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大鼠鞘内注射生长抑素:仅在存在毒性作用时产生抗伤害感受。

Intrathecal somatostatin in rats: antinociception only in the presence of toxic effects.

作者信息

Gaumann D M, Yaksh T L

机构信息

Department of Anesthesiology and Medicine, Mayo Clinic, Rochester, Minnesota 55905.

出版信息

Anesthesiology. 1988 May;68(5):733-42.

PMID:2897175
Abstract

Effects of intrathecal (i.t.) somatostatin (SST) (10, 30, and 100 micrograms) on nociception, and autonomic and motor function were evaluated in rats with chronically implanted lumbar i.t. catheters. Doses of 10 and 30 micrograms SST i.t. had no effect on thermal cutaneous nociception, (hot plate and tail flick response). Thirty micrograms SST i.t. did not effect the visceral chemical evoked nociception (acetic acid writhing test) as compared to saline control groups. Rats treated with 100 micrograms SST i.t. invariably showed temporary or permanent hindlimb motor dysfunction, with flaccid paralysis in the most severe cases (motor function tests, electromyographic response). Blockade of the tail flick and foot pinch response was observed to a variable degree, and only in the presence of detectable motor impairment. Out of 40 animals injected with 100 micrograms SST i.t., 25% died within 10 min following injection. Effects of SST on the volume evoked micturition reflex were assessed in rats with chronically implanted bladder catheters. Three of the nine surviving animals receiving 30 micrograms SST i.t. and all animals receiving an additional dose of 60 micrograms SST i.t. showed a complete block of the micturition reflex and subsequent development of an overflow bladder. Histological examination of spinal cords revealed a mild inflammatory response in four out of five animals treated with 30 micrograms SST i.t. In spinal cords of animals, which had received 100 micrograms SST i.t. (n = 4), mild or severe nucleolysis of ventral and dorsal horns in the presence of inflammatory reaction was observed. Present experiments clearly demonstrate highly toxic effects of SST in rats with no margin of safety between antinociception and motor dysfunction.

摘要

在长期植入腰段鞘内导管的大鼠中,评估了鞘内注射(i.t.)生长抑素(SST)(10、30和100微克)对伤害感受、自主神经和运动功能的影响。鞘内注射10微克和30微克剂量的SST对热皮肤伤害感受(热板和甩尾反应)无影响。与生理盐水对照组相比,鞘内注射30微克SST对内脏化学诱发的伤害感受(醋酸扭体试验)无影响。鞘内注射100微克SST的大鼠总是表现出暂时或永久性的后肢运动功能障碍,最严重的情况下出现弛缓性麻痹(运动功能测试、肌电图反应)。甩尾和夹足反应的阻断程度各不相同,且仅在存在可检测到的运动障碍时出现。在40只鞘内注射100微克SST的动物中,25%在注射后10分钟内死亡。在长期植入膀胱导管的大鼠中评估了SST对容量诱发排尿反射的影响。接受鞘内注射30微克SST的9只存活动物中有3只以及所有额外接受60微克SST注射的动物均表现出排尿反射完全阻断以及随后出现充溢性膀胱。脊髓组织学检查显示,在接受鞘内注射30微克SST治疗的5只动物中有4只出现轻度炎症反应。在接受鞘内注射100微克SST的动物(n = 4)的脊髓中,观察到在炎症反应存在的情况下腹角和背角有轻度或重度核溶解。目前的实验清楚地证明了SST对大鼠具有高度毒性作用,在镇痛和运动功能障碍之间没有安全界限。

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