Mj. Fu et al., INVOLVEMENT OF CERULOSPINAL GLUTAMATERGIC NEUROTRANSMISSION IN FENTANYL-INDUCED MUSCULAR RIGIDITY IN THE RAT, Anesthesiology, 87(6), 1997, pp. 1450-1459
Background: Investigators in the author's laboratory previously establ
ished the critical participation of the cerulospinal noradrenergic pat
hway in muscular rigidity elicited by fentanyl. The identification of
colocalization of glutamate with tyrosine hydroxylase in most locus ce
ruleus neurons suggests a role for cerulospinal glutamatergic neurotra
nsmission in fentanyl-induced muscular rigidity. This suggestion and t
he subtype(s) of glutamate receptors involved were investigated here.
Methods: Electromyographic signals activated by bilateral microinjecti
on of 2.5 mu g fentanyl into the locus ceruleus were recorded differen
tially from the left sacrococcygeus dorsi lateralis muscle of adult ma
le Sprague-Dawley rats. The effect of intrathecal administration at th
e lower lumbar spinal cord of various N-methyl-D-aspartate (NMDA) and
non-NMDA receptor antagonists or agonists on this index of muscular ri
gidity was studied. Rats were under mechanical ventilation, and intrav
enous infusion of ketamine (30 mg.kg(-1).h(-1)) was maintained until 1
0 min before fentanyl was administered. Results: Microinjection of fen
tanyl bilaterally into the locus ceruleus increased the root mean squa
re and decreased the mean power frequency values of electromyographic
signals. The efficacy of fentanyl to elicit muscular rigidity in this
manner was significantly reduced by previous intrathecal administratio
n of either 6-cyano-7-nitroquinoxaline-2,3-dione (CNQX), 0,11-dihydro-
5H-dibenzo[a,d]cyclohepten-5,10-imine maleate (MK-801), D-(-)-2-amino-
5-phosphonovaleric acid (AP5), or -)-3-(2-carboxypiperazin-4-yl)-propy
l-1-phosphonic acid (CPP). Intrathecal administration of kainic acid o
r NMDA also resulted in significant electromyographic activation. Conc
lusions: In addition to the cerulospinal noradrenergic mechanism, the
cerulospinal glutamatergic pathway and both NMDA and non-NMDA receptor
s in the spinal cord may mediate fentanyl-induced muscular rigidity in
the rat.