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咖啡因辨别刺激在人类中的药理学特异性:茶碱、哌甲酯和丁螺环酮的作用

Pharmacological specificity of the caffeine discriminative stimulus in humans: effects of theophylline, methylphenidate and buspirone.

作者信息

Oliveto A.H., Bickel W.K., Hughes J.R., Terry S.Y., Higgins S.T., Badger G.J.

机构信息

Human Behavioral Pharmacology Laboratory, Department of Psychiatry, University of Vermont, 38 Fletcher Place, Burlington, VT 05401-1419, USA.

出版信息

Behav Pharmacol. 1993 Jun;4(3):237-246.

Abstract

The present study examined further the pharmacological specificity of the methylxanthine CNS stimulant caffeine as a discriminative stimulus in humans. Nine normal healthy volunteers (ages 19-39) were trained to discriminate between caffeine (320mg/70kg, p.o.) and placebo, using monetary reinforcement of correct letter code identification. After four training sessions, subjects were tested with the training conditions until they were >80% correct on four consecutive sessions. Then dose-effect curves were determined for caffeine (56-320mg/70kg), theophylline (56-320mg/70kg), methylphenidate (10-56mg/70kg), and buspirone (1-32mg/70kg). Seven of nine subjects met the discrimination criterion within four to nine sessions. During dose-effect curve determinations, caffeine and methylphenidate each produced dose-related increases in caffeine-appropriate responding. Theophylline produced caffeine-appropriate responding that was not dose related in a consistent manner across subjects, occasioning an average of 50% caffeine-appropriate responding at most doses tested. Buspirone produced predominantly placebo-appropriate responding. Caffeine-appropriate responding tended to be directly related to ARCI LSD scores, self-reported "bad" effects, "high", and stimulant-bad effects and inversely related to ARCI PCAG scores and sedative ratings. These results agree with non-human data and suggest that the caffeine discriminative stimulus has pharmacological specificity, in that caffeine-appropriate responding generalizes to other stimulants such as theophylline or methylphenidate, but not to non-stimulant compounds such as buspirone.

摘要

本研究进一步考察了甲基黄嘌呤类中枢神经系统兴奋剂咖啡因作为人类辨别刺激物的药理学特异性。九名正常健康志愿者(年龄19 - 39岁)接受训练,通过对正确字母代码识别给予金钱奖励,来辨别咖啡因(320mg/70kg,口服)和安慰剂。经过四次训练后,对受试者进行训练条件测试,直至他们在连续四次测试中正确率超过80%。然后测定咖啡因(56 - 320mg/70kg)、茶碱(56 - 320mg/70kg)、哌甲酯(10 - 56mg/70kg)和丁螺环酮(1 - 32mg/70kg)的剂量效应曲线。九名受试者中有七名在四至九次测试中达到辨别标准。在剂量效应曲线测定期间,咖啡因和哌甲酯各自产生与剂量相关的对咖啡因反应的增加。茶碱产生的对咖啡因的反应在不同受试者中并非以一致的方式与剂量相关,在大多数测试剂量下,平均最多产生50%的对咖啡因的反应。丁螺环酮主要产生与安慰剂相关的反应。对咖啡因的反应倾向于与成瘾研究中心量表(ARCI)的致幻剂(LSD)评分、自我报告的“不良”效应、“兴奋感强烈”以及兴奋剂不良效应直接相关,而与ARCI的抗焦虑量表(PCAG)评分和镇静评分呈负相关。这些结果与非人类数据一致,表明咖啡因辨别刺激物具有药理学特异性,即对咖啡因的反应可推广到其他兴奋剂,如茶碱或哌甲酯,但不适用于非兴奋剂化合物,如丁螺环酮。

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