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Effect of Peptidase Inhibitors on Dynorphin A (1-17) or (1-13)-Induced Antinociception and Toxicity at Spinal Level
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作者 Mitsumasa Matsuda Masanobu Yoshikawa +7 位作者 Takugi Kan Mariko Watanabe Junko Ajimi Shigeru Takahashi Masaaki Miura Kenji Ito Hiroyuki Kobayashi Toshiyasu Suzuki 《Pharmacology & Pharmacy》 2017年第2期33-51,共19页
Our group has earlier demonstrated that three enzymes sensitive to peptidase inhibitors (PIs), amastatin (A)-, captopril (C)-, and phosphoramidon (P), played an important role in inactivation of enkephalins at the spi... Our group has earlier demonstrated that three enzymes sensitive to peptidase inhibitors (PIs), amastatin (A)-, captopril (C)-, and phosphoramidon (P), played an important role in inactivation of enkephalins at the spinal level. Dynorphin-converting enzyme (DCE) hydrolyzes dynorphin (Dyn) A (1-17) or Dyn A (1-13) mainly at the Arg6-Arg7 bond. Dynorphin A and its derived peptides interact with opioid and glutamate receptors at their N- and C-terminals, respectively. The purpose of the present study was to evaluate the antinociceptive potency and toxicity of intrathecal administered Dyn A (1-17), Dyn A (1-13), or Dyn A (1-6) under pretreatment with ACP and/or the DCE inhibitor p-hydroxymercuribenzoate (PHMB). The effect of these PIs on Dyn A (1-17)-induced inhibition of electrically-evoked contractions in mouse vas deferens was also investigated. The inhibitory potency of Dyn A (1-17) on electrically-evoked contractions in mouse vas deferens under pretreatment with ACP was higher than that with AC, AP, or CP. Pretreatment with ACP augmented Dyn A (1-17) or (1-13)-induced antinociception by approximately 50- or 30-fold with no sign of allodynia when administered intrathecally at low doses. Pretreatment with ACP and PHMB induced neuropathy. These findings showed that intrathecal administration of low-dose Dyn A (1-17) or DynA (1-13) increased antinociception under pretreatment with ACP, but without signs of allodynia in rat. 展开更多
关键词 dynorphin A PEPTIDASE dynorphin-Converting Enzyme ANTINOCICEPTION ALLODYNIA
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Effects of moxibustion on dynorphin and endomorphin in rats with chronic visceral hyperalgesia 被引量:34
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作者 Hui-Rong Liu Li Qi +5 位作者 Lu-Yi Wu Xiao-Peng Ma Xiu-Di Qin Wen-Yan Huang Ming Dong Huan-Gan Wu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第32期4079-4083,共5页
AIM:To observe the analgesic effects of moxibustion in rats with chronic visceral hyperalgesia and its influence on the concentration of dynorphin(Dyn) and endomorphin(EM) in spinal cord.METHODS:The rat model of chron... AIM:To observe the analgesic effects of moxibustion in rats with chronic visceral hyperalgesia and its influence on the concentration of dynorphin(Dyn) and endomorphin(EM) in spinal cord.METHODS:The rat model of chronic visceral hyperalgesia was established by colorectal distention(CRD).In moxibustion(MX) group,moxibustion was applied once daily for 7 d;in sham moxibustion(SM) group,moxibustion was given to the same acupoints but with the nonsmoldered end of the moxa stick.Model control(MC) group and normal control group were also studied.The scoring system of abdominal withdrawal reflex was used to evaluate visceral pain for behavioral assessment.Enzyme linked immunosorbent assay was performed to determine the concentrations of Dyn