In the present study, the effect of lidocaine (a sodium channel blocker) on carbamazepine-induced antinociception, in formalin test was investigated. Intraperitoneal (i.p.) administration of different doses of carbamazepine (3.5, 7, 15, and 30 mg/kg) induced a dose-dependent antinociception in mice, in the first and second phases of the test. Different doses of lidocaine as a sodium channel blocker (5, 10, and 20 mg/kg, i.p.) also induced antinociception in both phases of the formalin test. It is noted that lidocaine could potentiate the response of carbamazepine in the first, but not in the second, phase of the formalin test. Meanwhile i.p. administration of different doses of Prazosin, alpha1 adrenoceptor antagonist (0.125, 0.25, and 0.5 mg/kg), Yohimbine, alpha2 adrenoceptor antagonist (0.25, 0.5, and 1 mg/kg), Bicuculline, GABAA receptor antagonist (1.5 and 3 mg/kg), and CGP 35348, GABAB receptor antagonist (100 and 200 mg/kg) exert dose-dependent antinociceptive effect in both phases of the formalin test. It should be noted that bicuculline 0.75 mg/kg by itself increased pain score in the second phase of the formalin test, indicating that blockade of GABAA receptor subtype may induce chronic pain. None of the aforementioned drugs could alter the antinociceptive response of carbamazepine in the formalin test. It is concluded that sodium channel mechanisms may be involved partly in the antinociceptive induced by carbamazepine.

译文

在本研究中,在福尔马林试验中研究了利多卡因 (钠通道阻滞剂) 对卡马西平诱导的抗伤害感受的影响。在试验的第一和第二阶段,腹膜内 (i.p.) 施用不同剂量的卡马西平 (3.5、7、15和30 mg/kg) 在小鼠中诱导剂量依赖性抗伤害感受。在福尔马林试验的两个阶段,不同剂量的利多卡因作为钠通道阻滞剂 (5、10和20 mg/kg,i.p.) 也诱导了抗伤害感受。请注意,利多卡因可以在福尔马林测试的第一阶段 (但不能在第二阶段) 增强卡马西平的反应。同时,i.p.给予不同剂量的哌唑嗪,α1肾上腺素受体拮抗剂 (0.125,0.25和0.5 mg/kg),育亨宾,α2肾上腺素受体拮抗剂 (0.25,0.5和1 mg/kg),双古林,GABAA受体拮抗剂 (1.5和3 mg/kg) 和CGP 35348,GABAB受体拮抗剂 (100和200 mg/kg) 在福尔马林试验的两个阶段均发挥剂量依赖性的抗伤害感受作用。应该注意的是,双小分子0.75 mg/kg本身增加了福尔马林试验第二阶段的疼痛评分,表明阻断GABAA受体亚型可能诱发慢性疼痛。上述药物均不能改变福尔马林试验中卡马西平的抗伤害反应。结论是,钠通道机制可能部分参与了卡马西平诱导的抗伤害感受。

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