Diana M, Muntoni A L, Pistis M, Melis M, Gessa G L
Department of Drug Sciences, University of Sassari, Italy.
Eur J Neurosci. 1999 Mar;11(3):1037-41. doi: 10.1046/j.1460-9568.1999.00488.x.
The activity of mesolimbic dopaminergic neurons was investigated in rats at various times after a chronic regimen of morphine, which produced, upon suspension, a marked somatic withdrawal syndrome. Single-cell extracellular recording techniques, coupled with antidromic identification from the nucleus accumbens, were used to monitor neuronal activity while behavioural observations allowed quantification of the somatic signs of morphine withdrawal. Temporal correlation of electrophysiological indices, such as firing rate and burst firing, with scores obtained through behavioural assessments proved negative, in that somatic signs were pronounced at 24 h after suspension of treatment and then subsided to control values at 72 h after the last morphine injection. In contrast, the firing rate and burst firing of mesolimbic dopaminergic neurons were found to be reduced at 1, 3 and 7 days after morphine withdrawal. After 14 drug-free days, electrophysiological analysis revealed an apparent normalization of various parameters. However, at this time, intravenous administration of morphine produced an increment of electrical activity which was significantly higher than that obtained in control (saline treated) rats. Further, administration of the opiate antagonist naltrexone, administered without prior morphine, at 3, 7 and 14 days after the last morphine administration, failed to alter dopaminergic neuronal activity. The results indicate: (i) that the activity of mesolimbic dopaminergic neurons remains reduced well after somatic signs of withdrawal have disappeared; (ii) after 14 days of withdrawal, the augmented magnitude of the electrophysiological response to exogenous morphine suggests an increased sensitivity of opiate receptors; and (iii) the lack of relationship between dopaminergic activity and somatic signs of withdrawal corroborates the notion that dopaminergic activity in the mesolimbic system does not participate in the neurobiological mechanisms responsible for somatic withdrawal. The present results may be relevant to the phenomenon of drug addiction in humans and consequent relapse after drug-free periods.
在大鼠身上,研究了慢性吗啡给药方案后不同时间点中脑边缘多巴胺能神经元的活性。该给药方案在停药时会引发明显的躯体戒断综合征。采用单细胞细胞外记录技术,并结合伏隔核的逆向鉴定,来监测神经元活性,同时通过行为观察对吗啡戒断的躯体体征进行量化。电生理指标(如放电频率和爆发式放电)与行为评估得分之间的时间相关性呈负相关,即停药后24小时躯体体征明显,然后在最后一次注射吗啡后72小时恢复到对照值。相比之下,发现中脑边缘多巴胺能神经元的放电频率和爆发式放电在吗啡戒断后1天、3天和7天降低。在停药14天后,电生理分析显示各项参数明显恢复正常。然而,此时静脉注射吗啡会使电活动增加,且显著高于对照(生理盐水处理)大鼠。此外,在最后一次注射吗啡后3天、7天和14天,在未预先注射吗啡的情况下给予阿片类拮抗剂纳曲酮,未能改变多巴胺能神经元活性。结果表明:(i)中脑边缘多巴胺能神经元的活性在躯体戒断体征消失后仍长时间降低;(ii)停药14天后,对外源性吗啡电生理反应的增强幅度表明阿片受体敏感性增加;(iii)多巴胺能活性与躯体戒断体征之间缺乏关联,证实了中脑边缘系统中的多巴胺能活性不参与负责躯体戒断的神经生物学机制这一观点。目前的结果可能与人类药物成瘾现象以及停药期后的复发有关。