Ortega-Alvaro A, Gibert-Rahola J, González-Darder J M, Micó J A
Departamento de Neurociencias, Unidad de Neuropsicofarmacología, Facultad de Medicina de Cádiz.
Rev Esp Anestesiol Reanim. 1994 Nov-Dec;41(6):313-6.
To investigate the possible enhancement of analgesic effect induced by treatment with amitriptyline (AMI) after the autografting of suprarenal medulla into the subarachnoid lumbar space in the rat.
Four experimental groups were formed (control + saline solution [SS]; control + AMI; transplant + SS and transplant + AMI). AMI (10 mg/kg i.p.) or SS was administered for 28 days after surgery. The tail-flick test, with baseline values taken before surgery, was used to measure threshold pain on days 1, 4, 7, 14, 21 and 28.
Suprarenal medullae transplantation afforded evident analgesic effect from day 1 to day 28. Analgesic effect was enhanced in transplanted rats treated with AMI from day 4 of treatment, with more evident effect on day 28. No analgesic effect per se was observed in the control group.
Our results confirm that grafting per se has an analgesic effect and that it can be improved by systematic treatment with AMI. These results suggest new possibilities for using suprarenal medulla grafts for pain.
研究大鼠蛛网膜下腔腰段自体肾上腺髓质移植后,阿米替林(AMI)治疗是否能增强镇痛效果。
组建四个实验组(对照组+生理盐水[SS];对照组+AMI;移植组+SS和移植组+AMI)。术后28天给予AMI(10mg/kg腹腔注射)或SS。采用甩尾试验,在手术前记录基线值,于术后第1、4、7、14、21和28天测量痛阈。
肾上腺髓质移植从第1天至第28天均产生明显的镇痛效果。从治疗第4天起,接受AMI治疗的移植大鼠镇痛效果增强,在第28天效果更明显。对照组本身未观察到镇痛效果。
我们的结果证实移植本身具有镇痛作用,且系统性给予AMI可改善该作用。这些结果为使用肾上腺髓质移植治疗疼痛提供了新的可能性。