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禁欲后小鹿斑鼠的乙醇消耗:纳曲酮的作用及μ-阿片受体密度的变化

Ethanol consumption by Fawn-Hooded rats following abstinence: effect of naltrexone and changes in mu-opioid receptor density.

作者信息

Cowen M S, Rezvani A H, Jarrott B, Lawrence A J

机构信息

Department of Pharmacology, Monash University, Clayton, VIC, Australia.

出版信息

Alcohol Clin Exp Res. 1999 Jun;23(6):1008-14.

Abstract

BACKGROUND

Relapse after abstinence can be modelled in rats using an alcohol deprivation effect (ADE) of enhanced ethanol consumption after a period of enforced abstinence from ethanol; however, not all rat strains display such an effect. We wanted to examine the effect of naltrexone on ethanol consumption by ethanol-preferring Fawn-Hooded (FH) rats using such a model.

METHODS

FH rats were given continual free-choice access to a 5% ethanol solution or water (4 weeks) followed by 2 weeks of water alone. At the end of this abstinence period, osmotic minipumps were implanted subcutaneously to deliver saline (n = 4) or naltrexone (n = 4; 8.4 mg/kg/day for 4 weeks). After recovery from surgery, the rats were again given access to 5% ethanol under the same free-choice conditions (4 weeks). A third group of age-matched controls drank only water during the behavioral trial. At the end of the behavioral trial, the rats were decapitated and an autoradiographic examination was made of micro-opioid receptor density through the forebrain using the ligand [125I]FK-33824.

RESULTS

First, a period of enforced abstinence from ethanol consumption caused a significant (p < 0.05) and prolonged increase in ethanol preference (+18%) and decrease in water consumption (-53%), although the volume of ethanol consumed (ml/day) did not vary, indicating an atypical ADE in this rat strain. Second, naltrexone significantly (p < 0.05) decreased ethanol consumption by the FH rats in terms of absolute amount of ethanol consumed and preference for ethanol solution, but this effect of naltrexone diminished over time, concurrent with a robust and significant elevation in micro-opioid receptor density in all brain regions examined (p < 0.05). Finally, ethanol consumption alone also upregulated micro-opioid receptor density relative to nondrinking controls in a number of brain regions, which included the nucleus accumbens (+29%) and caudate-putamen (+15%,p < 0.05), but decreased micro-opioid receptor density in other regions including the substantia nigra pars reticulata, which was suggestive of an indirect effect on micro-opioid receptors.

CONCLUSIONS

The data suggest that continual long-term naltrexone treatment may not be effective in the treatment of alcoholism, possibly because of the induced increase in micro-opioid receptor density.

摘要

背景

禁欲后的复吸可在大鼠中通过酒精剥夺效应(ADE)进行模拟,即在一段强制戒酒期后乙醇摄入量增加;然而,并非所有大鼠品系都表现出这种效应。我们想用这样的模型研究纳曲酮对嗜酒的小鹿斑鼠(FH)乙醇摄入量的影响。

方法

给FH大鼠持续自由选择5%乙醇溶液或水(4周),随后单独给水2周。在这段禁欲期结束时,皮下植入渗透微型泵以输送生理盐水(n = 4)或纳曲酮(n = 4;8.4毫克/千克/天,持续4周)。手术后恢复后,在相同自由选择条件下再次让大鼠接触5%乙醇(4周)。第三组年龄匹配的对照在行为试验期间只饮水。在行为试验结束时,将大鼠断头,并使用配体[125I]FK - 33824通过前脑进行微阿片受体密度的放射自显影检查。

结果

首先,一段强制戒酒期导致乙醇偏好显著(p < 0.05)且持续增加(+18%),水摄入量减少(-53%),尽管乙醇摄入量(毫升/天)没有变化,表明该大鼠品系存在非典型的ADE。其次,纳曲酮在乙醇消耗的绝对量和对乙醇溶液的偏好方面显著(p < 0.05)降低了FH大鼠的乙醇摄入量,但纳曲酮的这种作用随时间减弱,同时在所检查的所有脑区微阿片受体密度显著升高(p < 0.05)。最后,相对于不饮酒的对照,仅乙醇摄入也上调了多个脑区的微阿片受体密度,其中包括伏隔核(+29%)和尾状核 - 壳核(+15%,p < 0.05),但在包括黑质网状部在内的其他区域微阿片受体密度降低,这提示对微阿片受体有间接影响。

结论

数据表明,持续长期的纳曲酮治疗可能对酒精中毒治疗无效,可能是因为诱导的微阿片受体密度增加。

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