and EM in spinal cord.RESULTS:Moxibustion significantly decreased visceral pain to CRD in this rat model,and no significant difference was detected between the SM group and the MC group.In MX group,moxibustion also increased the concentrations of Dyn and EM in spinal cord,and no significant difference was found between the SM group and the MC group.CONCLUSION:Moxibustion therapy can significantly enhance the pain threshold of rats with chronic visceral hyperalgesia,and the effect may be closely related to the increased concentration of Dyn and EM in spinal cord. 展开更多
关键词 MOXIBUSTION ANALGESIA HYPERSENSITIVITY dynorphinS ENDOMORPHIN
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A non-opioid pathway for dynorphin-caused spinal cord injury in rats 被引量:1
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作者 Yu Chen Liangbi Xiang +5 位作者 Jun Liu Dapeng Zhou Hailong Yu Qi Wang Wenfeng Han Mingming Guo 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第11期815-820,共6页
Intrathecal injection of dynorphin into rats via subarachnoid catheter induces damage to spinal cord tissue and motor function. Injection of the kappa opioid receptor antagonist nor-binaltorphine, or the excitatory am... Intrathecal injection of dynorphin into rats via subarachnoid catheter induces damage to spinal cord tissue and motor function. Injection of the kappa opioid receptor antagonist nor-binaltorphine, or the excitatory amino acid N-methyl-D-aspartate receptor antagonist MK-801 into rats alleviated the pathological changes of dynorphin-caused spinal cord tissue injury and reduced the acid phosphatase activity in the spinal cord. The experimental findings indicate that there are opioid and non-opioid pathways for dynorphin-induced spinal cord injury, and that the non-opioid receptor pathway may be mediated by the excitatory amino acid N-methyl-D-aspartate receptor. 展开更多
关键词 spinal cord injury dynorphin kappa opioid receptor antagonist N-methyI-D-aspartate receptor antagonist motor function acid phosphatase
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Immunohistochemical identification of dynorphin A and Kappa opioid receptor-1 in the digestive system of scallop Chlamys farreri
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作者 SUN Hushan WANG Yiyan +1 位作者 LIU Xiaoli LIU Dongwu 《Journal of Oceanology and Limnology》 SCIE CAS CSCD 2018年第6期2288-2296,共9页
Little is known about the roles of dynorphin and Kappa opioid receptor(KOR) in mollusks. In this study, we aim to determine the distribution of dynorphin A and KOR-1 in the digestive system of the scallop Chlamys farr... Little is known about the roles of dynorphin and Kappa opioid receptor(KOR) in mollusks. In this study, we aim to determine the distribution of dynorphin A and KOR-1 in the digestive system of the scallop Chlamys farreri. Using immunohistochemical staining, we confirmed the expression of dynorphin A and KOR-1 in the digestive system of C. farreri. Dynorphin A immunopositive cells were identified in intestine and hepatopancreas. In intestine, small and spherical dynorphin A immunopositive cells(4–9 μm in diameter) were scattered among the long columnar epithelial cells(ECs). In hepatopancreas, cells containing masses(5–14 μm in diameter) of dynorphin A immunopositive products were observed in epithelium of acinis. These immunopositive cells may be synthetic and/or secretory cells of dynorphin A. Dynorphin A immunoreactive products were commonly observed in epithelium and connective tissue(CT) of labial palps, mouth labia and stomach, which presented in forms of grains, fibers or flakes. KOR-1 immunoreactive material was observed in ECs and CTs of labial palps, mouth labia and stomach, intestine and hepatopancreas. The distribution of both dynorphin A and KOR-1 in the digestive organs suggests an involvement of dynorphin via KOR-1 in the functional regulation of the digestive system of C. farreri. 展开更多
