Carlsson Karl-Heinz, Monzel Wolfgang, Jurna Ilmar
Institut für Pharmakologie und Toxikologie, Universität des Saarlandes, D-6650 Homburg/SaarF.R.G.
Pain. 1988 Mar;32(3):313-326. doi: 10.1016/0304-3959(88)90043-7.
Pyrazolone and salicylic acid derivatives and the aniline derivative, paracetamol, are often classified as peripherally acting analgesic agents, while morphine is a centrally acting analgesic agent. Since indications exist that the non-opioid analgesic agents can also produce central effects, experiments were carried out on rats under urethane anaesthesia in which activity was recorded from single neurones in the dorsomedial part of the ventral nucleus (VDM) of the thalamus that was elicited by supramaximal electrical stimulation of nociceptive afferents in the sural nerve. In addition, activity was recorded in ascending axons of the spinal cord which was evoked by electrical stimulation of nociceptive afferents in the sural nerve. The substances studied were morphine, the pyrazolone derivatives, metamizol (dipyrone) and aminophenazone ('Pyramidon'), lysine acetylsalicylate, and paracetamol. All drugs were found to depress dose-dependently evoked activity in VDM neurones after intravenous (i.v.) injection. The ED50 of morphine in depressing evoked activity in VDM neurones is 0.05 mg/kg. Morphine also dose-dependently reduced activity in ascending axons of the spinal cord, the ED50 being 1.7 mg/kg. The ED50 of metamizol in depressing evoked activity in VDM neurones is 120 mg/kg, and that of aminophenazone is 22.7 mg/kg. The 2 ED50 values differ significantly. It has been found previously that metamizol increased nociceptive activity in some ascending axons and aminophenazone increased this activity in all ascending axons tested. The ED50 of lysine acetylsalicylate in depressing evoked activity in VDM neurones is 74 mg/kg. The drug did not reduce nociceptive activity in ascending axons of the spinal cord. The ED50 of paracetamol in depressing evoked activity in VDM neurones is 19.0 mg/kg. Paracetamol did not depress nociceptive activity in ascending axons of the spinal cord at a dose as high as 150 mg/kg administered by intraperitoneal injection. Naloxone (0.2 mg/kg i.v.) abolished the depressant effects of morphine but failed to reduce those of the non-opioid analgesic agents even at a high dose (1 mg/kg i.v.). Unlike morphine, the non-opioid analgesic agents did not completely block evoked activity in VDM neurones but only partially blocked their activation. The results suggest that the non-opioid analgesic agents tested can produce a central analgesic effect which, however, is weaker than that of morphine.
吡唑酮和水杨酸衍生物以及苯胺衍生物对乙酰氨基酚,通常被归类为外周作用的镇痛药,而吗啡是一种中枢作用的镇痛药。由于有迹象表明非阿片类镇痛药也能产生中枢效应,因此在乌拉坦麻醉的大鼠身上进行了实验,记录了由腓肠神经中伤害性传入纤维的超强电刺激所诱发的丘脑腹内侧核(VDM)背内侧部分单个神经元的活动。此外,还记录了脊髓上行轴突中由腓肠神经中伤害性传入纤维的电刺激所诱发的活动。所研究的物质有吗啡、吡唑酮衍生物、安乃近(双吡唑酮)和氨基苯乙酮(“匹拉米洞”)、赖氨酸阿司匹林和对乙酰氨基酚。所有药物经静脉注射后均被发现能剂量依赖性地抑制VDM神经元的诱发活动。吗啡抑制VDM神经元诱发活动的半数有效量(ED50)为0.05毫克/千克。吗啡也能剂量依赖性地降低脊髓上行轴突的活动,其ED50为1.7毫克/千克。安乃近抑制VDM神经元诱发活动的ED50为120毫克/千克,氨基苯乙酮的ED50为22.7毫克/千克。这两个ED50值有显著差异。先前已发现安乃近能增加一些脊髓上行轴突中的伤害性活动,而氨基苯乙酮能增加所有测试的脊髓上行轴突中的这种活动。赖氨酸阿司匹林抑制VDM神经元诱发活动的ED50为74毫克/千克。该药物并未降低脊髓上行轴突中的伤害性活动。对乙酰氨基酚抑制VDM神经元诱发活动的ED50为19.0毫克/千克。腹腔注射高达150毫克/千克剂量的对乙酰氨基酚并未抑制脊髓上行轴突中的伤害性活动。纳洛酮(静脉注射0.2毫克/千克)可消除吗啡的抑制作用,但即使在高剂量(静脉注射1毫克/千克)时也未能降低非阿片类镇痛药的抑制作用。与吗啡不同,非阿片类镇痛药并未完全阻断VDM神经元的诱发活动,而只是部分阻断其激活。结果表明,所测试的非阿片类镇痛药可产生中枢镇痛作用,然而,其作用比吗啡弱。