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阿片类药物引起痛觉过敏的脊髓机制 被引量:3

Mechanisms of opioid-induced hyperalgesia in the spinal cord level
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摘要 背景阿片类药物引起的痛觉过敏(opioid-induced hyperalgesia,OIH)日益引起关注,其机制有待深入研究。目的论述脊髓水平OIH的机制,以供临床研究防治此类痛觉过敏参考。内容就脊髓水平受体通路、信号转导路径及神经肽等方面,论述OIH的机制。趋向脊髓水平多种途径参与OIH,值得进一步研究。 Background Opioid-induced hyperalgesia has received increasing attention, and the mechanisms need further investigation. Objective To expound some possible mechanisms of opioid-induced hyperalgesia in the spinal cord level, which may offer some methods for prevention of the hyperalgesia in clinic. Content This review provides some information about opioid- induced hyperalgesia in the spinal cord level, such as the receptors pathway, signal transduction pathway, neuropeptide and so on. Trend The detailed mechanism of opioid-induced hyperalgesia in the spinal cord level needs further study.
出处 《国际麻醉学与复苏杂志》 CAS 2012年第11期777-779,794,共4页 International Journal of Anesthesiology and Resuscitation
基金 2010年度贝朗麻醉科学研究基金
关键词 阿片类药物 脊髓 痛觉过敏 Opioids Spinal cord Hyperalgesia
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参考文献25

  • 1Fine PG. Opioid insights: opioid-induced hyperalgesia and opioid rotation. J Pain Palliat Care Pharmacother, 2004, 18(3 ): 75-79.
  • 2Galeotti N, Stefano GB, Guarna M, et al. Signaling pathway of morphine induced acute thermal hyperalgesia in mice. Pain, 2006, 123 ( 3 ) : 294 -305.
  • 3Koppert W, Schmelz M. The impact of opioid-induced hyperalgesia for postoperative pain. Best Pract Res Clin Anaesthesiol, 2007, 21 (1): 65-83.
  • 4Li X, Angst MS, Clark JD. A murine model of opioid-induced hyperalgesia. Brain Res Mol Brain Res, 2001, 86( 1-2): 56-62.
  • 5Guignard B, Bossard AE, Coste C, et al. Acute opioid tolerance: intraoperative remifentanil increases postoperative pain and morphine requirement. Anesthesiology, 2000, 93(2): 409-417.
  • 6Angst MS, Koppert W, Pahl I, et al. Short-term infusion of the mu-opioid agonist remifentanil in humans causes hyperalgesia during withdrawal. Pain, 2003, 106(1-2) : 49-57.
  • 7Schmidt S, Bethge C, Forster MH, et al. Enhanced postoperative sensitivity to painful pressure stimulation after intraoperative high dose remifentanil in patients without significant surgical site pain. ClinJ Pain, 2007, 23(.7): 605-611.
  • 8King T, Gardell LR, Wang R, et al. Role of NK-1 neurotransmission in opioid-induced hyperalgesia. Pain, 2005, 116 (3) : 276-288.
  • 9Gardell LR, Wang R, Burgess SE, et al. Sustained morphine exposure induces a spinal dynorphin-dependent enhancement of excitatory transmitter release from primary afferent fiber. J Neurosci, 2002, 22(15): 6747-6755.
  • 10Mao J, Price DD, Phillips LL, et al. Increases in protein kinase C gamma immunoreactivity in the spinal cord dorsal horn of rats with painful mononeuropathy. Neurosci Lett, 1995, 198(2) : 75-78.

同被引文献50

  • 1Lee M, Silverman SM, Hansen H, et al. A comprehensive review of opioid4ndueed hyperalgesia [J]. Pain physician, 2011, 14(2): 145-161.
  • 2Wu CL, Raja SN. Treatment of acute postoperative pain [J]. Lancet, 2011, 377(9784): 2215-2225.
  • 3Akbari E. The role of cyclo-oxygenase inhibitors in attenuating opioid-induced tolerance, hyperalgesia, and dependence [J]. Med Hypotheses, 2012, 78(1) : 102-106.
  • 4Silverman SM. Opioid induced hyperalgesia: clinical implications for the pain practitioner [J]. Pain physician, 2009, 12 (3): 679- 684.
  • 5Gu X, Wu X, Liu Y, et al. Tyrosine phosphorylation of the N- Methyl-D-Aspartate receptor 2B subunit in spinal cord contributes to remifentanil-induced postoperative hyperalgesia: the preventive effect of ketamine[J]. Mol Pain, 2009, 5: 76.
  • 6Koetzner L, Hua XY, Lai J, et al. Nonopioid actions of intrathecal dynorphin evoke spinal excitatory amino acid and prostaglandin E2 release mediated by cyclooxygenase-1 and -2[J]. J Neurosci, 2004, 24(6) : 1451-1458.
  • 7Rezende RM, Dos Reis WG, Duarte ID, et al. The analgesic actionsof centrally administered celecoxib are mediated by endogenous opioidsEJ]. Pain, 2009, 142(1-2) : 94-100.
  • 8Ma W, Quirion R. Does COX2-dependent PGE2 play a role in neuropathic pain[Jl? Neurosci Lett, 2008, 437(3): 165-169.
  • 9Telleria-Diaz A, Sehmidt M, Kreusch S, et al. Spinal antinociceptive effects of cyclooxygenase inhibition during inflammation: involvement of prostaglandins and endocannabinoids [Jl. Pain, 2010, 148( 1 ) : 26-35.
  • 10Kang YJ, Vincler M, Li X, et al. Intrathecal ketorolac reverses hypersensitivity following acute fentanyl exposure[J]. Anesthesiology, 2002, 97(6): 1641-1644.

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