Sakata S, Shima F, Kato M, Fukui M
Department of Neurophysiology, Kyushu University Faculty of Medicine, Fukuoka, Japan.
J Neurosurg. 1989 Mar;70(3):446-53. doi: 10.3171/jns.1989.70.3.0446.
To investigate the mechanism of analgesia noted with electrical stimulation of the thalamic sensory relay nucleus and medial thalamus, modulations of neuronal activities in the periaqueductal gray matter (PAG) were studied in response to electrical stimulations of the ventroposterolateral nucleus (VPL) and parafascicular nucleus (Pf) and to peripheral noxious stimulations in rats. Extracellular single-unit activities were recorded from 102 neurons in the PAG and the adjacent area in animals under halothane anesthesia. A large population (83%) of the PAG neurons reacted to Pf stimulations with a predominantly excitatory response, whereas smaller numbers (43%) responded to VPL stimulations. There was a significant correlation between the response characteristics of Pf and noxious stimulations, whereas no correlation was found between VPL and noxious stimulations. The PAG neurons that were verified antidromically to project to the nucleus raphe magnus showed a similar pattern of response. The excitatory response to the Pf stimulation was partially attenuated by systemic administration of naloxone, whereas that to the VPL stimulation was not affected. These results suggest that part of the analgesic mechanism of medial thalamus stimulation involves activation of the descending pain suppression system by exciting the PAG neurons through the opioid system, while the analgesia produced by sensory relay nucleus stimulation does not involve the PAG neurons or the opioid system.
为了研究丘脑感觉中继核和内侧丘脑电刺激所产生的镇痛机制,我们研究了大鼠中脑导水管周围灰质(PAG)神经元活动对腹后外侧核(VPL)和束旁核(Pf)电刺激以及外周伤害性刺激的调制。在氟烷麻醉的动物中,从PAG及其相邻区域的102个神经元记录细胞外单单位活动。大量的PAG神经元(83%)对Pf刺激有反应,主要表现为兴奋性反应,而对VPL刺激有反应的神经元数量较少(43%)。Pf的反应特征与伤害性刺激之间存在显著相关性,而VPL与伤害性刺激之间未发现相关性。经逆向验证投射到中缝大核的PAG神经元表现出类似的反应模式。全身性给予纳洛酮可部分减弱对Pf刺激的兴奋性反应,而对VPL刺激的反应则不受影响。这些结果表明,内侧丘脑刺激的部分镇痛机制涉及通过阿片系统兴奋PAG神经元来激活下行性疼痛抑制系统,而感觉中继核刺激所产生的镇痛作用不涉及PAG神经元或阿片系统。