关键词 CHLAMYS FARRERI dynorphin DIGESTIVE system kappa OPIOID receptors immunohistochemistry
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Kappa opioid receptor antagonist and N-methyl-D-aspartate receptor antagonist affect dynorphin-induced spinal cord electrophysiologic impairment
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作者 Yu Chen Liangbi Xiang +5 位作者 Jun Liu Dapeng Zhou Hailong Yu Qi Wang Wenfeng Han Weijian Ren 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第7期523-527,共5页
The latencies of motor- and somatosensory-evoked potentials were prolonged to different degrees, and wave amplitude was obviously decreased, after injection of dynorphin into the rat subarachnoid cavity. The wave ampl... The latencies of motor- and somatosensory-evoked potentials were prolonged to different degrees, and wave amplitude was obviously decreased, after injection of dynorphin into the rat subarachnoid cavity. The wave amplitude and latencies of motor- and somatosensory-evoked potentials were significantly recovered at 7 and 14 days after combined injection of dynorphin and either the kappa opioid receptor antagonist nor-binaltorphimine or the N-methyl-D-aspartate receptor antagonist MK-801. The wave amplitude and latency were similar in rats after combined injection of dynorphin and nor-binaltorphimine or MK-801. These results suggest that intrathecal injection of dynorphin causes damage to spinal cord function. Prevention of N-methyl-D-aspartate receptor or kappa receptor activation lessened the injury to spinal cord function induced by dynorphin. 展开更多
关键词 spinal cord injury dynorphin Kappa receptor N-methyl-D-aspartate receptor motor-evoked potential somatosensory-evoked potential ELECTROPHYSIOLOGY
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The aconitine analog bulleyaconitine A exhibits anti-hypersensitivity through direct stimulation of dynorphin A release from spinal microglia in the rat model of neuropathy
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期74-74,共1页
Aim Aconitine and its structurally-related diterpenoid alkaloids have been shown to interact differential- ly with neuronal voltage-dependent sodium channels and be responsible for their analgesia and toxicity. Bulley... Aim Aconitine and its structurally-related diterpenoid alkaloids have been shown to interact differential- ly with neuronal voltage-dependent sodium channels and be responsible for their analgesia and toxicity. Bulleya- conitine A ( BAA or BLA) is an aconitine analog and has been prescribed for the management of pain. The present study aimed to evaluate the inhibitory effects of BAA on pain hypersensitivity and morphine anti-nociceptive toler- ance, and explore whether the release of dynorphin A from spinal microglia was associated with its mechanism of actions. Methods Rat models of neuropathic pain, formalin test and bone cancer pain were used, and spinal dynorphin A level and expression were measured. Sample size of animals was six in each study group. Resultes A single intrathecal or subcutaneous (but not intraventricular or local) injection of BAA blocked