Stiller C O, Bergquist J, Beck O, Ekman R, Brodin E
Department of Physiology and Pharmacology, Karolinska Institute, Stockholm, Sweden.
Neurosci Lett. 1996 May 17;209(3):165-8. doi: 10.1016/0304-3940(96)12638-0.
Opioids are generally believed to activate descending pain inhibitory pathways from the periaqueductal gray matter (PAG). Since opioids exert an inhibitory effect on neural excitability and transmitter release, an opioid-mediated inhibition of tonically active inhibitory gamma-aminobutyric acid (GABA) neurons has been suggested to mediate this effect. The aim of the present microdialysis study was to investigate the effect of local administration of morphine on the extracellular GABA level in the PAG of awake rats. The recently developed and highly sensitive method of capillary electrophoresis with laser-induced fluorescence detection was used for GABA determination in microdialysate samples obtained from the PAG of freely moving rats. The basal GABA level was 54.5 +/- 6.6 nM (n = 8; mean +/- SEM). Perfusion of the dialysis probe with morphine (100 microM) for 30 min significantly decreased the GABA level to 28.2 +/- 4.2 nM (n = 8; P < 0.05). The effect of morphine was reversed by coperfusion with naloxone (100 microM in the perfusion fluid). The present results thus provide direct experimental evidence for an opioid-induced inhibition of tonic GABA release in the PAG, which may in turn lead to a disinhibition of descending pain inhibitory pathways.
一般认为阿片类药物可激活中脑导水管周围灰质(PAG)下行性疼痛抑制通路。由于阿片类药物对神经兴奋性和递质释放具有抑制作用,有人提出阿片类药物介导的对持续活动的抑制性γ-氨基丁酸(GABA)神经元的抑制作用可介导此效应。本微透析研究的目的是探讨局部给予吗啡对清醒大鼠PAG中细胞外GABA水平的影响。最近开发的高灵敏度激光诱导荧光检测毛细管电泳法用于测定从自由活动大鼠的PAG获得的微透析样品中的GABA。基础GABA水平为54.5±6.6 nM(n = 8;平均值±标准误)。用吗啡(100μM)灌注透析探头30分钟可使GABA水平显著降低至28.2±4.2 nM(n = 8;P < 0.05)。与纳洛酮(灌注液中100μM)共同灌注可逆转吗啡的作用。因此,本研究结果为阿片类药物诱导的PAG中GABA紧张性释放的抑制提供了直接实验证据,这反过来可能导致下行性疼痛抑制通路的去抑制。