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内源性阿片肽和细胞外钾离子蓄积在皮肤电刺激对青蛙脊髓反射抑制中的作用。

Role of endogenous opiates and extracellular K+ accumulation in the inhibition of frog spinal reflexes by electrical skin stimulation.

作者信息

Syková E, Kríz N, Hájek I

出版信息

Physiol Bohemoslov. 1985;34(6):548-61.

PMID:3003770
Abstract

Electrical skin stimulation of the hind limb (10-100 Hz, 30 s-5 min) at the intensity which leads only to the excitation of low threshold afferents depressed (for 1-30 min) the flexor reflex evoked in spinal frogs by nociceptive stimuli. The inhibition, which lasted for longer than 5 min was blocked by naloxone. Short-term poststimulation effects were associated with an increase of extracellular K+ concentration (delta [K]e) and were not blocked by naloxone. Enkephalins or morphine applied to the spinal cord surface increased the threshold for flexor reflexes while naloxone decrease their threshold. The stimulation was followed by short-term hyperpolarization of primary afferents (PAH; 1-5 min) and by depression of dorsal root potentials (DPRs) which had a similar time course to the delta [K]e, and were not blocked by naloxone. This period was frequently followed by longlasting PAH and enhancement of DRPs (5-30 min), which were abolished by naloxone. Superfusion of the isolated spinal cord with opioids produced PAH and enhanced DRPs evoked by nociceptive stimuli, while naloxone or increase of [K] in Ringer solution depolarized primary afferents and depressed DRPs. It is suggested that the antinociceptive effects of electrical stimulation of low threshold cutaneous afferents in spinal frogs involves at least two mechanisms. The short-term effect may result from delta [K]e, especially at high stimulus strength and is equally effective against noxious and non-noxious stimuli. The longlasting effects selectively affecting nociceptive transmission appear to be produced by endogenous opioids.

摘要

对后肢进行电皮肤刺激(10 - 100赫兹,30秒 - 5分钟),强度仅能激发低阈值传入神经,可抑制(1 - 30分钟)脊髓蛙中由伤害性刺激诱发的屈肌反射。持续超过5分钟的抑制作用可被纳洛酮阻断。刺激后的短期效应与细胞外钾离子浓度(δ[K]e)升高有关,且不被纳洛酮阻断。将脑啡肽或吗啡应用于脊髓表面会提高屈肌反射的阈值,而纳洛酮则会降低其阈值。刺激后会出现初级传入神经的短期超极化(PAH;1 - 5分钟)以及背根电位(DPRs)的抑制,其时间进程与δ[K]e相似,且不被纳洛酮阻断。这一时期之后常常会出现长期的PAH和DRPs增强(5 - 30分钟),而这会被纳洛酮消除。用阿片类药物灌注离体脊髓会产生PAH,并增强由伤害性刺激诱发的DRPs,而纳洛酮或林格氏液中[K]的增加会使初级传入神经去极化并抑制DRPs。研究表明,对脊髓蛙低阈值皮肤传入神经进行电刺激的抗伤害感受作用至少涉及两种机制。短期效应可能源于δ[K]e,尤其是在高刺激强度时,对伤害性和非伤害性刺激同样有效。选择性影响伤害性传递的长期效应似乎是由内源性阿片类物质产生的。

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