Yamamori Y, Kishikawa K, Collins J G
Department of Anesthesiology, Yale University School of Medicine, New Haven, CT 06510, USA.
Brain Res. 1995 Dec 8;702(1-2):162-8. doi: 10.1016/0006-8993(95)01037-7.
Recent evidence strongly supports the importance of spinal sites of action for the ability of general anesthetic agents to block response to noxious stimuli. This study was designed to examine possible spinal anesthetic effects on non-noxiously evoked activity. Three groups of rats were prepared for acute experiments in which the response of spinal dorsal horn neurons to low threshold receptive field (RF) stimulation was evaluated. In each animal in each group extracellular activity was recorded from a single spinal dorsal horn neuron. A low-threshold RF of each neuron and, at times, the sensitivity to low-threshold stimulation of multiple sites in the RF were determined under baseline conditions (light anesthesia or decerebrate). In Group 1, reversible cooling of the thoracic spinal cord in the presence of either 0.5% or 1% halothane anesthesia caused no change in RF size. However, an increase from 0.5% to 1% halothane caused a 53% decrease in RF size both in the presence and absence of a reversible cold block of the spinal cord. In Group 2, animals with spinal cords transected at the thoracic level had a similar change in low-threshold receptive field size (52%) when halothane concentrations were increased from 0.5% to 1%. Testing sensitivity within the RF areas indicated that the silenced areas at the fringe of the receptive field could still elicit activation of spinal dorsal horn neurons but at a higher threshold. In the final group of animals, decerebration and spinal cord transection allowed us to compare effects of 0.5% and 1% halothane with an anesthetic free baseline. Here, again, a dose-dependent reduction in RF area was observed although the baseline RFs were significantly smaller than those in Groups 1 and 2. These results demonstrate that the reduction in low-threshold receptive field size due to the administration of the inhalation anesthetic halothane occurs in the absence of descending modulation from supraspinal sites. This implicates the spinal dorsal horn as a potentially important site of action for general anesthetics. These results also support the spinal cord as an important tool to study the pharmacology responsible for anesthetic effects on sensory processing.
近期证据有力地支持了脊髓作用位点对于全身麻醉药阻断对伤害性刺激反应能力的重要性。本研究旨在探讨脊髓麻醉对非伤害性诱发活动可能产生的影响。将三组大鼠准备用于急性实验,评估脊髓背角神经元对低阈值感受野(RF)刺激的反应。每组中的每只动物均记录单个脊髓背角神经元的细胞外活动。在基线条件(浅麻醉或去大脑)下,确定每个神经元的低阈值RF,有时还确定RF中多个位点对低阈值刺激的敏感性。在第1组中,在0.5%或1%氟烷麻醉下对胸段脊髓进行可逆性冷却,RF大小未发生变化。然而,从0.5%增加到1%氟烷时,无论是否存在脊髓的可逆性冷阻滞,RF大小均减少了53%。在第2组中,当氟烷浓度从0.5%增加到1%时,胸段脊髓横断的动物在低阈值感受野大小上有类似变化(52%)。对RF区域内的敏感性进行测试表明,感受野边缘的沉默区域仍可引发脊髓背角神经元的激活,但阈值更高。在最后一组动物中,去大脑和脊髓横断使我们能够将0.5%和1%氟烷的效果与无麻醉基线进行比较。同样,尽管基线RF明显小于第1组和第2组,但仍观察到RF面积呈剂量依赖性减少。这些结果表明,吸入麻醉药氟烷给药导致的低阈值感受野大小减小发生在没有来自脊髓上位位点下行调节的情况下。这意味着脊髓背角是全身麻醉药潜在的重要作用位点。这些结果还支持脊髓作为研究负责麻醉对感觉处理影响的药理学的重要工具。