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[苯二氮䓬类药物对猫脊髓背根反射电位的作用]

[Action of benzodiazepines on spinal dorsal root reflex potentials in cats].

作者信息

Suzuki T

出版信息

Nihon Yakurigaku Zasshi. 1984 Jul;84(1):99-108.

PMID:6149176
Abstract

Effects of benzodiazepines on spinal reflex potentials, especially on the dorsal root reflex potentials (DRR), were studied in the spinal preparation of cats. All benzodiazepines used in this study (diazepam, chlordiazepoxide, bromazepam, flurazepam, medazepam, nitrazepam, oxazepam, oxazolazepam, lorazepam, estazolam and triazolam) were administered into the duodenum via a rubber tube implanted previously. These drugs consistently increased the amplitude of DRR. Presynaptic inhibition was increased, but postsynaptic inhibition was not affected by the drugs. DRR was decreased gradually by intravenous administration of semicarbazide, and pretreatment with semicarbazide completely blocked the spinal effect of diazepam. Pyridoxine given intravenously recovered the amplitude of DRR and restored the effect of diazepam on the spinal cord. Pretreatment of AOAA potentiated the increasing effect of diazepam on DRR. Occlusion of the thoracic aorta for 47 min with simultaneous clamping of the mammary arteries produced permanent hind-limb rigidity in cats (Murayama-type rigid cats). The ischemic spinal rigidity is characterized by an enhanced monosynaptic reflex and markedly reduced polysynaptic reflex potentials. Furthermore, DRR was not grossly detectable in the preparation. In these ischemic spinal rigid cats, diazepam administered intravenously or intraduodenally did not enhance DRR at all. These results suggest that the effect of diazepam is closely related with GABA content. Normal levels of GABA in the spinal cord are required for the increasing effect of diazepam on DRR and presynaptic inhibition. These benzodiazepines may act on the releasing mechanism of GABA from the spinal interneuron, or they presumably enhance the sensitivity of the GABA receptor in the spinal cord.

摘要

在猫的脊髓制备物中研究了苯二氮䓬类药物对脊髓反射电位,尤其是对背根反射电位(DRR)的影响。本研究中使用的所有苯二氮䓬类药物(地西泮、氯氮䓬、溴西泮、氟西泮、美达西泮、硝西泮、奥沙西泮、恶唑拉西泮、劳拉西泮、艾司唑仑和三唑仑)均通过先前植入的橡胶管经十二指肠给药。这些药物持续增加DRR的幅度。突触前抑制增强,但突触后抑制不受这些药物影响。静脉注射氨基脲可使DRR逐渐降低,并且用氨基脲预处理可完全阻断地西泮对脊髓的作用。静脉注射维生素B6可恢复DRR的幅度并恢复地西泮对脊髓的作用。AOAA预处理增强了地西泮对DRR的增强作用。同时夹闭乳腺动脉,阻断胸主动脉47分钟,可使猫产生永久性后肢僵硬(村山型僵硬猫)。缺血性脊髓僵硬的特征是单突触反射增强,多突触反射电位明显降低。此外,在该制备物中DRR无法明显检测到。在这些缺血性脊髓僵硬的猫中,静脉内或十二指肠内给予地西泮根本不会增强DRR。这些结果表明,地西泮的作用与GABA含量密切相关。脊髓中正常水平的GABA是地西泮对DRR和突触前抑制产生增强作用所必需的。这些苯二氮䓬类药物可能作用于脊髓中间神经元释放GABA的机制,或者它们可能增强了脊髓中GABA受体的敏感性。

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