Tsagareli N, Tsiklauri N, Tsagareli M, Kvachadze I
Beritashvili Center for Experimental Biomedicine, Laboratory of Pain and Analgesia, Tbilisi; Tbilisi State Medical University, Department of Physiology, Georgia.
Georgian Med News. 2019 Jan(286):116-122.
Anterior cingulate cortex (ACC), which is activated by noxious stimuli, is involved in pain processing, the neural mechanisms of the ACC involvement in affective pain have yet to be elaborated. To study relation antinociceptive effects induced by non-steroidal anti-inflammatory drugs (NSAIDs) with endogenous opioid system we treated experimental rats with opioid receptor antagonists, naloxone and CTOP in the ACC pre- and post-following microinjections with NSAIDs. We measured nociceptive thermal paw withdrawal latencies and mechanical thresholds in rats' formalin test following microinjections of NSAIDs (diclofenac, ketoprofen, ketorolac and lornoxicam), saline or opioid receptor antagonists, naloxone and CTOP in the ACC. Five minutes following intraplantar formalin injection all animals showed a significant reduction in thermal paw withdrawal latency and mechanical withdrawal threshold compared to pre-baseline values. Fifteen minutes after formalin injection, diclofenac, ketoprofen, ketorolac and lornoxicam clearly showed antinociceptive effects of NSAIDs. When pretreated with naloxone and CTOP we found a significant reduction of analgesic effects of NSAIDs as well as post-treatment of these completely abolished NSAIDs-induced antinociception. We demonstrated that microinjection widely used non-opioid, NSAID analgesics, diclofenac, ketoprofen, ketorolac and lornoxicam injected into the rostral part of the ACC, induced antinociception in rats. The present findings support the concept that NSAIDs-evoked antinociception is mediated via descending endogenous opioid system.
前扣带回皮质(ACC)可被伤害性刺激激活,参与疼痛处理,但其参与情感性疼痛的神经机制尚未阐明。为了研究非甾体抗炎药(NSAIDs)诱导的抗伤害感受作用与内源性阿片系统的关系,我们在用NSAIDs微量注射ACC之前和之后,用阿片受体拮抗剂纳洛酮和CTOP处理实验大鼠。我们在ACC微量注射NSAIDs(双氯芬酸、酮洛芬、酮咯酸和氯诺昔康)、生理盐水或阿片受体拮抗剂纳洛酮和CTOP后,测量大鼠福尔马林试验中的伤害性热足退缩潜伏期和机械阈值。足底注射福尔马林5分钟后,与基线前值相比,所有动物的热足退缩潜伏期和机械退缩阈值均显著降低。福尔马林注射15分钟后,双氯芬酸、酮洛芬、酮咯酸和氯诺昔康明显显示出NSAIDs的抗伤害感受作用。当用纳洛酮和CTOP预处理时,我们发现NSAIDs的镇痛作用显著降低,并且这些药物的后处理完全消除了NSAIDs诱导的抗伤害感受作用。我们证明,向ACC头端微量注射广泛使用的非阿片类NSAIDs镇痛药双氯芬酸、酮洛芬、酮咯酸和氯诺昔康可诱导大鼠产生抗伤害感受作用。目前的研究结果支持以下概念,即NSAIDs诱发的抗伤害感受作用是通过下行内源性阿片系统介导的。