Laorden M L, Fuertes G, González-Cuello A, Milanés M V
Department of Physiology and Pharmacology, Unit of Pharmacology, University School of Medicine, Murcia, Spain.
J Pharmacol Exp Ther. 2000 May;293(2):578-84.
We have previously shown an enhanced activity of the pituitary-adrenal response in rats dependent on morphine, which occurs concomitantly with an increase in the activity of catecholaminergic terminals in the hypothalamic paraventricular nucleus (PVN). The present study examined the possible role of noradrenergic system in the regulation of opioid withdrawal-induced activation of the hypothalamus-pituitary-adrenocortical (HPA) axis activity. Rats were given morphine by s.c. implantation of morphine pellets for 7 days. On the seventh day, morphine withdrawal was induced by s.c. administration of naloxone (1 mg/kg), rats were sacrificed 30 min later, and changes in noradrenaline (NA) turnover (estimated by the 3-methoxy-4-hydroxyphenylethylen glycol/NA ratio) and in dopamine turnover (estimated by the 3,4-dihydroxyphenylacetic acid/dopamine ratio) in the PVN (HPLC with electrochemical detection) and in plasma corticosterone levels were determined. We found a parallelism between the behavioral signs of withdrawal, an increased activity of noradrenergic and dopaminergic terminals in the PVN, and the hypersecretion of the HPA axis. Pretreatment with alpha(1)- or alpha(2)-adrenoceptor antagonists prazosin or yohimbine, respectively, 15 min before naloxone administration significantly prevented the withdrawal-induced corticosterone hypersecretion and attenuated the behavioral signs of morphine withdrawal. In addition, biochemical analysis indicated that both prazosin and yohimbine completely abolished the withdrawal-induced increase in NA turnover in the PVN. In contrast, neither prazosin nor yohimbine modified the hyperactivity of dopaminergic terminals in the PVN during withdrawal. Collectively, these data suggest that the secretory activity in the HPA axis after morphine withdrawal results from an increase in noradrenergic activity that is dependent on alpha(1)- and alpha(2)-adrenoceptor activation. Activation of dopaminergic pathways might not contribute to the neuroendocrine response during withdrawal.
我们之前已经表明,依赖吗啡的大鼠垂体 - 肾上腺反应活性增强,这与下丘脑室旁核(PVN)中儿茶酚胺能终末活性增加同时发生。本研究探讨了去甲肾上腺素能系统在调节阿片类戒断诱导的下丘脑 - 垂体 - 肾上腺皮质(HPA)轴活性激活中的可能作用。通过皮下植入吗啡丸剂给大鼠注射吗啡7天。在第7天,通过皮下注射纳洛酮(1mg/kg)诱导吗啡戒断,30分钟后处死大鼠,并测定PVN中去甲肾上腺素(NA)周转率(通过3 - 甲氧基 - 4 - 羟基苯乙二醇/NA比值估算)和多巴胺周转率(通过3,4 - 二羟基苯乙酸/多巴胺比值估算)(采用电化学检测的高效液相色谱法)以及血浆皮质酮水平。我们发现戒断的行为体征、PVN中去甲肾上腺素能和多巴胺能终末活性增加以及HPA轴的分泌亢进之间存在平行关系。在注射纳洛酮前15分钟分别用α(1)-或α(2)-肾上腺素能受体拮抗剂哌唑嗪或育亨宾进行预处理,可显著预防戒断诱导的皮质酮分泌亢进,并减轻吗啡戒断的行为体征。此外,生化分析表明,哌唑嗪和育亨宾均完全消除了戒断诱导的PVN中NA周转率增加。相反,在戒断期间,哌唑嗪和育亨宾均未改变PVN中多巴胺能终末的活性亢进。总体而言,这些数据表明吗啡戒断后HPA轴的分泌活性源于依赖α(1)-和α(2)-肾上腺素能受体激活的去甲肾上腺素能活性增加。多巴胺能通路的激活可能对戒断期间的神经内分泌反应没有贡献。