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The increased release of amino acid neurotransmitters of the primary somatosensory cortical area in rats contributes to remifentanil-induced hyperalgesia and its inhibition by lidocaine

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机构: [1]Department of Anesthesiology, Beijing Tian Tan Hospital, Capital Medical University, Beijing, People’s Republic of China [2]Department of Neurobiology, Beijing Institute for Neuroscience, Capital Medical University, Beijing, People’s Republic of China
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关键词: hyperalgesia remifentanil lidocaine amino acid neurotransmitter protein kinase C

摘要:
Background: Studies have confirmed that activation of the neurons of primary somatosensory cortex (S1) is involved in the process of remifentanil (Remi)-induced hyperalgesia (RIH), which can be suppressed by lidocaine (Lido). A total intravenous anesthesia model of rats mimicking clinical Remi-based anesthesia was set up to explore the release of amino acid neurotransmitters of S1 cortex in RIH and its inhibition by Lido in this study. Materials and methods: Sprague Dawley rats were randomly divided into the following four groups: propofol (Pro), Remi, Remi combined Lido, and Lido groups. Mechanical hyperalgesia was evaluated by von Frey test; the amino acid neurotransmitters in the microdialysates of S1 area were detected by high-performance liquid chromatography (HPLC)-fluorescence, and conventional protein kinase C (cPKC)gamma levels in the whole-cell lysates and membrane lipid rafts (MLRs) were determined by Western blotting. Results: The von Frey test showed that co-administration of Lido significantly inhibited a Remi-induced decrease in the threshold of the paw withdrawal response in Remi group at 2 h postin fusion. Meanwhile, the Remi-induced increases in both the excitatory and inhibitory amino acid releases in S1 were suppressed by co-administrating Lido within 5 h postin fusion. Western blotting showed that the increased cPKC gamma level in the membrane lipid rafts (MLR) induced by Remi was also inhibited by Lido. Conclusion: The increased release of amino acid neurotransmitters and the translocation of cPKC gamma in MLR suggest the activation of S1 neurons, which may be one of the mechanisms underlying RIH. Lido reduces the release of amino acid neurotransmitters in Sl neurons and the translocation of cPKC gamma in MLRs after stopping Remi, which may be one of its antihyperalgesic mechanisms.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学
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出版当年[2016]版:
Q2 CLINICAL NEUROLOGY
最新[2023]版:
Q2 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]Department of Anesthesiology, Beijing Tian Tan Hospital, Capital Medical University, Beijing, People’s Republic of China
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通讯机构: [1]Department of Anesthesiology, Beijing Tian Tan Hospital, Capital Medical University, Beijing, People’s Republic of China [*1]Department of Anesthesiology, Beijing Tian Tan Hospital, Capital Medical University, No 6, Tian Tan Xi Li, Dongcheng, Beijing 100050, People’s Republic of China
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