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[利多卡因对水杨酸酯诱导豚鼠下丘听觉神经元放电的影响]

[Effects of lidocaine on salicylate-induced discharge of auditory neurons in the inferior colliculus of the guinea pig].

作者信息

Manabe Y, Saito T, Saito H

机构信息

Department of Otolaryngology, Shinseikai Clinic, Toyama.

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 1998 Jun;101(6):807-13. doi: 10.3950/jibiinkoka.101.6_807.

Abstract

The effects of lidocaine (a local anesthetic known to relieve tinnitus) in a guinea pig animal model of tinnitus in which spontaneous discharge of inferior colliculus (IC) neurons was augmented by intravenous application of salicylate (200 mg/kg) were studied by extracellular recording. The salicylate induced discharge was inhibited by intravenous injection of lidocaine at a concentration (lmg/kg) used clinically for treating tinnitus. IC neurons could be divided into two groups according to the difference in sensitivity to lidocaine, weakly sensitive neurons and highly sensitive neurons. In weakly sensitive neurons, the lidocaine effect lasted for less than five min, and the inhibiton of the discharge of neurons was increased as the latency of response to the sound stimulus became longer. It was considered that lidocaine inhibited the propagation of action potentials by blocking Na+ channels. In highly sensitive neurons, on the other hand, the activity of neurons was almost completely inhibited for longer than 30 min and it might involved different mechanisms. Furthermore, the inhibitory action of lidocaine was stronger in IC neurons discharging at higher frequencies, suggesting a use dependent blocking action of Na+ channels, by lidocaine.

摘要

通过细胞外记录,研究了利多卡因(一种已知可缓解耳鸣的局部麻醉剂)对水杨酸(200mg/kg)静脉注射增强豚鼠下丘(IC)神经元自发放电的耳鸣动物模型的影响。临床用于治疗耳鸣的浓度(1mg/kg)的利多卡因静脉注射可抑制水杨酸诱导的放电。根据对利多卡因敏感性的差异,IC神经元可分为两组,即弱敏感神经元和高敏感神经元。在弱敏感神经元中,利多卡因的作用持续不到5分钟,并且随着对声音刺激反应潜伏期的延长,神经元放电的抑制作用增强。据认为,利多卡因通过阻断Na+通道抑制动作电位的传播。另一方面,在高敏感神经元中,神经元的活动几乎完全被抑制超过30分钟,这可能涉及不同的机制。此外,利多卡因对高频放电的IC神经元的抑制作用更强,提示利多卡因对Na+通道具有使用依赖性阻断作用。

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