牛肾上腺髓质8-22肽在福尔马林持续性痛中对吗啡耐受的调制The Modulation Effect of Bovine Adrenal Medulla 8-22 on Morphine Tolerance in Formalin-induced Persistent Pain
江剑平;胡粉娟;陈雅娟;
摘要(Abstract):
观察椎管内注射感觉神经元特异性受体选择性激动剂牛肾上腺髓质8-22肽(bovine adrenal me-dulla 8-22,BAM8-22)在福尔马林引起的持续性痛中对吗啡耐受的影响.结果表明,吗啡(20μg)在正常大鼠中能显著抑制福尔马林引起的痛行为,多次应用吗啡导致耐受后,其抑制痛行为的能力大大减弱(P<0.001);吗啡耐受后,BAM8-22(0.1 nmol)能翻转吗啡的耐受效应,福尔马林引起第2期抬足/舔爪持续时间和抖动次数分别减少了39.4%(P<0.001)和25.3%(P<0.05).每天椎管内联合应用BAM8-22(0.1 nmol)和吗啡(20μg)不影响吗啡耐受的形成,但隔天给予BAM8-22则能有效延缓吗啡耐受的形成,福尔马林引起第2期缩足舔爪和抖动分别为14.7 min和234.5次,与吗啡耐受鼠相比,分别减少了41.0%(P<0.001)和24.8%(P<0.05).然而,BAM8-22并没有完全翻转或抑制吗啡的耐受(P<0.001).此外,连续6 d给予BAM8-22后会降低吗啡在福尔马林持续痛中的抗伤害作用.证明在福尔马林引起的持续性痛中,SNSR受体参与了调制阿片受体的敏感性.同时,提示在持续性痛中,通过BAM8-22延缓或翻转吗啡耐受是利用阿片受体治疗持续性痛的有效方法.
关键词(KeyWords): 牛肾上腺髓质8-22肽(BAM8-22);吗啡耐受;持续性痛;福尔马林实验
基金项目(Foundation): 福建省教育厅资助项目(JK2010014;09037)
作者(Authors): 江剑平;胡粉娟;陈雅娟;
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