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辣椒素和吗啡预处理后的内脏痛反射

Visceral pain reflex after pretreatment with capsaicin and morphine.

作者信息

Lembeck F, Skofitsch G

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 1982 Nov;321(2):116-22. doi: 10.1007/BF00518478.

DOI:10.1007/BF00518478
PMID:7155191
Abstract
  1. Distension of the proximal jejunum by increasing the intraluminal pressure for short time periods causes a reflex response in blood pressure of anaesthetized rats which correlates with the magnitude of distension. The blood pressure response consists of a short initial rise followed by a marked decrease for the time of distension. 2. The absence of the depressor response in capsaicin desensitized rats indicates its mediation by C fibre afferents. These afferents are located within the periarterial mesenteric nerves. The depressor response was also elicited by stimulation of these nerves and abolished by local application of percain or capsaicin onto the mesenteric stalk. Vagal afferents were not involved in this depressor response as shown by bilateral vagotomy or by afferent vagus stimulation. 3. The depressor response is absent in spinal rats. Therefore, the location of the reflex centre is assumed to be supraspinal. Because it is augmented by naloxone and abolished by morphine in a naloxone reversible way it is regarded as a nociceptive reflex response. 4. The efferent side of the depressor response is unknown; cholinergic and alpha-adrenergic activation were excluded. 5. The initial pressor response to intestinal distension or to afferent periarterial mesenteric nerve stimulation persists in capsaicin desensitized rats excluding the involvement of C fibre afferents and in spinal rats indicating that the reflex centre is within the spinal cord. It is not diminished by morphine and therefore not a nociceptive response. Its inhibition by phentolamine suggests an alpha-adrenergic spinal response to intestinal distension. In control rats the pressor response is greatly overlapped by the much more pronounced depressor response.
摘要
  1. 在短时间内通过增加肠腔内压力使空肠近端扩张,会引起麻醉大鼠血压的反射性反应,该反应与扩张程度相关。血压反应包括最初的短暂上升,随后在扩张期间出现明显下降。2. 辣椒素脱敏大鼠中不存在降压反应,这表明其由C纤维传入神经介导。这些传入神经位于肠系膜动脉周围神经内。刺激这些神经也会引发降压反应,而在肠系膜蒂局部应用可卡因或辣椒素可消除该反应。双侧迷走神经切断术或迷走神经传入刺激表明迷走神经传入神经不参与此降压反应。3. 脊髓大鼠不存在降压反应。因此,反射中枢的位置被认为是脊髓以上的。由于它可被纳洛酮增强,并以纳洛酮可逆的方式被吗啡消除,所以被视为一种伤害性反射反应。4. 降压反应的传出途径尚不清楚;已排除胆碱能和α-肾上腺素能激活。5. 对肠扩张或肠系膜动脉周围神经传入刺激的初始升压反应在辣椒素脱敏大鼠中持续存在,排除了C纤维传入神经的参与,在脊髓大鼠中也存在,这表明反射中枢在脊髓内。它不会被吗啡减弱,因此不是伤害性反应。酚妥拉明对其的抑制表明对肠扩张存在α-肾上腺素能脊髓反应。在对照大鼠中,升压反应被更明显的降压反应大大掩盖。

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Capsaicin sensitive nerves in the jejunum of Nippostrongylus brasiliensis-sensitized rats participate in a cardiovascular depressor reflex.巴西日圆线虫致敏大鼠空肠中的辣椒素敏感神经参与心血管减压反射。
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[Studies on the production of afferent impulses].[关于传入冲动产生的研究]
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