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中脑导水管周围灰质、中缝大核及相邻网状结构的下行抑制性影响。I. 对腰段脊髓伤害性和非伤害性神经元的影响。

Descending inhibitory influences from periaqueductal gray, nucleus raphe magnus, and adjacent reticular formation. I. Effects on lumbar spinal cord nociceptive and nonnociceptive neurons.

作者信息

Gray B G, Dostrovsky J O

出版信息

J Neurophysiol. 1983 Apr;49(4):932-47. doi: 10.1152/jn.1983.49.4.932.

DOI:10.1152/jn.1983.49.4.932
PMID:6854362
Abstract
  1. This study examined the inhibitory effects of conditioning stimuli delivered to the periaqueductal gray (PAG), nucleus cuneiformis (CU), nucleus raphe magnus (NRM), nucleus reticularis gigantocellularis (NGC), and nucleus reticularis magnocellularis (NMC) on functionally identified neurons of the lumbar spinal cord dorsal horn in chloralose-anesthetized or decerebrate cats. 2. Neurons were classified according to their responses to a variety of cutaneous stimuli as low-threshold mechanoreceptive (LTM), wide dynamic range (WDR), or nociceptive specific (NS). The major aim of this study was to determine whether there was a difference in the effectiveness of the brain stem stimulation-produced inhibition of nociceptive (noci) neurons (consisting of both WDR and NS neurons) and the LTM non-nociceptive (nonnoci) neurons. There were no statistical differences in the susceptibility of WDR and NS neurons to brain stem-induced inhibition. 3. Most neurons tested could be inhibited by stimulation of any of the brain stem regions tested. In all cases the percentage of noci neurons inhibited from a given region was higher than the percentage of nonnoci neurons; however, this difference was only statistically significant in the case of NMC stimulation. 4. Threshold current intensities necessary to produce inhibition were determined for each neuron from each stimulation site. Although there was a trend for noci neurons to require slightly lower current intensities, there was in fact no statistically significant difference in the inhibitory thresholds between noci and nonnoci neurons for any of the regions tested. 5. A comparison of the mean threshold currents for the five regions studied revealed that the lowest stimulation currents were obtained in NMC with NRM, CU, NGC, and PAG, each requiring progressively higher current intensities in order to produce inhibition. 6. These results indicate that stimulation in PAG and NRM not only inhibits the responses of noci neurons but also those of nonnoci neurons. Moreover, stimulation in reticular regions adjacent to these two regions is effective in inhibiting the responses of both noci and nonnoci neurons.
摘要
  1. 本研究检测了在水合氯醛麻醉或去大脑的猫中,施加于导水管周围灰质(PAG)、楔状核(CU)、中缝大核(NRM)、巨细胞网状核(NGC)和大细胞网状核(NMC)的条件刺激对腰脊髓背角功能鉴定神经元的抑制作用。2. 根据神经元对各种皮肤刺激的反应,将其分为低阈值机械感受性(LTM)、广动力范围(WDR)或伤害性特异性(NS)神经元。本研究的主要目的是确定脑干刺激对伤害性(noci)神经元(包括WDR和NS神经元)和LTM非伤害性(nonnoci)神经元产生抑制的有效性是否存在差异。WDR和NS神经元对脑干诱导抑制的敏感性没有统计学差异。3. 大多数测试的神经元可被测试的任何脑干区域的刺激所抑制。在所有情况下,从给定区域被抑制的noci神经元百分比高于nonnoci神经元百分比;然而,这种差异仅在NMC刺激的情况下具有统计学意义。4. 确定了每个刺激部位对每个神经元产生抑制所需的阈值电流强度。虽然noci神经元所需的电流强度有略低的趋势,但实际上在任何测试区域,noci和nonnoci神经元之间的抑制阈值没有统计学显著差异。5. 对所研究的五个区域的平均阈值电流进行比较发现,在NMC获得的刺激电流最低,而NRM、CU、NGC和PAG,每个区域产生抑制都需要逐渐更高的电流强度。6. 这些结果表明,PAG和NRM中的刺激不仅抑制noci神经元的反应,也抑制nonnoci神经元的反应。此外,与这两个区域相邻的网状区域的刺激对抑制noci和nonnoci神经元的反应均有效。

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