Menétrey D, Chaouch A, Besson J-M
Unité de echerches de Neurophysiologie Pharmacologique de l'INSERM (U. 161), 2 rue d'Alésia, 75014 Paris France.
Pain. 1979 Jun;6(3):265-282. doi: 10.1016/0304-3959(79)90048-4.
(1) Lumbar dorsal horn units characterized by their mechanical cutaneous sensitivities were tested for their responses to temperature changes of the skin in the decerebrate spinal rats. (a) Class 1 units (i.e. driven by non-noxious mechanical stimuli) were rarely thermally sensitive. (b) Nearly all class 2 units (i.e. driven by both non-noxious and noxious mechanical stimuli) and 4 of the 5 class 3 units (i.e. driven by noxious mechanical stimuli) were sensitive to temperature changes. (2) According to their thermal response threshold and their response range, these units were divided into 3 groups. (a) Warming units whose response threshold and maximum response were below 42.5 degrees C. Such units were rarely encountered. (b) Warming/noxious heat units whose response threshold was below 42.5 degrees C but with a maximum response above this temperature. They represented approximatively one-third of the radiant heat-sensitive units. (c) Noxious heat units whose response threshold was above 42.5 degrees C and maximum discharge several degrees above it. Approximately 50% of units activated by radiant heat belonged to this group. (3) Responses to radiant heat stimulation were frequently affected by a first noxious heat application. It consisted: --in a threshold decrease and/or an increase of their cellular discharge for a same temperature range. Only observed for warming/noxious heat units and noxious heat units, this sensitization phenomenon predminantly affected noxious heat units. --in a decrease of cellular discharge for a same temperature range. This desensitization phenomenon was observed for the 3 groups of units driven by radiant heat but mainly for warming units. (4) Supramaximal transcutaneous electrical stimulation revealed that nearly all the thermally sensitive units received A delta and/or C inputs. These units were largely distributed throughout the dorsal horn (laminae I, IV and V). Ten of the 12 lamina I units responded to noxious thermal stimuli. (5) These data indicate that an increase in skin temperature is coded at the level of the rat spinal cord dorsal horn by both an increase in discharge of low threshold temperature sensitive units and a progressive recruitment of high threshold units.
(1) 在去大脑脊髓大鼠中,对以机械性皮肤敏感性为特征的腰段背角神经元进行了测试,以观察它们对皮肤温度变化的反应。(a) 第1类神经元(即由无害机械刺激驱动)很少对温度敏感。(b) 几乎所有第2类神经元(即由无害和有害机械刺激驱动)以及5个第3类神经元中的4个(即由有害机械刺激驱动)对温度变化敏感。(2) 根据它们的热反应阈值和反应范围,这些神经元被分为3组。(a) 升温神经元,其反应阈值和最大反应低于42.5℃。这类神经元很少见。(b) 升温/有害热神经元,其反应阈值低于42.5℃,但最大反应高于此温度。它们约占对辐射热敏感神经元的三分之一。(c) 有害热神经元,其反应阈值高于42.5℃,最大放电在高于此温度几度时出现。约50%由辐射热激活的神经元属于这一组。(3) 对辐射热刺激的反应常常受到首次有害热刺激的影响。它包括:--阈值降低和/或在相同温度范围内细胞放电增加。仅在升温/有害热神经元和有害热神经元中观察到,这种敏化现象主要影响有害热神经元。--在相同温度范围内细胞放电减少。这种脱敏现象在由辐射热驱动的3组神经元中均有观察到,但主要见于升温神经元。(4) 超强经皮电刺激显示,几乎所有热敏感神经元都接受Aδ和/或C传入纤维的输入。这些神经元广泛分布于整个背角(I、IV和V层)。12个I层神经元中有10个对有害热刺激有反应。(5) 这些数据表明,皮肤温度升高在大鼠脊髓背角水平上通过低阈值温度敏感神经元放电增加和高阈值神经元的逐渐募集来编码。