spinal nerve liga- tion-induced painful neuropathy, bone cancer-induced pain and formalin-induced hyperalgesia by 60% - 100% with the ED50 values of 94 - 126 ng/rat (intrathecal) and 42 - 59 μg · kg^-1 ( subcutaneous), respectively. Follow- ing chronic treatment, BAA did not induce either self-tolerance to anti-nociception or cross-tolerance to morphine anti-nociception, and completely prevented morphine tolerance. Spinal BAA anti-nociception, but not neurotoxici- ty, was completely blocked by the specific microglial inhibitor minocycline. In a minocycline-sensitive and lido- BAA stimulated the release of dynorphin A from the spinal cord, and the caine- or ropivacaine-insensitive manner, primary culture of microglia but not from neurons or astrocytes. The blockade effects of BAA on nociception and morphine tolerance were completely blocked by the specific dynorphin A antiserum and/or K-opioid receptor antago- nist. Conclusions Our results demonstrated that BAA eliminated pain hypersensitivity and morphine tolerance through the direct stimulation of dynorphin A release from spinal microglia, which was not dependent on the interac- tions with sodium channels. 展开更多
关键词 bulleyaconitine A (BAA or BLA) ACONITINE ANTI-NOCICEPTION pain HYPERSENSITIVITY morphine toler-ance to ANTI-NOCICEPTION SPINAL cord MICROGLIA dynorphin A.
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CHANGES OF PLASMA DYNORPHIN LEVELS BEFORE AND AFTER PERCUTANEOUS BALLOON MITRAL COMMISSUROTOMY IN PATIENTS WITH MITRAL STENOSIS
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作者 尹瑞兴 陶新智 +3 位作者 曾知恒 赵定菁 朱树雄 夏树楹 《Chinese Medical Sciences Journal》 CAS CSCD 1995年第4期214-219,共6页
Plasma dynorphin A1-13 levels were measured in 33 patients with mitral stenosis before and after percutaneous balloon mitral commissurotomy (PBMC). The results show that the basal levels of plasma dynorphin in blood f... Plasma dynorphin A1-13 levels were measured in 33 patients with mitral stenosis before and after percutaneous balloon mitral commissurotomy (PBMC). The results show that the basal levels of plasma dynorphin in blood from the antecubital vein in the patients were significantly higher than those in 31 healthy control subjects. The increase in circulating dynorphin closely correlated with the functional cardiac status and the presence of atrial fibrillation. Ten to fifteen minutes after PBMC, plasma dynorphin levels in blood from the femoral vein increased significantly. Seventy-two hours after the procedure, the levels of plasma dynorphin in blood from the antecubital vein had decreased significantly , but they did not decrease to the normal range. Plasma dynorphin levels in blood from the femoral vein were positively correlated with the mean left atrial pressure and the mean right atrial pressure before the first balloon inflation. Plasma dynorphin levels in blood from the antecubital vein were positively correlated with the heart rate and the mean transmitral pressure gradient, and negatively with the mitral valve area before and 72 hours after PBMC. 展开更多
关键词 mitral stenosis percutaneous balloon mitral commissurotomy dynorphin
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EFFECTS OF DYNORPHIN A (1-17) ON MOTOR FUNCTION AND SPINAL INTRACELLULAR MESSENGER SYSTEMS IN RAT
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作者 张志媛 李富春 +1 位作者 任民峰 刘景生 《Chinese Medical Sciences Journal》 CAS CSCD 1996年第2期63-68,共6页
