Local cerebral glucose utilization in stimulated rats sedated with thiopental

Abstract

Background: Recent studies have suggested that supraspinal structures are involved in barbiturate-induced enhancement of nociceptive processing. The goal of the study was to determine whether cortical and subcortical regions involved in nociception were relatively activated or depressed by noxious stimulation during infusion of small doses of thiopental. Methods: Local cerebral glucose utilization (LCGU) was measured with the 14C-2- deoxyglucose radioautographic technique in 14 rats. During the LCGU experiment, pressure was applied to the tail every 2 min, and the somatic motor response threshold was recorded. Seven animals received thiopental infusions to produce a steady-state plasma concentration (target concentrations of 10 μg/ml), and seven untreated animals served as controls. Results: A steady-state plasma thiopental concentration (11.1 ± 1.8 to 13.0 ± 2.1 μg/ml) was accompanied by a decrease in the somatic motor response threshold from 277 ± 32 g (before thiopental) to 215 ± 41 g (P < 0.001). The somatic motor response threshold remained unchanged in the control group. Average LCGU was 29% less in the thiopental-treated animals than in the untreated controls (P < 0.001). In cortical regions associated with nociception, LCGU was relatively increased (+ 3% ± 14%) during the thiopental infusion in comparison to the visual and auditory cortices (-18% ± 13%; P < 0.001). Individual structures that showed relative changes during thiopental infusion included the nucleus accumbens (+17%, P < 0.05) and the habenula (-17%, P < 0.05). Heterogenous relative changes (P < 0.05) in LCGU were observed in the auditory system: auditory cortex (-22%), medial geniculate (-16%), lateral lemniscus (+26%), superior olive (+38%). Conclusions: Noxious stimulation during low-dose thiopental infusions relatively increased LCGU in cortical regions postulated to be responsible for processing of noxious stimuli. Nuclei in the descending pain modulating system were not relatively depressed.