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内源性孤啡肽:参与电针镇痛调节及对吗啡和电针所致镇痛耐受性形成的证据

Endogenous orphanin FQ: evidence for a role in the modulation of electroacupuncture analgesia and the development of tolerance to analgesia produced by morphine and electroacupuncture.

作者信息

Tian J H, Zhang W, Fang Y, Xu W, Grandy D K, Han J S

机构信息

Neuroscience Research Institute, Beijing Medical University, People's Republic of China.

出版信息

Br J Pharmacol. 1998 May;124(1):21-6. doi: 10.1038/sj.bjp.0701788.

Abstract
  1. Our previous work has demonstrated that exogenously administered orphanin FQ (OFQ) antagonizes morphine analgesia and electroacupuncture analgesia (EAA) in the brain and potentiates morphine analgesia and EAA in the spinal cord of the rat. In the present study we evaluated the role of endogenously released OFQ in the development of tolerance to morphine and electroacupuncture (EA) and the analgesia produced by electroacupuncture, by use of the IgG fraction of an anti-OFQ antibody (OFQ-Ab) microinjected into the rat central nervous system (CNS). 2. EAA was produced by stimulating rats at a frequency of 100 Hz. Rats were classified as either high responders (HR) or low responders (LR) based on the analgesic effects of EA. LRs could be converted into HRs by the intracerebroventricular (i.c.v.) microinjection of OFQ-Ab at both 1:1 and 1:10 dilutions but not 1:100. HRs could be changed into LRs by the intrathecal (i.t.) injection of OFQ-Ab at both 1:1 and 1:10 dilutions, but not 1:100. 3. Acute morphine tolerance was induced in rats by repeated subcutaneous (s.c.) injections of morphine (5 mg kg, every 2 h) for 16 h. When injected i.c.v. the OFQ-Ab (1:1 dilution) had no effect on the development of acute morphine tolerance. 4. Chronic morphine tolerance was produced in rats by repeated injection of morphine (5-60 mg kg, s.c., 3 x a day) for 6 days. I.c.v. injection of OFQ-Ab (1:1 dilution) reversed this type of morphine tolerance in rats by 50% (P < 0.01). 5. Acute tolerance to the analgesia produced by EA developed after 6 h of continuous (100 Hz, 3 mA) stimulation. This tolerance was almost completely reversed by the i.c.v. injection of OFQ-Ab (1:1 dilution) (P < 0.05). 6. Chronic tolerance to the analgesic effect of EA was produced by repeatedly administering increasing current (1, 2 and 3 mA, each lasting for 10 min, for a total of 30 min) at a frequency of 100 Hz once a day for 6 days. I.c.v. injection of OFQ-Ab (1:1 dilution) reversed this kind of tolerance by 50% (P < 0.01). 7. Together these results suggest that 100 Hz EA may enhance the release of endogenous OFQ in the CNS of the rat, which in turn may act to antagonize EA-produced analgesia in the brain but potentiate EA produced analgesia in the spinal cord. Therefore, OFQ appears to play an important role in the development of tolerance to the analgesic effects produced by EA. 8. The mechanisms underlying the development of acute morphine tolerance and chronic morphine tolerance appear to be different. Central OFQ may play an important role in the development of tolerance after chronic morphine administration.
摘要
  1. 我们之前的研究表明,外源性给予孤啡肽(OFQ)可拮抗大鼠脑内的吗啡镇痛和电针镇痛(EAA),并增强大鼠脊髓内的吗啡镇痛和电针镇痛。在本研究中,我们通过将抗OFQ抗体(OFQ-Ab)的IgG组分微量注射到大鼠中枢神经系统(CNS),评估内源性释放的OFQ在吗啡耐受性和电针(EA)耐受性形成以及电针产生的镇痛作用中的作用。2. 通过以100Hz的频率刺激大鼠产生EAA。根据EA的镇痛效果将大鼠分为高反应者(HR)或低反应者(LR)。在1:1和1:10稀释度下,脑室内(i.c.v.)微量注射OFQ-Ab可将LRs转变为HRs,但1:100稀释度则无效。在1:1和1:10稀释度下,鞘内(i.t.)注射OFQ-Ab可将HRs转变为LRs,但1:100稀释度则无效。3. 通过重复皮下(s.c.)注射吗啡(5mg/kg,每2小时一次)持续16小时诱导大鼠产生急性吗啡耐受性。脑室内注射1:1稀释度的OFQ-Ab对急性吗啡耐受性的形成没有影响。4. 通过重复注射吗啡(5 - 60mg/kg,皮下,每天3次)持续6天在大鼠中产生慢性吗啡耐受性。脑室内注射1:1稀释度的OFQ-Ab可使大鼠的这种吗啡耐受性逆转50%(P < 0.01)。5. 在持续(100Hz,3mA)刺激6小时后产生对EA产生的镇痛作用的急性耐受性。脑室内注射1:1稀释度的OFQ-Ab可几乎完全逆转这种耐受性(P < 0.05)。6. 通过每天一次以100Hz的频率重复给予递增电流(1、2和3mA,每次持续10分钟,共30分钟)持续6天产生对EA镇痛作用的慢性耐受性。脑室内注射1:1稀释度的OFQ-Ab可使这种耐受性逆转50%(P < 0.01)。7. 这些结果共同表明,100Hz的EA可能增强大鼠CNS中内源性OFQ的释放,这反过来可能拮抗脑内EA产生的镇痛作用,但增强脊髓内EA产生的镇痛作用。因此,OFQ似乎在EA产生的镇痛作用的耐受性形成中起重要作用。8. 急性吗啡耐受性和慢性吗啡耐受性形成的潜在机制似乎不同。中枢OFQ可能在慢性吗啡给药后的耐受性形成中起重要作用。

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