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THE EFFECT OF VASOACTIVE DRUGS UPON THE SPINAL PAIN MODULATION

Research Project

Project/Area Number 10470315
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionThe University of Tokyo

Principal Investigator

HANAOKA Kazuo  Faculty of Medicine, The University of Tokyo, Professor, 医学部・附属病院, 教授 (80010403)

Co-Investigator(Kenkyū-buntansha) IDE Yasuo  Faculty of Medicine, The University of Tokyo, Lecturer, 医学部・附属病院, 講師 (60193463)
SUMIDA Toshinobu  Faculty of Medicine, The University of Tokyo, Lecturer, 医学部・附属病院, 講師 (80187806)
TAGAMI Megumi  Univ. of Toho, Anesthesiology, Professor, 医学部, 教授 (90107657)
KITAMURA Takayuki  Faculty of Medicine, The University of Tokyo, Assistant, 医学部・附属病院, 助手 (50302609)
SEKIYAMA Hiroshi  Faculty of Medicine, The University of Tokyo, Assist. Prof., 医学部・附属病院, 助手 (40301105)
Project Period (FY) 1998 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥4,800,000 (Direct Cost: ¥4,800,000)
Fiscal Year 2001: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2000: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1999: ¥3,400,000 (Direct Cost: ¥3,400,000)
Keywordsspinal cord / single-unitactivity / dorsal horn / wide dynamic range (WDR) cell / vasoactive drugs / pinching stimulation / calcium channel blocker / extracellar microelectroed measurement / 脊髄疼痛制御機構 / ジルチアゼム / クロニジン / Rexed第5層型単一細胞 / 微小電極誘導法 / カルシウムチャネル拮抗薬 / 脊髄鎮痛機構 / カルシウム桔抗薬 / 一酸化窒素
Research Abstract

The purpose of this study is to investigate the effects of vasoactive drugs on the wide dynamic range (WDR) neuron of the dorsal horn of the feline lumber spinal cord.
Methods : Under nitrous oxide-oxygen-isoflurane anesthesia, cats of both sex were prepared with midcollicular decerebration and lumber laminectomy. The spinal cord win transected at T12-L1. WDR cells, responding primarily to noxious peripheral stimuli, were sampled with a microelectrode at the depth of 1500-2000 micrometer from the cord dorsum. Spontaneous activity and noxiously evoked activity by pinching the receptive field on the hind paw were measured.
Diltiazem, as calcium channel blocker, 10 mg /ml (D 10 mg Group) or 20 mg/ml (D 20 mg Group) was administered on the surface of the cord dorsum by the drip method. Then, changes of the cell's firings of spontaneous and evoked activities in WDR were investigated every five minutes. Recoveries of firings were followed until the firings recovered by the control level.
Clonidine, as α 2-adrenergic agonist, 5 micro g/ml (C 5 micro g Group) or 50 micro g /ml (C 50 micro g Group) was administered as some manner of diltiazem experiment.
Results : All groups showed the suppressive effect. Diltiazem showed the suppressive effect on dose dependent manner. However, clonidine did not show the dose dependent manner.
Discussion : Our results suggested that calcium channel blocker and α2 adrenergic agonist have suppressive effects on single-unit activities of WDR neuron. Therefore, both drugs are considered to be applied on the clinical use for the chronic intractable pain patients.
Conclusion : Calcium channel and α2-adrenergic receptor are related with pain.

Report

(5 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • 1998 Annual Research Report
  • Research Products

    (41 results)

All Other

All Publications (41 results)

  • [Publications] 井手康雄, 花岡一雄: "慢性疼痛とケタミン"東京都医師会誌. 53(1). 11-16 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nishiyama T., Hanaoka K.: "The effects of epidural baprivacaine, morphone, and their combination on thermal nociception with different stimulus intensity in rats"Anesthesia & Analgesia. 91(3). 152-163 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 日野亜希, 有田英子, 花岡一雄: "帯状疱疹後神経痛に対する塩酸クロニジン軟膏の有効性"麻酔. 50巻2号. 160-163 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nishiyama T., Hanaoka k.: "The synergistic interaction between midazolam and colhidineiw spinelly-mediated a nalgesia in two different pain models of rats"Anesthesia & Analgesia. 93(4). 1025-1031 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 関山裕詩, 花岡一雄: "帯状疱疹後痛の治療と薬剤"医薬ジャーナル. 38(1). 547-549 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Tomioka T., Awaya Y., Nihei K., Sekiyama H., Sawamura S., Hanaoka K.: "Aneathesia for patients with congenitol in sonsifirity to pain and anhidrosis a questionnaire study in Japan"Anesthesia & Analgesia. 94(2). 271-274 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] 剣持修, 花岡一雄: "NEW麻酔科学 改訂第3版"南江堂. (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kitamura T., Yamada Y., Chinzei M., Du HL., Hanaoka K.: "Attenuation of haemodynamic responses to tracheal intubation by the styletscope"British Journal of Anaesthesia. 86(2). 275-7-7 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nishiyama T., Hanaoka K.: "Propofol-induced bronchoconstriction : two case reports"Anesthesia & Analgesia. 93(3). 645-6 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Orii R., Sugawara Y., Hayashida M., Uchida K. Yamada Y., Takayama T., Makuuchi M., Hahaoka K.: "Lactate is correlated with the indocyanine green elimination rate in liver resection for cirrhotic patients"Anesthesia & Analgesia. 92(4). 1064-70 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Chang KH., Uchikoba K., Obara M., Chinzei M., Sumida T., Arita E., Hanaoka K.: "Marked reduction of life-threatening ventricular tachyarrhythmias in a critically ill patient by intravenous administration of magnesium sulfate"Masui - Japanese Journal of Anesthesiology. 51(1). 56-60 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Horai T., Nishiyama T., Yamamoto H., Hanaoka K.: "High dose L-dopa infusion during general anesthesia for gastrectomy in a patient with parkinsonism"Masui - Japanese Journal of Anesthesiology. 51(1). 42-5 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Tomioka T., Awaya Y., Nihei K., Sekiyama H., Sawamura S., Hanaoka K.: "Anesthesia for patients with congenital insensitivity to pain and anhidrosis: a questionnaire study in Japan"Anesthesia & Analgesia. 94(2). 271-4 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Hanaoka K., Hayashiba M., Arita H., Sumida T., Ide Y.: "Management of post operative pain The Management of Acute and chironic Pain"The Use of the "Tools of the Trade" Edited by Karames E., Reig E., Monduzzi Editore. 133-7 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Kitamura T, Yamada Y, Chinzei M, Dr HL, Hamacka K.: "Attenuation of heamodynamic responses to tracheal intabation by the styletscope"British Journal of Anaesthesia. 86(2). 275-277 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Nishiyama T, Hanaoka K: "Profotol-induced bronchocon striction : two case reports"Anaesthesia & Analgesia. 93(3). 645-646 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Orii R, Sugawara Y, Hayashida M, Uchida K, Yamada Y, Takayama T, Makuuchi M, Hanaoka K.: "Lactate is correlated with the indocyamine green elimination rate in liver resection for cirrhotic patients"Anesthesia & Analgesia. 92(4). 1064-1070 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Chang KH, Uchikoba K, Obara M, Chinzei M, Sumida T, Arita E, Hanaoka K.: "Marked reduction of life-threatening ventricular tachyarrhythmias in a critically ill patient by intravenous administration, of magnesium suttate"Masui-Japanese Journal of Anesthesiology. 51(1). 50-56 (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Hori T, Nishiyama T, Yamamoto H, Hanaoka K.: "High does L-dopa infusion during general anesthesia for gastrectomy in a pati3nt with parkinsonism"Masui-Japanese Journal of Anesthesiology. 51(1). 42-45 (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Tomioka T, Awaya Y, Nihei K, Sekiyama H, Sawamura S, Hanaoka K: "Anesthesia for pationts with congenital insensitivity to pain and anhidrosis : a questionnaire stady in Japan"Anaesthesia & Analgesia. 94(2). 271-274 (2002)

