Garzón J, Sánchez-Blázquez P
Neurofarmacología, Instituto de Neurobiología Santiago Ramón y Cajal, Consejo Superior de Investigaciones Científicas, Avenida Doctor Arce 37, E-28002 Madrid, Spain.
Neuropharmacology. 2001 Mar;40(4):560-9. doi: 10.1016/s0028-3908(00)00198-2.
The administration of efficacious doses of morphine or beta-endorphin causes acute tolerance (tachyphylaxis) to the effects of additional administrations of these opioids. Mice intracerebroventricularly (icv)-injected with biologically active myristoylated (myr(+))-G(i2)alpha subunits developed no tachyphylaxis to morphine antinociception in the tail-flick test. This treatment increased the potency of opioid-induced analgesia during the declining phase. Moreover, animals showing tachyphylaxis to opioid effects exhibited normal responses to the agonists after icv-administration of myr(+)-G(i2)alpha subunits. In morphine tolerant/dependent mice, an icv dose of 12 pmol/mouse myr(+)-G(i2)alpha subunits facilitated complete restoration of morphine antinociception in only 4 or 5 days instead of the 10 to 11 days required for post-dependent mice. This was observed when myr(+)-G alpha subunits were injected within the first 24 h of chronic morphine administration -- but not later when long-term tolerance takes place. These results suggest that during the course of an opioid effect a progressive reduction of receptor-regulated G-proteins occurs, and hence tachyphylaxis develops. Exogenous administration of myr(+)-G alpha subunits may be of therapeutic potential in improving agonist activity and accelerating the recovery of post-dependent receptors.
给予有效剂量的吗啡或β-内啡肽会导致对这些阿片类药物后续给药的效果产生急性耐受性(快速耐受性)。在甩尾试验中,脑室内(icv)注射生物活性肉豆蔻酰化(myr(+))-G(i2)α亚基的小鼠对吗啡镇痛作用未产生快速耐受性。这种处理在下降阶段增加了阿片类药物诱导的镇痛效力。此外,对阿片类药物作用表现出快速耐受性的动物在脑室内注射myr(+)-G(i2)α亚基后对激动剂表现出正常反应。在吗啡耐受/依赖的小鼠中,每只小鼠脑室内注射12 pmol的myr(+)-G(i2)α亚基仅在4或5天内就促进了吗啡镇痛作用的完全恢复,而不是依赖后小鼠所需的10至1天。当在慢性吗啡给药的头24小时内注射myr(+)-Gα亚基时观察到了这种情况——但在长期耐受性形成后则没有。这些结果表明,在阿片类药物作用过程中,受受体调节G蛋白会逐渐减少,从而产生快速耐受性。外源性给予myr(+)-Gα亚基在改善激动剂活性和加速依赖后受体恢复方面可能具有治疗潜力。