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山莨菪碱对周围神经损伤后神经病理性痛觉过敏的抑制作用(二)

Inhibitory effect of anisodamine on the neuropathic hyperalgesia following peripheral nerve injury (II).

作者信息

Xie Y K, Xiao W H

机构信息

Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, Beijing.

出版信息

Sci China B. 1993 Jul;36(7):824-34.

PMID:8216743
Abstract

A peripheral neuropathy with hyperalgesia and allodynia was produced by loosely tying constrictive ligature around the left sciatic nerve of rats, i.v. injection of anisodamine 20 mg/Kg abolished both neuropathic hyperalgesia responses to noxious radiant heat and ectopic discharges generated from the injured region of the nerve. Anisodanime applied either systemically or locally to the damaged area of the nerve not only ceased the spontaneous ectopic discharges recorded from A beta to C fibers but also blocked the afferent ectopic discharge elicited by K+ channel blocker, noradrenaline, Ca2+ or antidromic stimulation of sciatic nerve proximal to the injured nerve area. The experiments indicated that anisodamine probably possessed a calcium channel blocker-like activity and produced selective block of the new channels in the injured area. It is suggested that anisodamine may be a candidate therapeutic agent in relieving hyperalgesia and allodynia following nerve injury.

摘要

通过在大鼠左坐骨神经周围宽松地系上收缩性结扎线来制造伴有痛觉过敏和异常性疼痛的周围神经病变,静脉注射20毫克/千克山莨菪碱可消除对有害辐射热的神经性痛觉过敏反应以及神经损伤区域产生的异位放电。全身或局部将山莨菪碱应用于神经损伤区域,不仅能使从Aβ纤维到C纤维记录到的自发性异位放电停止,还能阻断由钾离子通道阻滞剂、去甲肾上腺素、钙离子或对损伤神经区域近端的坐骨神经进行逆向刺激所引发的传入性异位放电。实验表明,山莨菪碱可能具有类似钙通道阻滞剂的活性,并能对损伤区域的新通道产生选择性阻断作用。提示山莨菪碱可能是缓解神经损伤后痛觉过敏和异常性疼痛的候选治疗药物。

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