Conte B, Cutrufo C, Manzini S
Menarini Ricerche Sud, Pharmacology Department, Pomezia, Roma, Italy.
J Pharmacol Exp Ther. 1996 Jan;276(1):212-8.
We investigated the electrocortical (E.Co.G) correlates of visceral (topical capsaicin application or overdistension of the urinary bladder) and somatic (perineal pinching) painful stimulation in urethane-anesthetized rats and their modulation by intrathecal application of selective tachykinins receptors (NK 1 and NK 2) antagonists. Vesical overdistension or topical capsaicin on the bladder serosal surface produced an immediate and lasting E.Co.G. desynchronization resembling a cortical arousal. A second application of capsaicin was ineffective. Bladder contraction induced by topical acetylcholine did not alter E.Co.G. A desynchronized E.Co.G. was also induced by pinching of the perineal area of the rat. Intrathecal administration of lidocaine at lumbosacral level abolished the E.Co.G. desynchronization induced by both visceral and somatic noxious stimulation. On the other hand capsaicin-induced or over-distension (but not pinching-induced) E.Co.G. desynchronization disappeared in animals systemically pretreated with capsaicin or after intrathecal administration of NK 1 tachykinin receptor antagonists such as the peptide GR 82334 or the nonpeptide RP 67580, whereas the inactive enantiomer RP 68651 or the nonpeptide NK 2 antagonists SR 48968 were ineffective. In conclusion, the experimental model described herein, allowing a quantitative analysis of the E.Co.G. correlates of visceral and somatic noxious stimulation in urethane-anesthetized rats, provides evidence for a specific neural pathway carrying bladder-arising visceral (both mechanical and chemical) nociception that uses pelvic capsaicin-sensitive afferents projecting to NK 1 (but not NK 2) bearing spinal neurons and that ultimately leads to activation of cortical areas.
我们研究了在氨基甲酸乙酯麻醉的大鼠中,内脏(膀胱局部应用辣椒素或膀胱过度扩张)和躯体(会阴部夹捏)疼痛刺激的皮层电活动(E.Co.G.)相关性,以及鞘内应用选择性速激肽受体(NK 1和NK 2)拮抗剂对其的调节作用。膀胱过度扩张或膀胱浆膜表面局部应用辣椒素会立即产生持久的E.Co.G.去同步化,类似于皮层觉醒。再次应用辣椒素无效。局部应用乙酰胆碱诱导的膀胱收缩未改变E.Co.G.。夹捏大鼠会阴部区域也会诱导E.Co.G.去同步化。在腰骶水平鞘内注射利多卡因可消除内脏和躯体伤害性刺激诱导的E.Co.G.去同步化。另一方面,在全身用辣椒素预处理的动物或鞘内注射NK 1速激肽受体拮抗剂(如肽GR 82334或非肽RP 67580)后,辣椒素诱导的或过度扩张(但不是夹捏诱导)的E.Co.G.去同步化消失,而无活性对映体RP 68651或非肽NK 2拮抗剂SR 48968无效。总之,本文所述的实验模型能够对氨基甲酸乙酯麻醉大鼠内脏和躯体伤害性刺激的E.Co.G.相关性进行定量分析,为一条特定的神经通路提供了证据,该通路传导源自膀胱的内脏(机械性和化学性)伤害性感受,其使用投射到表达NK 1(而非NK 2)的脊髓神经元的盆腔辣椒素敏感传入神经,最终导致皮层区域激活。