Nagasaka H, Nagasaka I, Sato I, Matsumoto N, Matsumoto I, Hori T
Department of Anesthesiology, Saitama Medical School, Japan.
Anesthesiology. 1993 Apr;78(4):722-32. doi: 10.1097/00000542-199304000-00016.
It is now well established that wide dynamic range neurons (WDR) can possess widespread cutaneous inhibitory receptive fields, as well as excitatory receptive fields, in specific regions of the body. The ability of ketamine to depress the excitatory responses of spinal WDR neurons indicates that the analgesia produced by this agent may be a result, in part, of this spinal action. The primary purpose of this study was to investigate the effects of ketamine on the WDR propriospinal inhibitory mechanism that is induced by a bradykinin (BK) injection as a noxious test stimuli.
In decerebrate, spinal cord-transected cats (L1-L2), the effects of a low (0.5 mg.kg-1, intravenous) and a high (10 mg.kg-1, intravenous) dose of ketamine on the neuronal activity of spinal dorsal horn WDR neurons evoked by femoral artery injection of BK (10 micrograms) was examined. Extracellular activity was recorded from single WDR neurons that responded to noxious and innocuous stimuli applied to the cutaneous receptive fields on the foot pads of the left hind paw.
After ipsilateral BK administration, the activity of the WDR neurons was found to be increased (excited) in all ten neurons that were examined. In contrast, the activity of these neurons was found to be decreased (inhibited) in five of these ten neurons after BK administration into the contralateral femoral artery. The 10 mg.kg-1 dose of ketamine significantly suppressed the excitatory activity observed in all 15 of the WDR neurons examined. A comparison of the effects produced by the 0.5-mg.kg-1 and the 10-mg.kg-1 intravenous doses reveals that the amount of suppression was dose-related. In addition, the inhibitory WDR neuronal activity induced by contralateral BK injection was also significantly reduced by both the 0.5- and the 10-mg.kg-1 doses of ketamine.
These results indicate that this reduction of excitatory and inhibitory responses of WDR neurons after noxious stimulation is likely to be the fundamental basis for the spinal cord component of ketamine-induced analgesia.
现已明确,广动力范围神经元(WDR)在身体特定区域可拥有广泛的皮肤抑制性感受野以及兴奋性感受野。氯胺酮抑制脊髓WDR神经元兴奋性反应的能力表明,该药物产生的镇痛作用可能部分源于这种脊髓作用。本研究的主要目的是探讨氯胺酮对由缓激肽(BK)注射作为有害测试刺激所诱导的WDR脊髓固有抑制机制的影响。
在去大脑、脊髓横断的猫(L1 - L2)中,检测低剂量(0.5 mg·kg⁻¹,静脉注射)和高剂量(10 mg·kg⁻¹,静脉注射)氯胺酮对股动脉注射BK(10微克)诱发的脊髓背角WDR神经元神经活动的影响。从对左后爪脚垫皮肤感受野施加的有害和无害刺激有反应的单个WDR神经元记录细胞外活动。
同侧注射BK后,在所检查的全部10个神经元中,WDR神经元的活动均增加(兴奋)。相反,在这10个神经元中,对侧股动脉注射BK后,其中5个神经元的活动降低(抑制)。10 mg·kg⁻¹剂量的氯胺酮显著抑制了在所检查的全部15个WDR神经元中观察到的兴奋性活动。对0.5 mg·kg⁻¹和10 mg·kg⁻¹静脉注射剂量所产生的效应进行比较发现,抑制程度与剂量相关。此外,0.5 mg·kg⁻¹和10 mg·kg⁻¹剂量的氯胺酮也显著降低了对侧BK注射所诱导的WDR神经元抑制性活动。
这些结果表明,有害刺激后WDR神经元兴奋性和抑制性反应的这种降低可能是氯胺酮诱导镇痛的脊髓成分的基本基础。