Courteix C, Coudoré-Civiale M A, Privat A M, Zajac J M, Eschalier A, Fialip J
Equipe NPPUA, INSERM E9904, Laboratoire de Pharmacologie, Faculté de Pharmacie, Clermont-Ferrand, France.
Br J Pharmacol. 1999 Jul;127(6):1454-62. doi: 10.1038/sj.bjp.0702682.
1DMe, a neuropeptide FF (NPFF) analogue, has been shown to produce antinociception and to enhance morphine analgesia in rats after intrathecal administration. To determine whether 1DMe could correct hyperalgesia and restore morphine efficacy in mononeuropathic (MN) and diabetic (D) rats we examined the spinal effect of 1DMe in MN and D rats without and after spinal blockade of mu- and delta-opioid receptors with CTOP and naltrindole, respectively. The influence of 1DMe on morphine-induced antinociception was assessed in the two models using isobolographic analysis. Whereas 1DMe intrathecally injected (0.1, 1, 7.5 microg rat(-1)) was ineffective in normal (N) rats, it suppressed mechanical hyperalgesia (decrease in paw pressure-induced vocalisation thresholds) in both MN and D rats. This effect was completely cancelled by CTOP (10 microg rat(-1)) and naltrindole (1 microg rat(-1)) suggesting that it requires the simultaneous availability of mu- and delta-opioid receptors. The combinations of morphine: 1DMe (80.6:19.4% and 99.8:0.2%, in MN and D rats, respectively) followed by isobolographic analysis, showed a superadditive interaction, relative to the antinociceptive effect of single doses, in D rats only. In N rats, the combination of morphine: 1DMe (0.5 mg kg(-1), i.v.: 1 microg rat(-1), i.t., ineffective doses) resulted in a weak short-lasting antinociceptive effect. These results show a different efficacy of 1DMe according to the pain model used, suggesting that the pro-opioid effects of the NPFF in neuropathic pain are only weak, which should contribute to hyperalgesia and to the impaired efficacy of morphine.
1DMe是一种神经肽FF(NPFF)类似物,已显示鞘内给药后可在大鼠中产生镇痛作用并增强吗啡镇痛效果。为了确定1DMe是否能纠正单神经病变(MN)和糖尿病(D)大鼠的痛觉过敏并恢复吗啡疗效,我们分别用CTOP和纳曲吲哚对MN和D大鼠进行脊髓μ-和δ-阿片受体阻断前后,研究了1DMe在这些大鼠中的脊髓效应。在这两种模型中,使用等效应线图分析法评估了1DMe对吗啡诱导的镇痛作用的影响。鞘内注射1DMe(0.1、1、7.5微克/大鼠)对正常(N)大鼠无效,但能抑制MN和D大鼠的机械性痛觉过敏(爪部压力诱导发声阈值降低)。CTOP(10微克/大鼠)和纳曲吲哚(1微克/大鼠)可完全消除这种效应,表明其需要μ-和δ-阿片受体同时存在。吗啡与1DMe的组合(在MN和D大鼠中分别为80.6:19.4%和99.8:0.2%),经等效应线图分析,仅在D大鼠中相对于单剂量的镇痛作用显示出超相加相互作用。在N大鼠中,吗啡与1DMe的组合(静脉注射0.5毫克/千克:鞘内注射1微克/大鼠,无效剂量)产生微弱且持续时间短的镇痛作用。这些结果表明,根据所使用的疼痛模型,1DMe的疗效不同,提示NPFF在神经性疼痛中的促阿片类作用较弱,这可能导致痛觉过敏和吗啡疗效受损。