    • Related Report
      2001 Annual Research Report
  • [Publications] Hanaoka K, Hayashida M, Arita H, Sumida T, Ide Y: "The Management of postoperatire pain the management of Acute and chronic pain. The use of the "Tools of the Trade""Monduzzi Editore. 133-137 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] 井手康雄,花岡一雄: "慢性疼痛とケタミン"東京都医師会雑誌. 53(1). 11-16 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] T.Nishiyama,K.Hanaoka: "The effects of epidural bupivacaine, morphine and their combination on thermal nociception with different stimulus intensity in rats"Anesth K Analg. 91(3). 652-656 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 西山友貴,花岡一雄: "外傷術後の持続鎮静・鎮痛法ミダゾラムナブプレノルフィン-Retrospective study-"ICUとCCU. 24(5). 343-348 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] T.Nishiyama,T.Mastakaw,K Haraoka: "Continuous nicardipine infusion to control blood cerebral after evacuation of acute cerebral hemorrhage"Can.J.Anesth. 47(2). 1196-1201 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] T.Nishiyama,K.Hanaoka: "Nicardipine did not activate renin-angiotensin-aldosterone system during isoflurane on sevoflurane anesthesia"Can.J.Anesth. 47(2). 1249-1252 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 目野亜希,有田英子,花岡一雄: "帯状疱疹後神経痛に対する塩酸クロニジン軟膏の有効性"麻酔. 50(2). 160-163 (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] K.Hanaoka,M.Hayashida,H.Arita,T.Sumida and Y.Ide: "The management of Acute and chronic Pain the Use of the Tools of the Trade"Monduzzi Editore. 813 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Meno.A.,Arita H.,Hanaoka.K: "Management of Pain A World Perspective"228 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 井手康夫 花岡一雄: "NMDA受容体"ペインクリニック. 20(4). 561-566 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 井手康夫 花岡一雄: "慢性疼痛とケタミン"東京都医師会雑誌. 53(1). 11-16 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] T.Nishiyama,T.Yokoyama,K.Hanaoka: "Mida20lam improves postoperative epidural analgesia with continuous infusion of local anaesthetics"Conadion Journal of Anaesthesia. 45(6). 551-555 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] T.Nishiyama,K.Hanaoka: "Effect of dilvent Volyme on post-operative analgesia and sodation produced by epidurally administered Mida20lam"European Journal of Anaesthesiology. 15. 275-279 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] T.Nishiyama,T.Matsukawa,K.Hanaoka: "Continuous epidural administration of mida20lam and bupiracaine for postoperative analygesia"Acta Anaesthesiol Scand. 43. 568-572 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] T.Nishiyama,T.Matsukawa,K.Hanaoka: "Acute phase Histopathological Study of spinally administered mida20lam in Cats"Aresthesia Analgesia. 89. 717-720 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 角田俊信 花岡一雄: "新・内科治療ガイド:癌性疼痛"文光堂(東京)矢崎義雄他編. 450 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 角田俊信 花岡一雄: "麻酔生理学第4章疼痛の生理"真興交易医学書出版部(東京)花岡一雄編. 388 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 花岡 一雄: "【疼痛コントロールのABC】痛みの悪循環" 日本医師会雑誌. 119(12). S2-S3 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 井手 康雄: "痛みと過呼吸" ペインクリニック. 19(2). 217-223 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 角田 俊信: "電気生理学的研究からみた疼痛関連行動との関連性" ペインクリニック. 20(1). 32-37 (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] 角田 俊信: "【目で見るモルヒネの薬理作用・3】鎮痛作用" 日本医師会雑誌. 121(5). 7-9 (1999)

    • Related Report
      1998 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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