O. Gall et al., Effect of systemic morphine on the responses of convergent neurons to noxious heat stimuli applied over graded surface areas, ANESTHESIOL, 90(4), 1999, pp. 1129-1136
Citations number
53
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Background Stimulus intensity is a major determinant of the antinociceptive
activity of opiates. This study focused on the influence of the spatial ch
aracteristics of nociceptive stimuli, on opiate-induced depressions of noci
ceptive transmission at the level of the spinal cord.
Methods: Anesthetized rats were prepared to allow extracellular recordings
to be made from convergent neurons in the lumbar dorsal horn. The effects o
f systemic morphine (1 and 10 mg/kg) were compared with those of saline for
thermal stimuli of constant intensity, applied to the area of skin surroun
ding the excitatory receptive field (1.9 cm(2)) or to a much larger adjacen
t area (18 cm(2)),
Results: The responses (mean +/- SD) elicited by the 1.9-cm(2) stimulus wer
e not modified by 1 mg/kg intravenous morphine, although they were decrease
d by the 10-mg/kg dose (to 11 +/- 4% of control values compared with saline
; P < 0.05), In contrast, when the 18-cm(2) stimulus was applied, 1 mg/kg i
ntravenous morphine produced a paradoxical facilitation of the neuronal res
ponses (159 +/- 36% of control values; P < 0.05) and 10 mg/kg intravenous m
orphine resulted in a weaker depression of the responses (to 42 +/- 24% of
control values; P < 0.05) than Tvas observed with the smaller stimulus.
Conclusions: Doses of systemic morphine in the analgesic range for rats had
dual effects on nociceptive transmission at the level of the spinal cord,
depending on the surface area that was stimulated Such effects are difficul
t to explain in terms of accepted pharmacodynamic concepts and may reflect
an opioid-induced depression of descending inhibitory influences triggered
by spatial summation.