ABSTRACT-The effects of morphine on the release of immunoreactive substance P (iSP) into the sub cutaneous perfusate and the changes in cutaneous blood flow (CBF) elicited by antidromic stimulation of sectioned sciatic nerve were investigated in the instep of the hind paw of rats. Antidromic stimulation of the sectioned sciatic nerve induced a marked increase in iSP release into the subcutaneous perfusate and a biphasic flow response consisting of an initial transient decrease followed by an increase. Both the iSP re lease and the increase of the CBF evoked by antidromic stimulation (the second phase) were significantly in hibited by intra-arterial (i.a.) infusion of morphine (30 ttmol/kg). These inhibitory effects of morphine were antagonized by pretreatment with naloxone (2 mg/kg, i.p.). The i.a. infusion of SP (0.25 pmol/kg) induced a biphasic flow response similar to that elicited by antidromic stimulation of the sectioned sciatic nerve. Neither phase induced by i.a. infusion of SP was affected by preinfusion of morphine (10 or 30 pmol/kg, i.a.). We suggest that morphine applied locally mainly acts on the peripheral endings of small-diameter afferent fibers, not on blood vessels, and that activation of this site is involved in the regulation of the microcirculatory hemodynamics of cutaneous tissue through inhibition of SP release.
Keywords:Substance P, Cutaneous blood flow, Antidromic stimulation, Morphine, NaloxoneSmall-diameter primary afferent neurons are known to transmit nociceptive messages to central neurons (1) and also to be important in the inflammatory process in the periphery through axon-reflex mechanisms (2). In fact, vasodilatation, swelling and pain, which are the principal signs of inflammation, can all be produced by the activa tion of small-diameter primary afferent neurons (3). Sev eral lines of evidence indicate that substances released from capsaicin-sensitive, small-diameter primary afferent neu rons mediate these signs of inflammation (4). There is some evidence indicating that substance P (SP) may be one of the predominant mediators responsible for the ini tiation of neurogenic inflammatory responses. For exam ple, electrical stimulation of small-diameter afferent fibers was shown to induce the release of SP in the periphery (5 7) and to produce the same cutaneous vasodilatation and plasma extravasation as that induced by intradermal or intra-arterial administration of SP (8). These findings suggest that afferent impulses from nerve terminals of small-diameter afferent fibers generated by noxious stimu li may cause the release of SP, which may finally control the inflammatory response through regulation of the microcirculation.Opioids, which are known to inhibit the release of SP from the central terminals of small-diameter afferent fibers (9, 10), have been also shown to inhibit stimulus evoked SP release into the subcutaneous space (11) and neurogenic inflammation (12, 13).The aim of this study was to elucidate the site of action of opioids in peripheral sensory nerves-cutaneous bl...