The effect of intrathecal injection of dynorphin A (1-17) on second messenger systems of spinal cord relative to behavioral change in rats was studied. Dynorphin A (1-17) 5 ,10 (20nmol) caused dose-dependent flaccid p... The effect of intrathecal injection of dynorphin A (1-17) on second messenger systems of spinal cord relative to behavioral change in rats was studied. Dynorphin A (1-17) 5 ,10 (20nmol) caused dose-dependent flaccid paralysis of hindlimbs. Dynorphin A (1-17) 10, 20 nmol dose-dependently decreased spinal adenylate cyclase (AC) activity, cyclic AMP production, calmodulin (CaM) level and cyclic-nucleotide phosphodiesterase(PDE)activity 10 min after intrathecal injection. They recovered to a varying extent two hours later. Pretreatment with selective κ-opioid receptor antagonist nor-BNI 30 nmol 10 min before dynorphin A (1-17) markedly antagonized the effects of dynorphin A (1-17 ) at 20 nmol on hindlimb paralysis and inhibition of intracellular second messengers. The L-type calcium channel blocker verapamil (100nmol) also played a role in blocking dynorphin neurotoxicity. The NMDA receptor antagonist APV could partially or completely block dynorphin inhibition of CaM level and PDE activity without affecting paralysis and decrease of AC-cAMP level induced by dynorphin A(1-17) 10 min after intrathecal injection. 展开更多
关键词 dynorphin A(1-17) motor function adenylate cyclase(AC)
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RELATIONSHIP BETWEEN ACUPUNCTURE ANALGESIA AND MET-ENKEPHALIN OR DYNORPHIN
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作者 TsogoevAlanS 王一菱 +1 位作者 吴景兰 金辉 《World Journal of Acupuncture-Moxibustion》 2001年第2期36-39,共4页
subjective: The effect of 4~5 Hz electroacupuncture (EA) on alterations of both met enkephalin (MEK) and dynorphin (Dyn) in the patient plasma or mouse spinal cord and its relation with analgesic effect were studied.... subjective: The effect of 4~5 Hz electroacupuncture (EA) on alterations of both met enkephalin (MEK) and dynorphin (Dyn) in the patient plasma or mouse spinal cord and its relation with analgesic effect were studied.Methods: In acupuncture clinic 10 patients with acute pain were treated with 4 Hz EA at Zusanli(ST 36) and/or Hegu(LI 4) acupoints for 30 min. 20 BALB/C mice were randomly divided into 2 groups: a. EA group(n=10), treated with 4~5 Hz EA at bilateral “Zusanli"(ST 36) for 15 min; b. control group(n=10) treated with no EA, but also restrained for 15 min. Before and after EA or restraining acupoints, the pain threshold of the patients or mice was detected. 10 μl of the patient plasma before and after EA and each mouse spinal cord suspension, of the 2 groups were blotted onto nitrocellulose membrane (NCM) respectively. The protein dot blot signals were detected by immunoreactivity (IR) and using Shimadu TLC Scanner and analyzed statistically. Results: The results showed that an increase in patient plasma MEK IR or Dyn IR and a decrease in mouse spinal MEK IR or Dyn IR could be detected, and the alteration of plasma or spinal MEK IR was more significant than that of plasma or spinal Dyn IR. There was a positive correlation in alteration between plasma or spinal MEK IR and plasma or spinal Dyn IR with respective parallel levels in individuals. The increased plasma MEK IR or the decreased spinal MEK IR was positively or negatively correlated with the analgesic effect, while the correlation between plasma or spinal Dyn IR and analgesic effect was insignificant. Conclusion: The results suggest that under lower frequency EA the met enkephalin may play an important role in analgesia. 展开更多
