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大鼠体内的皮质类固醇调节与应激诱导的镇痛作用

Corticosteroid modulation and stress-induced analgesia in rats.

作者信息

Mousa S, Miller C H, Couri D

出版信息

Neuroendocrinology. 1981 Nov;33(5):317-9. doi: 10.1159/000123252.

Abstract

Early evidence has indicated the presence and involvement of specific neural systems which can inhibit the responses to painful stimuli. More recently, further advances suggest that the opiate system may interact with other systems to modulate the analgesia produced by the opiates or various stressors. Since corticosteroids were found to be elevated under the conditions of different stress-induced analgesia (SIA), there may be interactions between the pain-inhibiting systems and the corticosteroids. Recently it was reported that acute stress or long-term adrenalectomy can result in release of beta-endorphin (beta E) and ACTH from the pituitary gland, which can be blocked by dexamethasone. In our early studies we have shown partial antagonism of the SIA by dexamethasone and complete antagonism after naloxone. In this report it was found that chronic treatment of the rats with 0.02% metyrapone in drinking water for 8 weeks resulted in minor hyperalgesia. The chronic pretreatment with metyrapone resulted in a significant potentiation of the analgesia induced via the cold swim stress model, which was reversed by 1 mg/kg (IP) naloxone. Also, hyperalgesia was noted 18 days after the bilateral adrenalectomy of the rats as measured in our laboratory by the hot plate method and as reported by Heybach and Vernikos-Danellis in 1978. These results suggest that the corticosteroid modulation (pituitary-adrenal axis) may have a role in regulating the SIA, and this may implicate the interactions of the corticosteroids with pain-inhibiting systems.

摘要

早期证据表明存在特定的神经系统,这些系统能够抑制对疼痛刺激的反应。最近,进一步的研究进展表明,阿片系统可能与其他系统相互作用,以调节阿片类药物或各种应激源产生的镇痛作用。由于在不同的应激诱导镇痛(SIA)条件下发现皮质类固醇水平升高,因此疼痛抑制系统与皮质类固醇之间可能存在相互作用。最近有报道称,急性应激或长期肾上腺切除术可导致垂体释放β-内啡肽(βE)和促肾上腺皮质激素(ACTH),而地塞米松可阻断这种释放。在我们早期的研究中,我们已经表明地塞米松对SIA有部分拮抗作用,而纳洛酮后则完全拮抗。在本报告中发现,给大鼠饮用含0.02%美替拉酮的水8周进行慢性治疗会导致轻微的痛觉过敏。美替拉酮的慢性预处理导致通过冷泳应激模型诱导的镇痛作用显著增强,1mg/kg(腹腔注射)纳洛酮可逆转这种增强作用。此外,正如我们实验室用热板法测量以及Heybach和Vernikos-Danellis在1978年所报道的那样,大鼠双侧肾上腺切除术后18天出现痛觉过敏。这些结果表明,皮质类固醇调节(垂体-肾上腺轴)可能在调节SIA中起作用,这可能意味着皮质类固醇与疼痛抑制系统之间存在相互作用。

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