Zahn P K, Brennan T J
Department of Anesthesia, University of Iowa, Iowa City, USA.
Anesth Analg. 1998 Dec;87(6):1354-9.
Spinal metabotropic glutamate receptors (mGluR) have been implicated in hyperalgesia after injury. The purpose of this study was to examine the effects of intrathecal (IT) mGluR antagonists on mechanical hyperalgesia in a rat model of human postoperative pain. The hindpaw withdrawal threshold to punctate stimulation using von Frey filaments and the response frequency to a nonpunctate stimulus applied directly to the wound were also measured. The effects of 1T (+)-alpha-methyl-carboxyphenylglycine ([+]-MCPG), (S)-carboxyphenylglycine ([S]-4-CPG), (RS)-alphacyclopropyl-4-phosphonophenylglycine ([RS]-CPPG) and L-2-amino-3-phosphonopropionic acid (L-AP3) on incision-induced mechanical hyperalgesia were examined. The withdrawal thresholds to punctate stimuli were not different from vehicle treatment after the IT administration of (+)-MCPG (100, 500 nmol), (S)4CPG (30, 100 nmol), (RS)-CPPG (100, 500 nmol), or L-AP3 (1, 30, 100 nmol). None of the IT mGluR antagonists decreased the response frequency to the nonpunctate stimulus. The largest dose of (+)-MCPG produced sufficient receptor antagonism because spontaneous nociceptive behaviors caused by the IT administration of a mGluR agonist were reduced.
Spinal metabotropic glutamate receptors antagonists, antinociceptive in some models of persistent pain, are not necessary for the maintenance of mechanical hyperalgesia in this rat model, which suggests that blockade of spinal metabotropic glutamate receptors may not be useful for the treatment of pain after surgery.
脊髓代谢型谷氨酸受体(mGluR)与损伤后的痛觉过敏有关。本研究的目的是在人类术后疼痛的大鼠模型中,研究鞘内注射(IT)mGluR拮抗剂对机械性痛觉过敏的影响。还测量了使用von Frey细丝对点状刺激的后爪缩足阈值以及直接施加于伤口的非点状刺激的反应频率。研究了1T(+)-α-甲基-羧基苯基甘氨酸([+]-MCPG)、(S)-羧基苯基甘氨酸([S]-4-CPG)、(RS)-α-环丙基-4-膦酰基苯基甘氨酸([RS]-CPPG)和L-2-氨基-3-膦酰基丙酸(L-AP3)对切口诱导的机械性痛觉过敏的影响。在鞘内注射(+)-MCPG(100、500 nmol)、(S)-4-CPG(30、100 nmol)、(RS)-CPPG(100、500 nmol)或L-AP3(1、30、100 nmol)后,点状刺激的缩足阈值与溶剂处理组无差异。鞘内注射的mGluR拮抗剂均未降低对非点状刺激的反应频率。最大剂量的(+)-MCPG产生了足够的受体拮抗作用,因为鞘内注射mGluR激动剂引起的自发伤害性反应行为减少。
脊髓代谢型谷氨酸受体拮抗剂在某些持续性疼痛模型中具有镇痛作用,但在该大鼠模型中对维持机械性痛觉过敏并非必需,这表明阻断脊髓代谢型谷氨酸受体可能对术后疼痛的治疗无效。