关键词 Acupuncture analgesia Pain threshold Met enkephalin dynorphin
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Levels of immunoreactive dynorphin A_(1-13) during development of morphine dependence in rats 被引量:5
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作者 万兴旺 李万亥 +4 位作者 黄矛 由振东 谈冶雄 路长林 宫泽辉 《中国药理学报》 CSCD 1998年第6期560-563,共4页
目的:研究吗啡依赖大鼠组织内免疫活性强啡肽A1-13含量的动态变化及其与依赖程度的关系.方法:用纳洛酮催促的戒断症状评分测定吗啡依赖程度,用放射免疫测定组织内强啡肽A1-13水平.结果:在3-6天给药期内,吗啡可进行... 目的:研究吗啡依赖大鼠组织内免疫活性强啡肽A1-13含量的动态变化及其与依赖程度的关系.方法:用纳洛酮催促的戒断症状评分测定吗啡依赖程度,用放射免疫测定组织内强啡肽A1-13水平.结果:在3-6天给药期内,吗啡可进行性降低脊髓、垂体、血浆内免疫活性强啡肽A1-13水平,升高海马及下丘脑的强啡肽A1-13水平,继续给药至12天,各组织内免疫活性强啡肽A1-13水平不再有显著性变化.结论:吗啡依赖形成过程中脊髓、垂体及血浆内强啡肽A1-13呈进行性降低。 展开更多
关键词 强啡肽类 放射免疫测定 药物依赖
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Involvement of dynorphin A in the inhibition of morphine physical dependence by N-nitro-L-arginine in rats 被引量:2
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作者 万兴旺 黄矛 +3 位作者 何雅琴 李万亥 由振东 路长林 《Chinese Medical Journal》 SCIE CAS CSCD 2003年第7期1055-1058,共4页
Objective To investigate the involvement of immunoreactive dynorphin A in the inhibitory effect of N nitro L arginine on the morphine physical dependence in rats Methods The rats were rendered dependent on mo... Objective To investigate the involvement of immunoreactive dynorphin A in the inhibitory effect of N nitro L arginine on the morphine physical dependence in rats Methods The rats were rendered dependent on morphine by subcutaneous administration of morphine solution three times daily in a manner of dose increment of 5 mg·kg 1 for 6 days The degree of morphine physical dependence was monitored by scoring the abstinence syndromes precipitated by 5 mg·kg 1 naloxone of the rats The expression levels of immunoreactive dynorphin A in tissues were determined using a radioimmunoassay Results Intraperitoneal injection of 5 mg·kg 1 N nitro L arginine suppresses most of the withdrawal symptoms of morphine dependent rats N nitro L arginine can elevate the expression of immunoreactive dynorphin Conclusions Chronic N nitro L arginine administration can inhibit the development of morphine physical dependence in a manner of dose dependence, which is significantly related to its role of regulating the endogeneous dynorphin system 展开更多
关键词 MORPHINE nitric oxides dynorphin substance dependence
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Aladan scanning: The structure-activity relationship of dynorphin A
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作者 CHEN HeRu YANG Yang WENG JiangDuo 《Science China Chemistry》 SCIE EI CAS 2009年第3期338-343,共6页
An unnatural amino acid, β-[6′-(N, N-dimethyl)amino-2′-naphthoyl]alanine (Ald) showing polarity-sen sitive fluorescence characteristics, was synthesized. A thorough Ald-scan of dynorphin A (Dyn A), the putative end... An unnatural amino acid, β-[6′-(N, N-dimethyl)amino-2′-naphthoyl]alanine (Ald) showing polarity-sen sitive fluorescence characteristics, was synthesized. A thorough Ald-scan of dynorphin A (Dyn A), the putative endogenous ligand for κ opioid receptors, was then performed. Replacement of the amino acid residues in positions 5, 8, 10, 12 or 14 of Dyn A(1-13)-NH2 with Ald resulted in compounds that had almost equal κ binding affinity compared with that of the parent compound; on the other hand, substi-tution of residues in position 1 or 4 with Ald decreased κ-receptor binding affinity. These results indi-cate that Tyr and Phe in Dyn A are very important for maintaining its κ-opioid activity. Evidence from receptor binding assay clearly displays that [Ald5]Dyn A(1-13)-NH2 is a highly selective κ-opioid re-ceptor agonist. An evaluation of the interaction of Ald-containing Dyn A(1-13)-NH2 analogues with SDS and DPC micelles was also performed. Interestingly, [Ald1]Dyn A(1-13)-NH2 and [Ald4]Dyn A(1-13)-NH2 showed quite different fluorescence emission maxima in SDS and DPC micelles. This indicates that both peptides are sensitive to electronic properties of the polar surface of the micelles. 展开更多
