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中脑导水管周围灰质介导的镇痛作用中的多巴胺能机制。

Dopaminergic mechanisms in periaqueductal gray-mediated antinociception.

作者信息

Tobaldini Glaucia, Reis Rafael A, Sardi Natalia F, Lazzarim Mayla K, Tomim Dabna H, Lima Marcelo M S, Fischer Luana

出版信息

Behav Pharmacol. 2018 Apr;29(2 and 3-Spec Issue):225-233. doi: 10.1097/FBP.0000000000000346.

Abstract

As important as perceiving pain is the ability to modulate this perception in some contextual salient situations. The periaqueductal gray (PAG) is perhaps the most important site of endogenous pain modulation; however, little is known about dopaminergic mechanisms underlying PAG-mediated antinociception. In this study, we used a pharmacological approach to evaluate this subject. We found that µ-opioid receptor-induced antinociception (DAMGO, 0.3 μg) from PAG was blocked by the coadministration of either D1-like or D2-like dopaminergic antagonists (SCH23390, 2, 4, and 6 μg or raclopride, 2 and 4 μg, respectively) both in the tail-flick and in the mechanical paw-withdrawal test. A selective D2-like receptor agonist (piribedil, 6 and 12 μg into the PAG) induced antinociception in the mechanical paw-withdrawal test, but not in the tail-flick test. This effect was blocked by the coadministration of its selective antagonist (raclopride 4 μg), as well as by either a GABAA agonist (muscimol, 0.1 μg) or an opioid receptor antagonist (naloxone, 0.5 μg). A selective D1-like receptor agonist (SKF38393, 1, 5, and 10 μg into the PAG) induced a poor and transient antinociceptive effect, but when combined with piribedil, a potentiated antinociceptive effect emerged. None of these treatments affected locomotion in the open-field test. These findings suggest that µ-opioid antinociception from the PAG depends on dopamine acting on both D1-like and D2-like receptors. Selective activation of PAG D2-like receptors induces antinociception mediated by supraspinal mechanisms dependent on inhibition of GABAA and activation of opioid neurotransmission.

摘要

与感知疼痛同样重要的是在某些情境显著的情况下调节这种感知的能力。中脑导水管周围灰质(PAG)可能是内源性疼痛调节的最重要部位;然而,关于PAG介导的镇痛作用的多巴胺能机制却知之甚少。在本研究中,我们采用药理学方法来评估这一课题。我们发现,在甩尾试验和机械性缩爪试验中,PAG中μ-阿片受体诱导的镇痛作用(DAMGO,0.3μg)均被D1样或D2样多巴胺能拮抗剂(分别为SCH23390,2、4和6μg或雷氯必利,2和4μg)的共同给药所阻断。一种选择性D2样受体激动剂(吡贝地尔,6和12μg注入PAG)在机械性缩爪试验中诱导了镇痛作用,但在甩尾试验中未诱导。这种作用被其选择性拮抗剂(雷氯必利4μg)的共同给药、GABAA激动剂(蝇蕈醇,0.1μg)或阿片受体拮抗剂(纳洛酮,0.5μg)所阻断。一种选择性D1样受体激动剂(SKF-38393,1、5和10μg注入PAG)诱导了微弱且短暂的镇痛作用,但与吡贝地尔联合使用时,出现了增强的镇痛作用。这些处理均未影响旷场试验中的运动。这些发现表明,PAG的μ-阿片镇痛作用取决于作用于D1样和D2样受体的多巴胺。PAG D2样受体的选择性激活诱导了由脊髓上机制介导的镇痛作用,该机制依赖于GABAA的抑制和阿片类神经传递的激活。

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