Yeomans David C, Pirec Vesna, Proudfit Herbert K
Department of Pharmacology, University of Illinois at Chicago,Chicago, IL 60612,USA.
Pain. 1996 Nov;68(1):133-140. doi: 10.1016/S0304-3959(96)03176-4.
Several lines of evidence suggest that different classes of nociceptive afferents mediate the responses produced by different rates of noxious skin heating. More specifically, low skin heating rates evoke nociceptive responses that appear to be mediated by the activation of capsaicin-sensitive C-fiber nociceptors, whereas high skin heating rates appear to produce responses mediated by the activation of other nociceptors. This hypothesis was examined by both electrophysiological and behavioral experiments. This report describes the results of experiments designed to determine whether pharmacologic treatments that selectively alter the activity of C-fiber nociceptive afferents also produce selective effects on foot withdrawal responses to either high or low rates of noxious foot heating. The results of these experiments demonstrate that: (1) topical application of a low concentration of capsaicin, which sensitizes C-fiber nociceptors, selectively decreased the latency of responses to low heating rates; (2) topical application of a high concentration of capsaicin, that desensitizes C-fiber nociceptors, selectively increased the latency of responses to low heating rates; (3) low doses of systemic morphine, which selectively attenuate nociception produced by the activation of C-fiber nociceptors, selectively increased response latencies for low skin heating rates. These results support the conclusion that foot withdrawal responses evoked by low skin heating rates are mediated by the activation of capsaicin-sensitive C-fiber nociceptors and foot withdrawal responses evoked by high skin heating rates are mediated by the activation of other nociceptors. This conclusion is supported by the results of the accompanying electrophysiological study which provides direct evidence that low rates of skin heating preferentially activate C-fiber nociceptors while high rates of skin heating preferentially activate A delta nociceptors.
多条证据表明,不同类别的伤害性传入神经介导了不同速率的有害皮肤加热所产生的反应。更具体地说,低皮肤加热速率引发的伤害性反应似乎是由辣椒素敏感的C纤维伤害感受器的激活介导的,而高皮肤加热速率似乎产生的反应是由其他伤害感受器的激活介导的。这一假设通过电生理和行为实验进行了检验。本报告描述了旨在确定选择性改变C纤维伤害性传入神经活动的药物治疗是否也对有害足部加热的高或低速率引起的足部退缩反应产生选择性影响的实验结果。这些实验结果表明:(1)局部应用低浓度辣椒素可使C纤维伤害感受器敏感化,选择性降低对低加热速率反应的潜伏期;(2)局部应用高浓度辣椒素可使C纤维伤害感受器脱敏,选择性增加对低加热速率反应的潜伏期;(3)低剂量全身吗啡可选择性减弱C纤维伤害感受器激活产生的伤害感受,选择性增加低皮肤加热速率时的反应潜伏期。这些结果支持以下结论:低皮肤加热速率引起的足部退缩反应是由辣椒素敏感的C纤维伤害感受器的激活介导的,高皮肤加热速率引起的足部退缩反应是由其他伤害感受器的激活介导的。这一结论得到了伴随电生理研究结果的支持,该研究提供了直接证据,即低皮肤加热速率优先激活C纤维伤害感受器,而高皮肤加热速率优先激活Aδ伤害感受器。