关键词 aladan dynorphin A FLUORESCENT AMINO ACID FLUORESCENT PEPTIDE
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Expression of preproopiomelanocortin mRNA and preprodynorphin mRNA in brain of spontaneously hyperte
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作者 殷霞 朱燕华 许绍芬 《中国药理学报》 CSCD 1997年第5期391-394,共4页
目的:检测前阿黑皮原(POMC)和强啡肽原(PPD)基因在高血压(SHR)和同龄WistarKyoto大鼠(WKY)中的表达.方法:用地高辛(DIG)标记的RNA探针进行原位杂交检测POMCmRNA和PPDmRNA... 目的:检测前阿黑皮原(POMC)和强啡肽原(PPD)基因在高血压(SHR)和同龄WistarKyoto大鼠(WKY)中的表达.方法:用地高辛(DIG)标记的RNA探针进行原位杂交检测POMCmRNA和PPDmRNA.结果:POMCmRNA主要表达于弓状核,而SHR表达量大于WKY.PPDmRNA表达于海马、下丘脑、中脑中央灰质、孤束核、胸髓.在齿状回、孤束核、内侧视前区,SHRPPDmRNA表达量少于WKY;在弓状核、胸髓、海马CA1、CA2、CA3两者之间无差别.结论:SHR弓状核POMCmRNA增加和齿状核等PPDmRNA减少可能与高血压的发病有关. 展开更多
关键词 高血压 前阿黑皮原 强啡肽 原位杂交
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电针对分娩镇痛效应及强啡肽调控的影响 被引量:14
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作者 蒋秋燕 莫海霞 +4 位作者 宋金玲 黎燕玲 董林红 张琪 李艳林 《中国妇幼保健》 CAS 北大核心 2012年第5期733-734,共2页
目的:探讨电针对分娩镇痛的临床疗效及机理。方法:选择2011年1~6月住院分娩并符合纳入观察标准的待产妇120例,并采用随机数字表格法在产程进入活跃期至胎儿娩出期间将其分为3组,A组应用电针镇痛,B组采用穴位按摩镇痛,C组无干预措施自... 目的:探讨电针对分娩镇痛的临床疗效及机理。方法:选择2011年1~6月住院分娩并符合纳入观察标准的待产妇120例,并采用随机数字表格法在产程进入活跃期至胎儿娩出期间将其分为3组,A组应用电针镇痛,B组采用穴位按摩镇痛,C组无干预措施自然分娩。对照观察各组分娩疼痛的镇痛作用及产妇血清中强啡肽含量的变化。结果:镇痛效果A、B两组明显优于C组(P<0.000 1);血清强啡肽含量A、B两组治疗后均高于治疗前,且治疗后组间差异明显(P<0.000 1)。结论:电针、按摩可减轻分娩疼痛,并能使孕妇血清中强啡肽含量增加。电针可提高血清中强啡肽的含量,以达到镇痛的作用。 展开更多
关键词 电针 分娩镇痛 强啡肽
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“调神止痛针法”治疗中风后肩痛的临床研究 被引量:32
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作者 王漫 张智龙 +4 位作者 王栩 吉学群 杨元庆 卢轩 李鑫举 《针刺研究》 CAS CSCD 北大核心 2019年第8期605-609,619,共6页
目的:观察"调神止痛针法"治疗中风后肩痛的临床疗效,为针灸治疗中风后肩痛提供新的治疗思路。方法:将中风后肩痛患者按随机数字表法分为观察组41例和对照组39例。在常规治疗的同时,对照组采用传统针刺法针刺患侧肩髃、肩前、... 目的:观察"调神止痛针法"治疗中风后肩痛的临床疗效,为针灸治疗中风后肩痛提供新的治疗思路。方法:将中风后肩痛患者按随机数字表法分为观察组41例和对照组39例。在常规治疗的同时,对照组采用传统针刺法针刺患侧肩髃、肩前、肩后、肩髎、外关、合谷,观察组采用"调神止痛针法"针刺患侧耳穴神门、水沟、肩髃、肩髎、肩贞、阳陵泉及双侧内关,均每日1次,留针30min,6d为1疗程,休息1d后,继续第2个疗程,共治疗4个疗程。治疗前后统计视觉模拟量尺(VAS)评分、上肢运动功能(FMA)评分、肩关节功能(Constant-Murley)评分、日常生活能力(Barthel指数)评分,采用酶联免疫吸附法检测患者血清内啡肽(β-EP)、脑啡肽(ENK)及强啡肽(Dyn)含量,并进行临床疗效评价。结果:与治疗前比较,两组VAS评分明显降低(P<0.01),FMA评分、Constant-Murley评分、Barthel指数评分明显升高(P<0.01),血清β-EP、ENK、Dyn含量明显提高(P<0.01)。与对照组比较,观察组各指标改善程度均明显优于对照组(P<0.01)。观察组总有效率(87.80%,36/41)明显高于对照组(69.23%,27/39,P<0.05)。结论:"调神止痛针法"可明显改善中风后肩痛患者的疼痛程度,提高其生活质量,镇痛疗效可能与提高患者血清β-EP、ENK、Dyn含量相关。 展开更多
关键词 针刺 中风后肩痛 调神止痛针法 运动功能 内啡肽 脑啡肽 强啡肽
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左旋多巴诱发异动症大鼠模型纹状体神经元可塑性的研究 被引量:12
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作者 徐岩 孙圣刚 曹学兵 《中国神经科学杂志》 SCIE CAS CSCD 2004年第3期252-256,共5页
目的  研究左旋多巴诱发异动症 (LID)大鼠模型纹状体区FosB和特异性神经肽基因表达的变化 ,探讨LID时纹状体神经元的可塑性。方法 分别用免疫组织化学方法和逆转录聚合酶链反应技术 (RT PCR)检测大鼠纹状体区FosB和前脑啡肽原 (PPE)... 目的  研究左旋多巴诱发异动症 (LID)大鼠模型纹状体区FosB和特异性神经肽基因表达的变化 ,探讨LID时纹状体神经元的可塑性。方法 分别用免疫组织化学方法和逆转录聚合酶链反应技术 (RT PCR)检测大鼠纹状体区FosB和前脑啡肽原 (PPE)及前强啡肽原 (PDyn)基因的表达情况。用辣根过氧化物酶 (HRP)逆行示踪与免疫组织化学相结合的双重反应技术观测FosB的细胞分布状况。 结果  帕金森病 (PD)大鼠较正常大鼠损毁侧纹状体PPEmRNA表达明显增多而PDynmRNA表达减少。LID大鼠较PD大鼠PPEmRNA无明显增多 ,但PDynmRNA显著性增多。LID大鼠损毁侧纹状体区FosB阳性神经元明显增多 ,并且主要分布于纹状体黑质神经元内。结论 纹状体黑质神经元内即早基因FosB及其下游靶基因强啡肽的表达异常与大鼠LID的发生有关 ,表明LID的发生与直接通路的活动异常密切相关。 展开更多
