Thomas D A, Williams G M, Iwata K, Kenshalo D R, Dubner R
Neurobiology and Anesthesiology Branch, National Institute of Dental Research, National Institutes of Health, Bethesda, MD 20892.
Anesth Analg. 1993 Nov;77(5):933-5. doi: 10.1213/00000539-199311000-00010.
The medullary dorsal horn (MDH), the medullary homolog of the spinal dorsal horn, is a site where opioid-receptor agonists can act at opioid receptors to produce pronounced facial scratching, the behavioral correlate of pruritus. In the present study, after a 10-min baseline period, morphine (5.0 micrograms) was micro-injected into the MDH of monkeys. Behavior was videotaped and facial scratches were counted by two independent raters. Morphine greatly increased facial scratching behavior, which is consistent with previous findings where mu-opioid receptor agonists microinjected into the MDH have been to induce dose-dependent, naloxone-reversible facial scratching in monkeys. In the current research, intramuscular (IM) administration of the opioid-receptor antagonist, naloxone (0.5 mg/kg), reversed this MDH morphine-induced scratching. Additionally, IM morphine (1.0 mg/kg) produced a substantial reduction in facial scratching behavior. Scratching behavior continued at a high rate after injection of saline (0.1 mL/kg, IM). These findings support the hypothesis that morphine has both pruragenic and antipruragenic activity, depending on the site of action.
延髓背角(MDH)是脊髓背角在延髓的对应结构,是阿片受体激动剂可作用于阿片受体产生明显面部抓挠行为(瘙痒的行为表现)的部位。在本研究中,在10分钟的基线期后,将吗啡(5.0微克)微量注射到猴子的延髓背角。对行为进行录像,并由两名独立的评估者统计面部抓挠次数。吗啡极大地增加了面部抓挠行为,这与之前的研究结果一致,即向猴子延髓背角微量注射μ阿片受体激动剂可诱导剂量依赖性、纳洛酮可逆转的面部抓挠行为。在当前研究中,肌肉注射(IM)阿片受体拮抗剂纳洛酮(0.5毫克/千克)可逆转这种由延髓背角吗啡诱导的抓挠行为。此外,肌肉注射吗啡(1.0毫克/千克)可使面部抓挠行为大幅减少。注射生理盐水(0.1毫升/千克,肌肉注射)后,抓挠行为仍以较高频率持续。这些发现支持了这样一种假设,即吗啡根据作用部位具有致痒和止痒活性。