by analgesics. Future studies will focus on pain-related circuitry and its impact on both limbic forebrain and frontal cortical mechanisms.
急性和慢性疼痛都会给患者带来一系列行为症状,包括认知方面的影响,如注意力和工作记忆下降。在啮齿动物中腹腔注射稀乳酸已被用于诱发腹部炎症,并在感觉辨别性和情感性疼痛模式的行为试验中产生影响。
腹腔注射稀乳酸用于研究腹部炎症对一项要求大鼠(每组7至15只)持续视觉注意力的操作性任务的影响,该任务会根据表现能力动态调整。将酮洛芬和吗啡对乳酸诱导损伤的影响与它们对东莨菪碱干扰作用的影响进行比较。
乳酸以浓度依赖的方式损害表现,将维持最佳表现所需的提示呈现持续时间从0.5±0.2秒(平均值±标准差)增加到注射1.8%(体积/体积)乳酸后(N = 13)的17.2±11.4秒。乳酸还增加了发出正确反应和获取食物奖励的潜伏期。酮洛芬和吗啡均以剂量依赖的方式逆转了乳酸注射的所有影响。然而,东莨菪碱在持续注意力方面产生了剂量依赖的、与疼痛无关的干扰,且这种干扰未被酮洛芬或吗啡改变。
这些数据表明,乳酸诱导的腹部炎症在基于视觉注意力的操作性任务中产生了强烈干扰,且这种干扰可被镇痛药逆转。未来的研究将聚焦于疼痛相关的神经回路及其对边缘前脑和额叶皮质机制的影响。