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大鼠坐骨神经部分结扎后痛觉过敏及背角反应变化的行为学和电生理学评估

Behavioral and electrophysiological assessment of hyperalgesia and changes in dorsal horn responses following partial sciatic nerve ligation in rats.

作者信息

Takaishi K, Eisele J H, Carstens E

机构信息

Department of Anesthesiology, School of Medicine, University of California, Davis 95616, USA.

出版信息

Pain. 1996 Aug;66(2-3):297-306. doi: 10.1016/0304-3959(96)03023-0.

Abstract

Behavioral and electrophysiological methods were used to investigate the hyperalgesia and allodynia, and functional changes in lumbar spinal dorsal horn neurons, in a model of neuropathic pain (Selzer et al. 1990) involving ligation of one-third to one-half of one sciatic nerve in rats. One and 5 weeks following ligation, there was a significant reduction in hind limb withdrawal latency to noxious radiant heat on the operated side and, to a lesser degree, on the unoperated side. By 16 weeks, heat withdrawal latencies were reduced about equally (approximately 40%) on both sides. Withdrawal threshold to mechanical pressure was markedly reduced within 1 week on the operated side, and decreased in a time-dependent manner on the unoperated side. Heat withdrawal latency and von Frey withdrawal thresholds were not significantly affected in sham-operated rats. The same rats were tested in a paradigm measuring the isometric force of hind limb withdrawals elicited by graded noxious contact heat stimuli (38-52 degrees C, 5 sec). Withdrawal force increased monotonically with stimulus temperature starting at a threshold of approximately 40 degrees C. Stimulus-response functions were not significantly different between a sham-operated group and groups tested 5 (acute) and 16 weeks (chronic) after partial sciatic nerve ligation. Following behavioral testing, the animals were deeply anesthetized with pentobarbital sodium to allow electrophysiological recording of responses of single lumbar dorsal horn wide-dynamic range-type neurons to mechanical and noxious thermal stimulation of the hind paw. Recordings were made from 6 sham-operated rats (26 neurons ipsilateral and 31 contralateral to the operated leg), from 7 rats receiving partial sciatic nerve ligation 5 weeks previously (29 ipsilateral and 29 contralateral to ligation), and from 7 rats receiving partial sciatic ligation 16 weeks previously (18 ipsilateral, 29 contralateral to ligation). In several ligated rats we were unable to find heat-responsive neurons with cutaneous receptive fields on the hind paw ipsilateral to the ligation. For the neurons that were sensitive to heat, responses increased monotonically from a threshold of 40-42 degrees C. Neuronal stimulus-response functions for heat were not significantly different between ipsi- and contralateral (to operated) sides in the sham, 5-week or 16-week post-ligation groups, or between sham and 5- or 16-week post-ligation groups. Mechanical receptive field areas were not significantly different between ipsi- and contralateral sides in the sham and 5-week post-ligation groups, or between sham and 5-week post-ligation groups. However, receptive field areas were significantly larger in the 16-week post-ligation group (both ipsi- and contralateral to ligation) compared to sham and 5-week post-ligation groups. The results suggest that allodynia may be associated with a chronic enhancement of neuronal mechanosensitivity, but that the thermal hyperalgesia is not associated with enhanced neuronal responsiveness or force of withdrawal.

摘要

采用行为学和电生理学方法,在一种神经性疼痛模型(塞尔泽等人,1990年)中研究痛觉过敏和异常性疼痛,以及腰脊髓背角神经元的功能变化,该模型涉及结扎大鼠一侧坐骨神经的三分之一至二分之一。结扎后1周和5周,手术侧后肢对有害辐射热的退缩潜伏期显著缩短,未手术侧也有一定程度缩短。到16周时,两侧的热退缩潜伏期缩短程度大致相同(约40%)。手术侧在1周内对机械压力的退缩阈值显著降低,未手术侧则呈时间依赖性降低。假手术大鼠的热退缩潜伏期和von Frey退缩阈值未受显著影响。对相同的大鼠进行了一项实验范式测试,测量由分级有害接触热刺激(38 - 52摄氏度,5秒)引起的后肢等长退缩力。退缩力从约40摄氏度的阈值开始随刺激温度单调增加。假手术组与坐骨神经部分结扎后5周(急性)和16周(慢性)测试组之间的刺激 - 反应函数无显著差异。行为学测试后,用戊巴比妥钠将动物深度麻醉,以便对单个腰背角广动力范围型神经元对后爪机械和有害热刺激的反应进行电生理记录。记录了6只假手术大鼠(手术侧腿同侧26个神经元,对侧31个神经元)、7只5周前接受坐骨神经部分结扎的大鼠(结扎同侧29个神经元,对侧29个神经元)以及7只16周前接受坐骨神经部分结扎的大鼠(结扎同侧18个神经元,对侧29个神经元)的情况。在几只结扎大鼠中,我们未能在结扎同侧后爪具有皮肤感受野的神经元中找到对热有反应的神经元。对于对热敏感的神经元,反应从40 - 42摄氏度的阈值开始单调增加。假手术组、结扎后5周或16周组中,热刺激的神经元刺激 - 反应函数在同侧(手术侧)和对侧之间无显著差异,假手术组与结扎后5周或16周组之间也无显著差异。假手术组和结扎后5周组中,同侧和对侧的机械感受野面积无显著差异,假手术组与结扎后5周组之间也无显著差异。然而,与假手术组和结扎后5周组相比,结扎后16周组(结扎同侧和对侧)的感受野面积显著更大。结果表明,异常性疼痛可能与神经元机械敏感性的慢性增强有关,但热痛觉过敏与神经元反应性增强或退缩力无关。

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