用于实验研究的大鼠和小鼠硬膜外及鞘内给药:基本概念、技术、注意事项及应用
Epidural and Intrathecal Drug Delivery in Rats and Mice for Experimental Research: Fundamental Concepts, Techniques, Precaution, and Application.
作者信息
Rahman Md Mahbubur, Lee Ji Yeon, Kim Yong Ho, Park Chul-Kyu
机构信息
Gachon Pain Center and Department of Physiology, Gachon University College of Medicine, Incheon 21999, Republic of Korea.
Department of Anesthesiology and Pain Medicine, Gachon University, Gil Medical Center, Incheon 21565, Republic of Korea.
出版信息
Biomedicines. 2023 May 10;11(5):1413. doi: 10.3390/biomedicines11051413.
Epidural and intrathecal routes are the most effective drug administration methods for pain management in clinical and experimental medicine to achieve quick results, reduce required drug dosages, and overcome the adverse effects associated with the oral and parenteral routes. Beyond pain management with analgesics, the intrathecal route is more widely used for stem cell therapy, gene therapy, insulin delivery, protein therapy, and drug therapy with agonist, antagonist, or antibiotic drugs in experimental medicine. However, clear information regarding intrathecal and epidural drug delivery in rats and mice is lacking, despite differences from human medicine in terms of anatomical space and proximity to the route of entry. In this study, we discussed and compared the anatomical locations of the epidural and intrathecal spaces, cerebrospinal fluid volume, dorsal root ganglion, techniques and challenges of epidural and intrathecal injections, dosage and volume of drugs, needle and catheter sizes, and the purpose and applications of these two routes in different disease models in rats and mice. We also described intrathecal injection in relation to the dorsal root ganglion. The accumulated information about the epidural and intrathecal delivery routes could contribute to better safety, quality, and reliability in experimental research.
在临床医学和实验医学中,硬膜外和鞘内给药途径是疼痛管理最有效的药物给药方法,可快速起效、减少所需药物剂量,并克服与口服和肠胃外给药途径相关的不良反应。除了使用镇痛药进行疼痛管理外,鞘内给药途径在实验医学中更广泛地用于干细胞治疗、基因治疗、胰岛素递送、蛋白质治疗以及使用激动剂、拮抗剂或抗生素药物进行药物治疗。然而,尽管大鼠和小鼠在解剖空间和与进入途径的接近程度方面与人类医学有所不同,但关于大鼠和小鼠鞘内和硬膜外给药的明确信息却很缺乏。在本研究中,我们讨论并比较了硬膜外和鞘内间隙的解剖位置、脑脊液体积、背根神经节、硬膜外和鞘内注射的技术及挑战、药物剂量和体积、针头和导管尺寸,以及这两种途径在大鼠和小鼠不同疾病模型中的目的和应用。我们还描述了与背根神经节相关的鞘内注射。有关硬膜外和鞘内给药途径的累积信息有助于提高实验研究的安全性、质量和可靠性。