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右旋美沙酮在大鼠脊髓中抗伤害感受作用的N-甲基-D-天冬氨酸拮抗和阿片样物质成分

The N-methyl-D-aspartate antagonistic and opioid components of d-methadone antinociception in the rat spinal cord.

作者信息

Chizh B A, Schlütz H, Scheede M, Englberger W

机构信息

Grünenthal GmbH, Research Centre, Zieglerstrasse 6, 52078, Aachen, Germany.

出版信息

Neurosci Lett. 2000 Dec 22;296(2-3):117-20. doi: 10.1016/s0304-3940(00)01638-4.

Abstract

The d-enantiomer of the opioid methadone is a weak opioid with low micromolar affinity to the N-methyl-D-aspartate (NMDA) receptor. We have investigated the antinociception and in vivo NMDA antagonism after systemic administration of d-methadone in the rat spinal cord. d-Methadone caused antinociception in the Randall-Selitto model of inflammatory pain and inhibited the responses of hindlimb single motor units to noxious electrical and mechanical stimulation (ED(50) 6.6, 6.8 and 7.2 mg/kg intravenous (i.v.), respectively); the wind-up of these responses was only inhibited at the dose almost completely abolishing the baseline responses. d-Methadone inhibited the activity of spinal dorsal horn neurones evoked by both iontophoretic NMDA and (R, S)-alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA, ED(50) 5.7 and 8.2 mg/kg i.v., respectively). After pre-treatment with naloxone, d-methadone was unable to inhibit nociception in the Randall-Selitto model, the NMDA- or AMPA-evoked neuronal activity or the motoneurone wind-up. Thus, in the antinociceptive dose range, the NMDA antagonism does not appear to contribute to the mechanism of d-methadone antinociception.

摘要

阿片类药物美沙酮的右旋对映体是一种弱阿片类药物,对N-甲基-D-天冬氨酸(NMDA)受体具有低微摩尔亲和力。我们研究了大鼠脊髓全身给予右旋美沙酮后的镇痛作用及体内NMDA拮抗作用。右旋美沙酮在兰德尔-塞利托炎性疼痛模型中引起镇痛作用,并抑制后肢单个运动单位对有害电刺激和机械刺激的反应(静脉注射的半数有效剂量分别为6.6、6.8和7.2 mg/kg);这些反应的后放电仅在几乎完全消除基线反应的剂量下受到抑制。右旋美沙酮抑制离子导入NMDA和(R,S)-α-氨基-3-羟基-5-甲基-4-异恶唑丙酸(AMPA)诱发的脊髓背角神经元活动(静脉注射的半数有效剂量分别为5.7和8.2 mg/kg)。用纳洛酮预处理后,右旋美沙酮在兰德尔-塞利托模型中无法抑制伤害感受,无法抑制NMDA或AMPA诱发的神经元活动以及运动神经元后放电。因此,在镇痛剂量范围内,NMDA拮抗作用似乎并非右旋美沙酮镇痛机制的一部分。

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