Elmer Gregory I, Pieper Jeanne O, Negus Stevens S, Woods James H
Behavioral Pharmacology and Genetics Section, Intramural Research Program, National Institute on Drug Abuse, National Institutes of Health, P.O. Box 5180, Baltimore, MD 21224, USA Alcohol and Drug Addiction Research Center, McLean Hospital, 115 Mill Street, Belmont, MA 02178, USA Department of Pharmacology, University of Michigan, Medical Science Bldg 1, 6322 Medical Science, Ann Arbor, MI 48104, USA.
Pain. 1998 Mar;75(1):129-140. doi: 10.1016/S0304-3959(97)00215-7.
The perceived intensity of a painful stimulus is determined in part by the stimulus intensity and environmental conditions. The purpose of this study was to determine the influence of genetic factors in nociception and its contribution to the potency of morphine to produce antinociception. Eight inbred strains of mice were tested across a range of stimulus intensities in thermal (hot plate) and chemical irritant (acetic acid) nociceptive tests. Stimulus intensities in the thermal test included hot plate temperatures of 51, 53, 55, 57 and 59 degrees C. Stimulus intensities in the chemical irritant test included acetic acid concentrations of 0.1, 0.3 and 0.6%. Linear interpolation of stimulus-effect curves revealed large genotype-dependent differences in the effective temperature resulting in a 10 s latency on the hot-plate (ET10") and the acetic acid concentration resulting in the same number of writhes as determined by the area under the curve (AUC50). There was no genetic correlation between sensitivity to thermal versus chemical stimuli. Morphine dose response curves were then determined at a fixed stimulus intensity in each test (55 degrees C and 0.6% acetic acid) to determine analgesic ED50 doses for each inbred strain. A significant effect of genotype on relative sensitivity to morphine-induced analgesia in both the thermal and chemical irritant tests was found, however there was no genetic correlation between the potency of morphine in each test. There was an inverse genetic correlation between sensitivity to thermal and chemical stimuli and morphine ED50 values in each respective test. In both tests, strains less sensitive to the nociceptive stimuli were more sensitive to the antinociceptive effects of morphine. Confirmation studies in a separate genetic population confirmed the inverse relationship between hot-plate sensitivity and antinociceptive potency. In summary, this study demonstrated (i) a large degree of genetically-determined variability in sensitivity to painful stimuli, (ii) sensitivity to thermal stimuli (hot-plate) is genetically unrelated to sensitivity to chemical (acetic acid) stimuli, (iii) the mechanism by which morphine produces its antinociceptive effects against thermal stimuli is largely genetically independent of the mechanism by which morphine produces its antinociceptive effects against chemical stimuli, and (iv) inherent differences in sensitivity to painful stimuli may be responsible, in part, for individual differences in the potency of morphine's antinociceptive effects.
疼痛刺激的感知强度部分取决于刺激强度和环境条件。本研究的目的是确定遗传因素在痛觉感受中的影响及其对吗啡产生镇痛作用效力的贡献。在热(热板)和化学刺激(乙酸)痛觉测试中,对八个近交系小鼠在一系列刺激强度下进行了测试。热测试中的刺激强度包括热板温度为51、53、55、57和59摄氏度。化学刺激测试中的刺激强度包括乙酸浓度为0.1%、0.3%和0.6%。刺激-效应曲线的线性插值显示,在热板上产生10秒潜伏期的有效温度(ET10")以及导致与曲线下面积(AUC50)确定的相同扭体次数的乙酸浓度方面,存在很大的基因型依赖性差异。对热刺激与化学刺激的敏感性之间没有遗传相关性。然后在每个测试中的固定刺激强度(55摄氏度和0.6%乙酸)下确定吗啡剂量反应曲线,以确定每个近交系的镇痛ED50剂量。在热和化学刺激测试中,发现基因型对吗啡诱导镇痛的相对敏感性有显著影响,然而在每个测试中吗啡的效力之间没有遗传相关性。在每个相应测试中,对热和化学刺激的敏感性与吗啡ED50值之间存在反向遗传相关性。在两个测试中,对伤害性刺激不太敏感的品系对吗啡的镇痛作用更敏感。在另一个遗传群体中的验证研究证实了热板敏感性与镇痛效力之间的反向关系。总之,本研究表明:(i)对疼痛刺激的敏感性在很大程度上由遗传决定,存在很大变异性;(ii)对热刺激(热板)的敏感性与对化学(乙酸)刺激的敏感性在遗传上无关;(iii)吗啡对热刺激产生镇痛作用的机制在很大程度上在遗传上独立于吗啡对化学刺激产生镇痛作用的机制;(iv)对疼痛刺激敏感性的内在差异可能部分导致吗啡镇痛作用效力的个体差异。