Yamamoto T, Shimoyama N, Mizuguchi T
Department of Anesthesiology, School of Medicine, Chiba University, Japan.
Anesthesiology. 1993 Nov;79(5):1042-50. doi: 10.1097/00000542-199311000-00023.
The role of tachykinins, such as substance P and neurokinin A, in the development or maintenance of thermal hyperesthesia during inflammation is unclear. In the current study, the authors examined the role of NK1 and NK2 receptors on the thermal hyperesthesia evoked by injection of carrageenan into the rat paw using FK224, a cyclopeptide NK1 and NK2 antagonist, and CP-96,345, a nonpeptide NK1 antagonist.
In rats injected with 2 mg carrageenan, the paw withdrawal latency (PWL) for the injected paw was typically 5-6 s less than that for the untreated paw, at 2 h after the carrageenan injection. In the pretreatment study, drugs were administered intravenously or intrathecally 10 min before the carrageenan injection. In the posttreatment study, drugs were administered intravenously or intrathecally 2 h after the carrageenan injection.
In the pretreatment study, both intravenous CP-96,345 and intravenous FK224 blocked the development of thermal hyperesthesia and reduced paw edema in a dose-dependent manner 2 h after the carrageenan injection. The effect of CP-96,345 on thermal hyperesthesia was stereospecific, but that on paw edema was not. Posttreatment with intravenous CP-96,345 and intravenous FK224 failed to reduce the level of thermal hyperesthesia or paw edema, and intrathecal injections, either pre- or posttreatment, had no effect on thermal hyperesthesia or paw edema.
These data indicate that: 1) spinal NK1 and NK2 receptors do not play an important role in development and maintenance of thermal hyperesthesia evoked by paw carrageenan, and 2) the peripheral NK1 receptor may play an important role in the development of thermal hyperesthesia, but not of paw edema.
速激肽,如P物质和神经激肽A,在炎症期间热觉过敏的发生或维持中的作用尚不清楚。在本研究中,作者使用环肽NK1和NK2拮抗剂FK224以及非肽NK1拮抗剂CP-96,345,研究了NK1和NK2受体在向大鼠爪注射角叉菜胶诱发的热觉过敏中的作用。
在注射2mg角叉菜胶的大鼠中,角叉菜胶注射后2小时,注射侧爪的爪退缩潜伏期(PWL)通常比未处理侧爪短5-6秒。在预处理研究中,在角叉菜胶注射前10分钟静脉内或鞘内给药。在治疗后研究中,在角叉菜胶注射后2小时静脉内或鞘内给药。
在预处理研究中,静脉注射CP-96,345和静脉注射FK224均能阻断热觉过敏的发生,并在角叉菜胶注射后2小时以剂量依赖的方式减轻爪水肿。CP-96,345对热觉过敏的作用具有立体特异性,但对爪水肿的作用不具有立体特异性。静脉注射CP-96,345和静脉注射FK224进行治疗后未能降低热觉过敏水平或爪水肿,鞘内注射(预处理或治疗后)对热觉过敏或爪水肿均无影响。
这些数据表明:1)脊髓NK1和NK2受体在爪角叉菜胶诱发的热觉过敏的发生和维持中不发挥重要作用;2)外周NK1受体可能在热觉过敏的发生中起重要作用,但在爪水肿的发生中不起重要作用。