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外周神经切断后脊髓伤害感受的可塑性:NMDA受体拮抗剂MK-801阻断屈肌反射的wind-up和中枢敏化的有效性降低

Plasticity in spinal nociception after peripheral nerve section: reduced effectiveness of the NMDA receptor antagonist MK-801 in blocking wind-up and central sensitization of the flexor reflex.

作者信息

Xu X J, Zhang X, Hökfelt T, Wiesenfeld-Hallin Z

机构信息

Department of Medical Laboratory Sciences and Technology, Huddinge University Hospital, Sweden.

出版信息

Brain Res. 1995 Jan 30;670(2):342-6. doi: 10.1016/0006-8993(94)01360-t.

DOI:10.1016/0006-8993(94)01360-t
PMID:7743203
Abstract

We have examined and compared the effects of systemically applied MK-801, an NMDA receptor/channel blocker, on the wind-up and facilitation of the flexor reflex during and after conditioning stimulation (CS) of C-afferents in rats with intact sciatic nerves or 13-16 days after axotomy. In rats with intact sciatic nerves, intravenous MK-801 (0.5 mg/kg) partially reduced wind-up and totally blocked reflex facilitation following C-fiber CS to the sural nerve. In contrast, 13-16 days after unilateral section of the sciatic nerve, the same dose of MK-801 failed to reduce the wind-up and reflex facilitation following C-fiber CS to the axotomized sural nerve, although the duration of reflex facilitation was significantly shortened. These findings indicate that the involvement of NMDA receptors in mediating activity-dependent spinal hyperexcitability is substantially reduced after peripheral nerve section, possibly reflecting a reduced release of glutamate by primary sensory afferents.

摘要

我们研究并比较了全身应用NMDA受体/通道阻滞剂MK-801,对完整坐骨神经大鼠或轴突切断术后13 - 16天大鼠,在C类传入纤维条件刺激(CS)期间及之后屈肌反射的时间总和及易化作用的影响。在完整坐骨神经的大鼠中,静脉注射MK-801(0.5mg/kg)可部分降低时间总和,并完全阻断腓肠神经C纤维CS后的反射易化。相反,在单侧坐骨神经切断术后13 - 16天,相同剂量的MK-801未能降低对切断坐骨神经的腓肠神经进行C纤维CS后的时间总和及反射易化,尽管反射易化的持续时间显著缩短。这些发现表明,在周围神经切断后,NMDA受体介导活动依赖性脊髓兴奋性过高的作用显著降低,这可能反映了初级感觉传入纤维谷氨酸释放的减少。

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