Cleland Corey L, Foong-Yen Lim, Gebhart G F
Department of Pharmacology, University of Iowa, Iowa City, IA 52242 USA.
Pain. 1994 Apr;57(1):31-43. doi: 10.1016/0304-3959(94)90105-8.
Noxious stimuli applied to the skin can produce long-lasting, C-fiber-dependent, secondary hyperalgesia that is mediated by central mechanisms. NMDA receptor antagonists and low doses of morphine can preferentially block the development of hyperalgesia without significantly altering unpotentiated responses to nociceptive stimuli. The aim of our study was to determine if low doses of pentobarbital can also preferentially alter either hyperalgesic or unpotentiated responses to nociceptive heat stimuli in spinalized and intact rats. Our results demonstrate the following. (1) Mustard oil applied above the ankle joint or electrical stimulation of the sciatic nerve at C-fiber intensity in spinalized, unanesthetized rats decreased the latency to withdrawal of the foot from water maintained at 47-49 degrees C. This secondary hyperalgesia to thermal stimulation persisted for at least 1 h and was most likely mediated by central mechanisms. (2) Pentobarbital in both spinalized and spinal cord-intact rats prevented the development of the late component (42-120 min) but only partially decreased the early (2-6 min) component of hyperalgesia. In contrast, pentobarbital had relatively minimal effects on unpotentiated withdrawal responses. Thus, pentobarbital is similar to morphine in its ability to prevent hyperalgesia, but may differ from the anesthetic isoflurane, which does not interfere with the development of hyperalgesia.
施加于皮肤的有害刺激可产生持久的、依赖C纤维的继发性痛觉过敏,其由中枢机制介导。NMDA受体拮抗剂和低剂量吗啡可优先阻断痛觉过敏的发展,而不会显著改变对伤害性刺激的未增强反应。我们研究的目的是确定低剂量戊巴比妥是否也能优先改变脊髓损伤和完整大鼠对伤害性热刺激的痛觉过敏或未增强反应。我们的结果表明如下。(1)在脊髓损伤、未麻醉的大鼠中,将芥子油涂抹于踝关节上方或以C纤维强度电刺激坐骨神经,可缩短大鼠将脚从47-49摄氏度的水中缩回的潜伏期。这种对热刺激的继发性痛觉过敏持续至少1小时,很可能由中枢机制介导。(2)戊巴比妥在脊髓损伤和脊髓完整的大鼠中均可阻止痛觉过敏后期成分(42-120分钟)的发展,但仅部分降低痛觉过敏的早期成分(2-6分钟)。相比之下,戊巴比妥对未增强的退缩反应影响相对较小。因此,戊巴比妥在预防痛觉过敏方面与吗啡相似,但可能与不干扰痛觉过敏发展的麻醉剂异氟烷不同。