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内源性吗啡与疼痛。

Endogenous morphines and pain.

作者信息

Jacob J

出版信息

Agents Actions. 1981 Dec;11(6-7):634-6. doi: 10.1007/BF01978772.

DOI:10.1007/BF01978772
PMID:7340454
Abstract

The involvement of endogenous morphines (enkephalins and endorphins) in the regulation of pain is demonstrated by the following experimental evidence: (a) their analgesic activities; (b) their distribution in the central nervous systems; (c) the effects of their modifiers, especially of their antagonists, on nociceptive reactions and (or) on various types of analgesia; (d) rare modifications of their brain levels in pain and (or) analgesic states. Besides the well-known facts, the following items are particularly stressed: the functional roles of hypothalamic structures and of the pituitary, the effects of antagonists, the variety of analgesia following noxious and (or) stressful stimuli, genetic and environmental factors, endogenous antinociceptive substances other than opioids, relations with biogenic amines. As a whole, endogenous morphines apparently filter the particular important sensory input represented by nociception and control the reactions to pain, allowing for adjusted behaviour, if the stimuli are avoidable, or for prevention or at least delay of exhaustion if the stimuli are unavoidable.

摘要

内源性吗啡(脑啡肽和内啡肽)参与疼痛调节可通过以下实验证据得以证明:(a)它们的镇痛活性;(b)它们在中枢神经系统中的分布;(c)其调节剂,尤其是拮抗剂,对伤害性反应和(或)对各种类型镇痛的影响;(d)在疼痛和(或)镇痛状态下其脑内水平的罕见变化。除了这些众所周知的事实外,还特别强调以下几点:下丘脑结构和垂体的功能作用、拮抗剂的作用、有害和(或)应激刺激后的多种镇痛类型、遗传和环境因素、除阿片类药物外的内源性抗伤害感受物质、与生物胺的关系。总体而言,内源性吗啡显然对由伤害性感受所代表的特别重要的感觉输入进行筛选,并控制对疼痛的反应,若刺激可避免,则允许进行适应性行为,若刺激不可避免,则预防或至少延缓疲劳。

相似文献

1
Endogenous morphines and pain.内源性吗啡与疼痛。
Agents Actions. 1981 Dec;11(6-7):634-6. doi: 10.1007/BF01978772.
2
Endogenous morphines and pain control.内源性吗啡与疼痛控制。
Panminerva Med. 1982 Apr-Jun;24(2):155-9.
3
Analgesic responses elicited by endogenous enkephalins (protected by mixed peptidase inhibitors) in a variety of morphine-sensitive noxious tests.内源性脑啡肽(受混合肽酶抑制剂保护)在多种对吗啡敏感的伤害性试验中引发的镇痛反应。
Eur J Pharmacol. 1991 Jan 10;192(2):253-62. doi: 10.1016/0014-2999(91)90050-z.
4
[Endocrine and neuroendocrine functions of endogenous morphines].[内源性吗啡的内分泌和神经内分泌功能]
J Physiol (Paris). 1979;75(5):447-61.
5
[Opiate receptors and endogenous morphinelike peptides in the brain].[大脑中的阿片受体与内源性类吗啡肽]
Eksp Med Morfol. 1980;19(1):1-8.
6
Endogenous opioids and their receptors. Evidence for involvement in the postictal effects of electroconvulsive shock.内源性阿片肽及其受体。参与电休克惊厥后效应的证据。
Ann N Y Acad Sci. 1986;462:124-39. doi: 10.1111/j.1749-6632.1986.tb51247.x.
7
Hypercapnia depresses nociception: endogenous opioids implicated.高碳酸血症抑制伤害感受:涉及内源性阿片类物质。
Brain Res. 1990 Apr 30;514(2):198-205. doi: 10.1016/0006-8993(90)91416-e.
8
Analgesia in defeated mice: evidence for mediation via central rather than pituitary or adrenal endogenous opioid peptides.
Pharmacol Biochem Behav. 1988 Mar;29(3):451-6. doi: 10.1016/0091-3057(88)90002-0.
9
The changing nature of pain control. Clinical aspects of endorphins and enkephalins.疼痛控制的变化本质。内啡肽和脑啡肽的临床方面。
J Can Dent Assoc. 1985 Jul;51(7):493-8.
10
Endogenous opioids may mediate post-ictal behavioral depression in amygdaloid-kindled rats.内源性阿片类物质可能介导杏仁核点燃大鼠发作后的行为性抑郁。
Brain Res. 1979 May 11;167(2):435-40. doi: 10.1016/0006-8993(79)90842-4.

本文引用的文献

1
Mood and behavioral effects of physostigmine on humans are accompanied by elevations in plasma beta-endorphin and cortisol.毒扁豆碱对人类情绪和行为的影响伴随着血浆β-内啡肽和皮质醇水平的升高。
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The effect of medial hypothalamus lesions on pain control.下丘脑内侧损伤对疼痛控制的影响。
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Stress-induced analgesia: neural and hormonal determinants.应激诱导的镇痛:神经和激素决定因素。
Neurosci Biobehav Rev. 1980 Spring;4(1):87-100. doi: 10.1016/0149-7634(80)90028-7.
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The role of endorphins in stress: evidence and speculations.内啡肽在应激反应中的作用:证据与推测。
Neurosci Biobehav Rev. 1980 Spring;4(1):77-86. doi: 10.1016/0149-7634(80)90027-5.
5
Naloxone acts at central opiate receptors to reverse hypotension, hypothermia and hypoventilation in spinal shock.纳洛酮作用于中枢阿片受体,以逆转脊髓休克中的低血压、体温过低和通气不足。
Brain Res. 1980 May 5;189(1):295-300. doi: 10.1016/0006-8993(80)90032-3.
6
Di-isopropyl phosphofluoridate-induced antinociception: possible role of endogenous opioids.二异丙基氟磷酸酯诱导的抗伤害感受:内源性阿片类物质的可能作用。
Eur J Pharmacol. 1980 Jan 25;61(2):167-73. doi: 10.1016/0014-2999(80)90159-4.
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Role of opiate receptors and endogenous ligands in nociception.阿片受体和内源性配体在痛觉感受中的作用。
Pharmacol Ther. 1981;14(2):177-96. doi: 10.1016/0163-7258(81)90060-7.
8
Diurnal differences in opioid peptide levels correlated with nociceptive sensitivity.阿片肽水平的昼夜差异与伤害性感受敏感性相关。
Life Sci. 1979 May 14;24(20):1861-7. doi: 10.1016/0024-3205(79)90237-6.
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Foot shock induced stress decreases leu5-enkephalin immunoreactivity in rat hypothalamus.足部电击诱导的应激会降低大鼠下丘脑亮氨酸脑啡肽免疫反应性。
Eur J Pharmacol. 1978 Apr 15;48(4):465-6. doi: 10.1016/0014-2999(78)90178-4.
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Endogenous peptides and analgesia.内源性肽与镇痛
Annu Rev Pharmacol Toxicol. 1978;18:189-204. doi: 10.1146/annurev.pa.18.040178.001201.