著者
岡井 恒 岡﨑 良平 吉田 広幸 難波 宏好 田口 一貴 山本 任 三浦 智士 河村 稔
出版者
日本疼痛学会
雑誌
PAIN RESEARCH (ISSN:09158588)
巻号頁・発行日
vol.25, no.3, pp.179-188, 2010-08-10 (Released:2013-06-22)
参考文献数
22
被引用文献数
1

Neurotropin® (NTP), a non protein extract from inflamed rabbit skin inoculated with vaccinia virus, is well known as an analgesic for chronic pain such as low back pain and postherpetic pain. In previous study, we revealed that NTP activated monoaminergic descending pain inhibitory system in SART (specific alternation of rhythm in temperature) stressed animals. To clarify the details of antinociceptive mechanisms of NTP, we investigated the influence of chemical denervation of monoaminergic neurons on the antinociceptive effect of NTP in SART-stressed rats. First, serotonergic neurons of nucleus raphe magnus (NRM) were chemically denervated by injection of 5,7-dihydroxytryptamine (50 nmol / 1 µL / site). Chemical denervation of NRM serotonergic neurons decreased the contents of spinal serotonin but not noradrenaline and dopamine, and decreased nociceptive threshold in rats. SART stress decreased nociceptive threshold in non-denervated rats but not in denervated rats whose threshold was already decreased. NTP (200 NU/kg, p.o.) showed an antinociceptive effect in non-denervated rats exposed to SART stress but had no effect in NRM-denervated rats exposed to SART stress. Next, we denervated spinal noradrenergic terminals by intrathecal injection of 6-hydroxydopamine (1 µmol / 10 µL / site) because some noradrenergic neurons are descending from some supraspinal noradrenergic nucleus to spinal cord. Chemical denervation of spinal noradrenergic neurons decreased the contents of spinal nor adrenaline but not serotonin and dopamine in rats. Similar to denervation of NRM serotonergic neurons, nociceptive threshold was decreased by chemical denervation of spinal noradrenergic neurons. SART stress decreased the nociceptive threshold in non-denervated rats, and that was improved by NTP (200 NU/kg, p.o.). SART stress did not affect the decreased threshold in denervated rats and NTP (200 NU/kg, p.o.) had no effect in denervated rats exposed to SART stress. These results suggest that antinociceptive effects of NTP in SART-stressed rats involve the activation of monoaminergic descending inhibitory neurons.

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@momohydelove1 ある遠方の患者さんは、皮膚科の先生にノイロトロピン静注をしていただいていましたね。 皮膚科や普通の内科の先生で、線維筋痛症をご存知なくてもノイロトロピン静注だけならやって下さる先生が見つかる場合もありますね。 ↓論文2本 https://t.co/HIJMDDQPSd https://t.co/Wl0z5WvniU
「SARTストレス動物におけるノイロトロピンの鎮痛効果がモノアミン作動性の下行性疼痛抑制系神経の化学的除神経により抑制され た。この結果は,ノイロトロピンがモノアミン作動性の下行性疼痛抑制系神経の活性化を介して鎮痛効果を発揮していることを支持するものである。」https://t.co/Wl0z5WvniU
@F_maruP 「ノイロトロピンが上位中枢に作用 し、下行性疼痛抑制系神経を活性化すること で,脊髄レベルでノルアドレナリンおよびセロトニンを遊離させて鎮痛効果を示す」 https://t.co/Wl0z5Wde4M

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