• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Investigation for mechanism of morphine-inducing spastic paraplegia after a non-injurious interval of spinal cord ischemia

Research Project

Project/Area Number 16591551
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionUniversity of the Ryukyus

Principal Investigator

KAKINOHANA Manabu  University of the Ryukyus, Faculty of Medicine, Associate professor-, 医学部, 助教授 (20274897)

Co-Investigator(Kenkyū-buntansha) NARITA Minoru  Hoshi University School of Pharmacy and Pharmaceutical Sciences, Toxicology, Associate professor, 薬学部, 助教授 (40318613)
笹良 剛史  琉球大学, 医学部附属病院, 助手 (80225903)
Project Period (FY) 2004 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥3,300,000 (Direct Cost: ¥3,300,000)
Fiscal Year 2006: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2005: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 2004: ¥1,400,000 (Direct Cost: ¥1,400,000)
Keywordsspinal cord ischemia / opioid / spastic paraplegia / 大動脈手術 / 対麻痺 / モルヒネ
Research Abstract

(1) Although intra hecal (IT) morphine after a short interval of aortic occlusion in a rodent model induced transient spastic paraparesis via opioid receptor-coupled effects in spinal cord, investigations on the relationship between the activation of opioid receptor subtypes and neurological function after spinal cord ischemia have not been reported. To determine the role of these opioid receptors in spinal mechanisms of motor dysfunction after spinal cord ischemia we investigated whether IT administration of various opioid receptor agonists can induce paraparesis after a noninjurious interval of spinal cord ischemia in rats. In Sprague-Dawley rats implanted with an IT catheter, spinal cord ischemia was induced for 6 min using an intraaortic balloon. Mu ([D-Ala^2, N-Me Phe^4, Gly-ol^5] enkephalin), kappa (U50488H) or delta (p-Pen^<2,5>] enkephalin) agonist was injected intrathecally at 30 min after reflow. A separate group of animals was used to investigate the dose-response effect on … More this motor dysfunction. For this purpose, three doses of mu, kappa, or delta agonist were injected intrathecally after ischemia. After IT injection, recovery of motor function was assessed periodically using the motor deficit index (0 = complete recovery; 6 = complete paraplegia). IT administration of mu and delta but not kappa agonists produced dose-dependent effects in induction of spastic paraparesis in the rat. In addition, this spasticity induced by IT mu and delta agonists was reversed completely by IT naloxone and naltrindole, respectively. These results suggested that the effect of various opioids on motor function after a noninjurious interval of spinal cord ischemia depends upon individual opioid receptor subtypes.
(2) The purpose of this study is to investigate the interaction between K+ATP channel opener (nicorandil) and morphine on motor function after non-injurious interval of spinal cord ischemia in the rat. Spinal ischemia was induced by aortic occlusion for 6 min with a balloon catheter in Sprague-Dawley rats. All animals received intrathecal injection of morphine (1-60 μg) 1 h after ischemia. In addition to the intrathecal injection of morphine, group M (control animals), group MN (combination of morphine and nicorandil), and group MNG (combination of morphine, nicorandil, and glibenclamide) received intrathecal saline, nicorandil (10 μg) and both glibenclamide (10 μg) and nicorandil (10 μg) after 150 min of reperfusion, respectively. The quintal bioassay for the effect of intrathecal morphine on neurological function after ischemia was performed to calculate 50% effective dose values (ED_<50>) for inducing paraparesis at 3 h of reperfusion. The ED_<50> in the group M and group MN was 15.1± 4.9 μg and 2.9± 1.0 μg of IT morphine respectively (p < 0.05). In Group MNG, the dose-response curve shifted back to the right and the ED_<50> for inducing paraparesis was 11.6 ± 4.7 μg of IT morphine. The present study suggests that intrathecal low dose morphine combined with nicoranil could induce spastic paraparesis after non-injurious interval of spinal cord ischemia in the rat. Less

Report

(4 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • 2004 Annual Research Report
  • Research Products

    (19 results)

All 2006 2005 2004

All Journal Article (19 results)

  • [Journal Article] Intrathecal nicorandil and small-dose morphine can induce spastic paraparesis after a noninjurious interval of spinal cord ischemia in the rat.2006

    • Author(s)
      T Fuchigami et al.
    • Journal Title

      Anesth Analg 102・4

      Pages: 1217-1222

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Mu and Delta, but not Kappa, opioid agonists induce spastic paraparesis after a short period of spinal cord ischaemia in rat.2006

    • Author(s)
      M Kakinohana et al.
    • Journal Title

      Br J Anaesth 96・1

      Pages: 88-94

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Influence of the descending thoracic aortic cross clamping on bispectral index value and plasma propofol concentration in humans.2006

