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异丙酚对正常大鼠脊髓背角感觉神经元反应性的抑制作用
作者姓名:Sun YY  Li KC  Chen J
作者单位:第四军医大学 全军神经科学研究所疼痛研究中心,西安居乐业 710032
基金项目:The work was financially supported by grants from Chinese National Brain Science Basic Research Program sponsored by the National Ministry of Science and Technology (G1999054004),fromNational Natural Science Foundation of China (30100052,30200077,3030
摘    要:脊髓背角感觉神经元不仅在感觉信息的传递和调节中起到重要作用,也是各种内源性和外源性药物的作用靶位.为了解静脉麻醉剂异丙酚是否对背角感觉神经元的反应性具有调节作用,本实验采用在体单细胞胞外记录技术,观察了脊髓背表面直接滴注0.5 μmol异丙酚对戊巴比妥钠麻醉大鼠脊髓背角广动力域(WDR)神经元和低阈值机械感受型(LTM)神经元反应性的影响.实验发现,异丙酚能抑制背角WDR神经元由施加于外周感受野伤害性热刺激(45、47、49和53℃,15 s)和夹捏机械刺激(10 s)诱发的反应性,与DMSO对照组比较具有显著性统计学差异(P<0.05);同样,异丙酚对非伤害性机械刺激诱发的WDR或LTM神经元的反应性也具有显著的抑制作用(P<0.05).本结果提示,异丙酚可直接作用于正常大鼠脊髓背角神经元,对由非伤害性和伤害性纤维介导的神经元反应性均产生抑制作用,因此异丙酚的脊髓抗伤害作用可能不是特异性的.

关 键 词:异丙酚  脊髓背角  伤害性  抗伤害性

Inhibitory effects of spinal propofol on the responses of spinal dorsal horn neurons in normal rats
Sun YY,Li KC,Chen J.Inhibitory effects of spinal propofol on the responses of spinal dorsal horn neurons in normal rats[J].Acta Physiologica Sinica,2004,56(4):444-450.
Authors:Sun Yan-Yan  Li Kai-Cheng  Chen Jun
Institution:Pain Research Center, Institute of Neuroscience, Fourth Military Medical University, Xi'an, Shaanxi 710032, China.
Abstract:Spinal dorsal horn neurons play an important role in the processing of sensory information and are also targets of modulation by both endogenous and exogenous drugs. Propofol is an intravenous anesthetic and whether it has direct modulatory actions on sensory neuronal responses of the spinal cord dorsal horn has not been well studied. In the present study, a single dose (0.5 micromol) of propofol dissolved in dimethyl sulfoxide (DMSO) was directly applied onto the dorsal surface of the spinal cord and its effect was evaluated in 25 wide-dynamic-range (WDR) neurons and 10 low-threshold mechanoreceptive (LTM) neurons by using extracellular single unit recording technique in sodium pentobarbital anesthetized rats. Compared with the DMSO treatment, propofol produced a significant inhibition of WDR neuronal activity evoked by both noxious heat (45, 47, 49 or 53 degrees C, 15 s) and mechanical (pinch, 10 s) stimuli applied to their cutaneous receptive fields (cRF) on the ipsilateral hind paw skin. To investigate whether propofol exerts a modulatory effect on non-nociceptive afferent-mediated activity, the responses of WDR or LTM neurons to non-noxious brush and pressure were also evaluated. The non-noxious mechanically-evoked responses of both WDR and LTM neurons were significantly suppressed by propofol. The present results indicate that propofol has direct actions on the dorsal horn neurons of the spinal cord in rats. However, since both non-nociceptive and nociceptive afferent-mediated activity can be suppressed, the spinal effects of propofol are not likely to be specifically associated with anti-nociception.
Keywords:propofol  dorsal horn of spinal cord  nociception  anti-nociception
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