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锦州医学院
纸质出版日期:1980
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孙德玉. 尾核和多巴胺神经元与针刺镇痛的关系[J]. 针刺研究, 1980,(1):7-13.
Sun Deyu. EFFECT OF THE NUCLEUS CAUDATUS AND THE DOPAMINERGIC NEURON ON ACUPUNCTURE ANALGESIA[J]. Acupuncture research, 1980, (1): 7-13.
本文共分两部分。第一部分简要地叙述了尾核的问题。(1)尾核的神经联系:最重要的多巴胺纤维系统之一——黑质纹体束的细胞体位于黑质致密部。该束由黑质通向尾核。同时
也存在纹体黑质束
致使尾核和黑质之间得以互相影响机能活动。(2)尾核各神经元间的联系:在尾核各神经元联系的通路上存在一个胆硷能的中间环节
尾核的多巴胺能神经末梢通过它影响尾核本身的及下行至黑质的 GABA 神经元的活动。控制黑质纹体束多巴胺通路的抑制性神经反馈作用
似乎包括使尾核的胆硷能中间神经元失活
从而使支配黑质多巴胺神经细胞的抑制性下行 GABA 能通路的活性增高。(3)多巴胺受体的性质:介绍了兴奋性多巴胺受体和抑制性多巴胺受体的学说。描述了多巴胺受体的组织化学、生物学、电生理学、药理学以及机能上的特点。设想兴奋性多巴胺受体可能位于突触前部位
而抑制性多巴胺受体则位于突触后部位。第二部分尾核和针刺麻醉。实验表明
尾核具有提高痛阈
加强针麻镇痛的作用。但是
尾核镇痛作用的机理尚未阐明。有些实验提示
尾核的多巴胺递质系统有对抗针刺镇痛的效应。
The present paper is divided into two parts.The nucleus caudatus has been described briefly in the first part.(1) The nervous circuity ofnucleus eaudatus:The pars compacta of substantia nigra contains the cell body of one of the maindopamine(DA) fiber systems
the nigro-striatal pathway
which comes from substantia nigra and goesto the nucleus caudatus.There is a neo-striato-nigra pathway
too
making it possible for caudatumand substantia nigra to influence each other's activity.(2) The link of neurons in caudatum:It has been proposed that in the pathway there is a cholinergic link through which caudate DAterminals influence GABA neruronal activity both in interneurons in caudatus and in descendingGABAergic pathways to the substantia nigra.The inhibitory nervous feedback control of the nigro-striatal DA pathway thus seems to involve the inactivation of cholinergic interneurons in thecaudatus
allowing an increased activity to occur in descending inhibitory GABAergic pathwaysinnervating the DA nerve cells of the substantia nigra.(3) The characteristics of dopamine receptors:The theory of excitation-mediating and inhibition-mediating dopamine receptors has beenintroduced.The histochemical
biological
electrophysiological
pharmacological and functionalcharacteristics of dopaminergic receptors have also been described.It is proposed that the excitation-mediating receptors might be situated before
and the inhibition-mediating receptors
after thesynapses.The second part deals with the relationship between the nucleus caudatus and acupuncture anal-gesia.The experiments suggest that the nucleus caudatus has a powerful action to elevate the painthreshold and strengthen the analgesia effect of acupuncture.But the mechanism of oaudate analgesiais not clear yet.Some studies suggest that the dopaminergic system in the nucleus caudatus has anopposite effect on acupuncture analgesia.
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