Ummenhofer W C, Brown S M, Bernards C M
University of Washington, Department of Anesthesiology, Seattle 98195, USA.
Anesthesiology. 1998 May;88(5):1259-65. doi: 10.1097/00000542-199805000-00017.
Acetylcholinesterase inhibition at the spinal level has been shown to produce a potent antinociceptive effect. However, the site of cholinesterase inhibition is unknown. To determine whether the spinal meninges participate in acetylcholine metabolism, the spinal meninges of monkeys and pigs were assayed for cholinesterase activity.
Spinal cord, dura mater, and arachnoid mater specimens from anesthetized pigs and monkeys were mechanically homogenized and cholinesterase activity was determined quantitatively using a commercially available colorimetric assay. The ability of neostigmine to inhibit cholinesterase activity in vitro was also measured. Finally, the reverse transcriptase polymerase chain reaction (RT-PCR) was used to identify the cholinesterase metabolizing enzymes expressed by the spinal meninges.
All spinal cord and meningeal specimens showed cholinesterase activity. In pigs, the dura mater showed less enzyme activity (36 +/- 17.7 U/mg protein) than the arachnoid mater (73.4 +/- 30.3 U/mg protein; P < 0.05), and the arachnoid mater showed less activity than the spinal cord (131.3 +/- 55.2 U/mg protein; P < 0.05). In monkeys, the dura mater again showed less cholinesterase activity (45.8 +/- 20.1 U/mg protein; P < 0.05), whereas cholinesterase activity in the arachnoid mater (90.3 +/- 45.9 U/mg protein) and spinal cord specimens (101.9 +/- 37.5 U/mg protein) were not significantly different. There were no significant species-related differences in cholinesterase activity. Neostigmine inhibited cholinesterase activity in a log-dose-dependent manner. The RT-PCR identified mRNA for acetylcholinesterase and butyrylcholinesterase in monkey pia-arachnoid mater.
These data show that the spinal meninges express acetylcholinesterase and butyrylcholinesterase; for monkeys, although not pigs, the level of cholinesterase activity is comparable with that found in the spinal cord. This finding suggests that the meninges may be an important site for acetylcholine metabolism and may play a role in the analgesic effect produced by intrathecally administered cholinesterase inhibitors.
脊髓水平的乙酰胆碱酯酶抑制已被证明可产生强大的抗伤害感受作用。然而,胆碱酯酶抑制的部位尚不清楚。为了确定脊髓膜是否参与乙酰胆碱代谢,对猴子和猪的脊髓膜进行了胆碱酯酶活性检测。
将麻醉猪和猴子的脊髓、硬脑膜和蛛网膜标本进行机械匀浆,并使用市售比色法对胆碱酯酶活性进行定量测定。还测量了新斯的明在体外抑制胆碱酯酶活性的能力。最后,使用逆转录聚合酶链反应(RT-PCR)来鉴定脊髓膜表达的胆碱酯酶代谢酶。
所有脊髓和脑膜标本均显示胆碱酯酶活性。在猪中,硬脑膜的酶活性(36±17.7 U/mg蛋白质)低于蛛网膜(73.4±30.3 U/mg蛋白质;P<0.05),蛛网膜的活性低于脊髓(131.3±55.2 U/mg蛋白质;P<0.05)。在猴子中,硬脑膜的胆碱酯酶活性再次较低(45.8±20.1 U/mg蛋白质;P<0.05),而蛛网膜(90.3±45.9 U/mg蛋白质)和脊髓标本(101.9±37.5 U/mg蛋白质)中的胆碱酯酶活性无显著差异。胆碱酯酶活性无显著的物种相关差异。新斯的明以对数剂量依赖性方式抑制胆碱酯酶活性。RT-PCR在猴子软脑膜-蛛网膜中鉴定出乙酰胆碱酯酶和丁酰胆碱酯酶的mRNA。
这些数据表明脊髓膜表达乙酰胆碱酯酶和丁酰胆碱酯酶;对于猴子而非猪,胆碱酯酶活性水平与脊髓中的相当。这一发现表明脑膜可能是乙酰胆碱代谢的重要部位,并可能在鞘内注射胆碱酯酶抑制剂产生的镇痛作用中发挥作用。