    • Author(s)
      M Kakinohana et al.
    • Journal Title

      Anesthesiology 104・5

      Pages: 939-943

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Level of consciousness affects the excitability of spinal motor neurons during propofol sedation in human.2006

    • Author(s)
      M Kakinohana et al.
    • Journal Title

      Br J Anaesth 96・6

      Pages: 742-746

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Intrathecal nicorandil and small-dose morphine can induce spastic paraparesis after a noninjurious interval of spinal cord ischemia in the rat2006

    • Author(s)
      T Fuchigami, et al.
    • Journal Title

      Anesth Analg 102・4

      Pages: 1217-1222

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Mu and Delta, but not Kappa, opioid agonists induce spastic paraparesis after a short period of spinal cord ischemia in rat.2006

    • Author(s)
      M Kakinohana, et al.
    • Journal Title

      Br J Anaesth 96・1

      Pages: 88-94

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Influence of the descending thoracic aortic cross clamping on bispectral index value and plasma propofol concentration in humans.2006

    • Author(s)
      M Kakinohana, et al.
    • Journal Title

      Anesthesiology 104・5

      Pages: 939-943

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Level of consciousness affects the excitability of spinal motor neurons during propofol sedation in human.2006

    • Author(s)
      M Kakinohana, et al.
    • Journal Title

      Br J Anaesth 96・6

      Pages: 742-746

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Mu and delta, but not kappa, opioid agonists induce spastic paraparesis after a short period of spinal cord ischaemia in rats.2006

    • Author(s)
      M Kakinohana et al.
    • Journal Title

      Br J Anaesth 96・1

      Pages: 88-94

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Intrathecal nicorandil and small-dose morphine can induce spastic paraparesis after a moninjurious interval of spinal cord ischemia in the rat.2006

    • Author(s)
      T.Fuchigami et al.
    • Journal Title

      Anesth Analg 102・4

      Pages: 1217-22

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Influence of the descending thoracic aortic cross clamping on bispectralindex value and plasma propofol concentration in humans.2006

    • Author(s)
      M.Kakinohana et al.
    • Journal Title

      Anesthesiology 104・5

      Pages: 939-43

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Level of consciousness affects the excitability of spinal motor neurones during propofol sedation in humans.2006

    • Author(s)
      M.Kakonohana
    • Journal Title

      Br J Anaesth 96・6

      Pages: 742-6

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Mu and Delta, but not Kappa, opioid agonists induce spastic paraparesis after a short period of spinal cord ischaemia in rat.2006

    • Author(s)
      M Kakinohana, 他5名
    • Journal Title

      Br J Anaesth 96

      Pages: 88-94

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Myogenic transcranial motor evoked potentials monitoring can not always predict neurological outcome after spinal cord ischemia in rats.2005

    • Author(s)
      M Kakinohana et al.
    • Journal Title

      J Thorac Cardiovasc Surg 129・1

      Pages: 46-52

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Myogenic transcranial motor evoked potentials monitoring can not always predict neurological outcome after spinal cord ischemia in rats.2005

    • Author(s)
      M Kakinohana, et al.
    • Journal Title

      J Thorac Cardiovasc Surg 1291・1

      Pages: 46-52

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Myogenic Transcranial Motor Evoked Potentials Monitoring Cannot Always Predict Neurological Outcome After Spinal Cord Ischemia In Rats.2005

    • Author(s)
      M Kakinohana, 他3名
    • Journal Title

      J Thorac Cardiovasc Surg 129

      Pages: 46-52

    • Related Report
      2004 Annual Research Report
  • [Journal Article] The activation of Spinal N-Methyl-D-Aspartate Receptors May Contribute to Degeneration of Spinal Motor Neurons Induced by Neuraxial Morphine After a Noninjurous Inter2005

    • Author(s)
      M Kakinohana, 他5名
    • Journal Title

      Anesthesia & Analgesia 100

      Pages: 327-334

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 胸部あるいは胸腹部大動脈瘤手術時の脊髄機能モニタリング-経頭蓋的運動誘発電位の意義-2004

    • Author(s)
      垣花 学, 他3名
    • Journal Title

      臨床麻酔 28

      Pages: 1367-1373

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Intrathecal morphine, but not buprenorphine or pentazocine, can induce spastic paraparesis after a noninjurious interval of spinal cord ischemia in the rat.2004

    • Author(s)
      S Nakamura, M Kakinohana, 他3名
    • Journal Title

      Anesthesia & Analgesia 99

      Pages: 1528-1531

    • Related Report
      2004 Annual Research Report

URL: 

Published: 2004-04-01   Modified: 2016-04-21  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi