Espejo E F, Serrano M I, Caillé S, Stinus L
Departmento de Fisiologia Medica, Facultad de Medicina, Universidad de Sevilla, Sevilla, Spain.
Neuropsychopharmacology. 2001 Aug;25(2):204-12. doi: 10.1016/S0893-133X(01)00226-3.
The objective of this study was to establish the effects of prefrontocortical dopamine depletion on opiate withdrawal and prefrontocortical neurochemical changes elicited by morphine dependence and withdrawal. The dopaminergic content was also measured in the nucleus accumbens during withdrawal, in order to detect reactive changes induced by prefrontocortical lesion. Withdrawal was induced by naloxone in morphine-dependent rats. Monoamine levels were analyzed post-mortem by high performance liquid cromatography. The results showed that chronic morphine dependence did not modify basal levels of monoamines in sham rats, revealing neuroadaptation of prefrontocortical dopamine, noradrenaline and serotonin systems to chronic morphine. The neuroadaptive phenomenon remained after prefrontocortical lesion (> 79% dopamine depletion). On the other hand, a strong increase of dopamine, noradrenaline, and serotonin contents in the medial prefrontal cortex of sham rats was detected during opiate withdrawal. However, in lesioned rats, the increase of prefrontocortical dopamine and serotonin content, but not that of noradrenaline, was much lower. In the nucleus accumbens, prefrontocortical lesion reactively enhanced the dopaminergic tone and, although opiate withdrawal reduced dopaminergic activity in both sham and lesioned rats, this reduction was less intense in the latter group. At a behavioral level, some symptoms of physical opiate withdrawal were exacerbated in lesioned rats (writhing, mastication, teeth-chattering, global score) and exploration was reduced. The findings hence indicate that: (i) prefrontocortical monoaminergic changes play a role in the behavioral expression of opiate withdrawal; (ii) the severity of some withdrawal signs are related to the dopaminergic and serotonergic tone of the medial prefrontal cortex rather than to the noradrenergic one, and (iii) an inverse relationship between mesocortical and mesolimbic dopaminergic systems exists.
本研究的目的是确定前额叶皮质多巴胺耗竭对阿片类药物戒断以及吗啡依赖和戒断引发的前额叶皮质神经化学变化的影响。在戒断期间,还测量了伏隔核中的多巴胺能含量,以检测前额叶皮质损伤引起的反应性变化。通过纳洛酮诱导吗啡依赖大鼠戒断。死后通过高效液相色谱分析单胺水平。结果表明,慢性吗啡依赖并未改变假手术大鼠单胺的基础水平,这表明前额叶皮质多巴胺、去甲肾上腺素和5-羟色胺系统对慢性吗啡产生了神经适应性变化。前额叶皮质损伤后(多巴胺耗竭>79%),这种神经适应性现象仍然存在。另一方面,在阿片类药物戒断期间,检测到假手术大鼠内侧前额叶皮质中的多巴胺、去甲肾上腺素和5-羟色胺含量大幅增加。然而,在损伤大鼠中,前额叶皮质多巴胺和5-羟色胺含量的增加幅度要小得多,而去甲肾上腺素的增加幅度则不然。在伏隔核中,前额叶皮质损伤反应性地增强了多巴胺能张力,尽管阿片类药物戒断降低了假手术大鼠和损伤大鼠的多巴胺能活性,但后一组的降低程度较小。在行为水平上,损伤大鼠出现了一些身体阿片类药物戒断症状加剧的情况(扭体、咀嚼、磨牙、整体评分),并且探索行为减少。因此,这些发现表明:(i)前额叶皮质单胺能变化在阿片类药物戒断的行为表现中起作用;(ii)一些戒断症状的严重程度与内侧前额叶皮质的多巴胺能和5-羟色胺能张力有关,而与去甲肾上腺素能张力无关;(iii)中皮质和中边缘多巴胺能系统之间存在反向关系。