关键词 异动症 左旋多巴 即早基因 强啡肽 免疫组织化学 逆转录聚合酶链反应技术
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穴位按摩法对产妇强啡肽水平影响及镇痛作用的研究 被引量:11
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作者 董林红 蒋秋燕 +2 位作者 高忆 武云娟 冼妮 《辽宁中医杂志》 CAS 北大核心 2010年第12期2430-2431,共2页
目的:通过在第一产程活跃期时,对产妇实施穴位按摩,探讨此法对产妇体内强啡肽水平及分娩疼痛的影响。方法:将200例符合纳入标准的产妇随机分为两组,观察组100例,按中医理论对个体进行辨证后,采用穴位按摩法给予镇痛;另100例对照组,进行... 目的:通过在第一产程活跃期时,对产妇实施穴位按摩,探讨此法对产妇体内强啡肽水平及分娩疼痛的影响。方法:将200例符合纳入标准的产妇随机分为两组,观察组100例,按中医理论对个体进行辨证后,采用穴位按摩法给予镇痛;另100例对照组,进行自然分娩。比较两组对产妇体内强啡肽水平及镇痛方面的影响。结果:穴位按摩后,观察组VAS评分低于按摩前(P<0.01);且观察组VAS评分低于对照组(P<0.01);分娩后,观察组静脉血强啡肽含量高于对照组(P<0.01)。结论:在第一产程活跃期进行穴位按摩可以增强产妇体内强啡肽水平,并减轻分娩疼痛。 展开更多
关键词 穴位按摩 强啡肽 分娩疼痛
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强啡肽A及其受体拮抗剂对大鼠脊髓损伤后脊髓血流量的影响 被引量:6
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作者 李明 孙学军 +2 位作者 叶晓健 洪新如 路长林 《第二军医大学学报》 CAS CSCD 北大核心 1996年第5期471-473,共3页
目的:探讨强啡肽A在脊髓损伤(SCI)中的作用。方法:采用Allen打击法复制大鼠SCI模型,应用强啡肽A放免检测技术和氢清除法分别测定伤段脊髓组织24h内强啡肽A含量和脊髓血流量(SCBF)的变化,并观察脊髓蛛网膜... 目的:探讨强啡肽A在脊髓损伤(SCI)中的作用。方法:采用Allen打击法复制大鼠SCI模型,应用强啡肽A放免检测技术和氢清除法分别测定伤段脊髓组织24h内强啡肽A含量和脊髓血流量(SCBF)的变化,并观察脊髓蛛网膜下腔注射强啡肽A及其受体拮抗剂nor-BNI对SCBF的影响。结果:SCBF在伤后10min即有明显下降、2b较1h略有回升,4~8h又进一步下降,两次下降相差显著;SCI后脊髓蛛网膜下腔注射强啡肽A可明显加剧脊髓缺血,而注射强啡肽受体拮抗剂nor-BNI则可显著减轻脊髓缺血。脊髓强啡肽A含量在伤后10min明显升高,1~2h有所下降,但仍高于对照组,4,8h较2h略增加。强啡肽A含量与SCBF的变化,两者呈显著相关性。结论:SCI后强啡肽A的过度释放是SCI后继发性损伤的重要因素。 展开更多
关键词 脊髓损伤 脊髓血流量 强啡肽A 受体拮抗剂
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归参止痒方治疗血虚肝旺证老年皮肤瘙痒症的临床研究 被引量:13
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作者 兰东 成玉 +2 位作者 贾红侠 李晓阳 冉立伟 《中国中西医结合杂志》 CAS CSCD 北大核心 2016年第12期1460-1464,共5页
目的观察归参止痒方治疗血虚肝旺证老年皮肤瘙痒症患者的临床疗效,并探讨其神经—内分泌—免疫发病机制。方法将90例患者按完全随机化抽签法分为治疗组与对照组,每组45例。治疗过程中治疗组完成病例41例,对照组完成38例,治疗组予口服归... 目的观察归参止痒方治疗血虚肝旺证老年皮肤瘙痒症患者的临床疗效,并探讨其神经—内分泌—免疫发病机制。方法将90例患者按完全随机化抽签法分为治疗组与对照组,每组45例。治疗过程中治疗组完成病例41例,对照组完成38例,治疗组予口服归参止痒方汤剂,对照组予口服肤痒颗粒,两组均配合外用冰黄肤乐软膏,治疗疗程为8周。观察两组症状、皮损疗效变化,采用双抗夹心ELISA法检测两组治疗前后干细胞因子(stem cell factor,SCF)、强啡肽(dynorphin,DYN)、性激素[睾酮testosterone(T)、雌二醇estradiol(E2)]及IL-4水平变化。结果与治疗前比较,治疗8周后两组瘙痒程度、瘙痒面积、脱屑、苔癣样变、急躁易怒、烦热咽干、眩晕耳鸣症状积分降低,差异均有统计学意义(P<0.05),两组治疗4、8周后中医证候积分均降低(P<0.05),两组SCF、DYN水平均明显降低(P<0.05,P<0.01)。与对照组比较,治疗8周后治疗组在瘙痒程度、抓痕数目、脱屑、急躁易怒、眩晕耳鸣单项症状方面明显改善(P<0.05),中医证候总积分降低(P<0.05),治疗组SCF水平降低(P<0.05)。结论两组在配合外用冰黄肤乐软膏治疗基础上,归参止痒方对血虚肝旺证老年皮肤瘙痒症疗效优于对照药物,其对影响老年皮肤瘙痒症发病的神经—内分泌—免疫相关介质水平有一定的调节作用。 展开更多
关键词 皮肤瘙痒症 老年 归参止痒方 血虚肝旺证 干细胞因子 强啡肽 睾酮 雌二醇 白介素-4
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c-fos基因的反义寡聚脱氧核苷酸鞘内注入减弱福尔马林引起的大鼠伤害性行为反应及脊髓背角Fos蛋白和强啡肽 A表达的研究(英文) 被引量:8
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作者 张宇 聂红 +3 位作者 王航 张瑞新 祁金顺 乔健天 《神经解剖学杂志》 CAS CSCD 北大核心 2003年第3期243-250,共8页
本研究通过鞘内注射 c-fos反义寡聚脱氧核苷酸 (antisense oligodeoxynucleotide,AS-ODN)封闭背角中 F os蛋白的表达 ,观察了 Fos蛋白合成和慢痛反应的关系 ,并分析 Fos蛋白合成和强啡肽 A(Dyn A)表达之间的关系。实验组动物 (n=5 )鞘... 本研究通过鞘内注射 c-fos反义寡聚脱氧核苷酸 (antisense oligodeoxynucleotide,AS-ODN)封闭背角中 F os蛋白的表达 ,观察了 Fos蛋白合成和慢痛反应的关系 ,并分析 Fos蛋白合成和强啡肽 A(Dyn A)表达之间的关系。实验组动物 (n=5 )鞘内预先注射 c-fos的 AS-ODN(5 0μg,5μl) ,另两个对照组 (每组 n=5 )分别注射等量生理盐水和 AS-ODN的反序核苷酸 (reverseoligodeoxynucleotides,RS-ODN,5 0μg,5μl) ;4h后 ,各组动物均在一侧后肢脚掌皮下注射 formalin(5 % ,5 0μl) ,并立即用计算动物舔拭注射侧后脚掌累计时间的方法 ,检测大鼠的伤害性行为反应 ,行为检测后 1h处死动物 ,用免疫组化方法检查脊髓背角中 Fos蛋白阳性神经元的数量和强啡肽 A(1~ 8)的表达量。结果发现 ,和两个对照组相比 ,实验组动物 Formalin诱发的伤害性行为反应的第二相明显减弱 ,同时 Form alin注射侧背角 F os蛋白样免疫阳性细胞的数量和 Dyn A含量的灰度值明显减少。本研究结果提示 ,外周伤害性刺激引起的长期持续的痛反应是以 c-fos基因表达增加及受其调控的 Dyn A表达上调为基础的 ,由此推测在脊髓背角神经元中 Fos蛋白和 Dyn 展开更多
关键词 反义寡聚脱氧核苷酸 强啡肽A 伤害性行为反应 福尔马林试验 脊髓背角 大鼠 慢性痛行为反应
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