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μ-阿片受体激动剂对恒河猴可卡因及食物维持反应和可卡因辨别力的影响:μ-激动剂效能的作用

Effects of mu-opioid agonists on cocaine- and food-maintained responding and cocaine discrimination in rhesus monkeys: role of mu-agonist efficacy.

作者信息

Negus S Stevens, Mello Nancy K

机构信息

Alcohol and Drug Abuse Research Center of McLean Hospital at Harvard Medical School, Belmont, Massachusetts 02178-9106, USA.

出版信息

J Pharmacol Exp Ther. 2002 Mar;300(3):1111-21. doi: 10.1124/jpet.300.3.1111.

Abstract

Mu-opioid agonists decrease cocaine self-administration in laboratory studies and cocaine use by many cocaine- and opioid-dependent polydrug abusers. To assess the role of mu-agonist efficacy as a determinant of these effects, this study evaluated cocaine- and food-maintained responding by rhesus monkeys (Macaca mulatta) during chronic treatment with saline or the high-efficacy mu-agonist fentanyl (0.001-0.01 mg/kg/h), the intermediate-efficacy mu-agonist morphine (0.032-0.32 mg/kg/h), or the low-efficacy mu-agonists nalbuphine (0.1-1.0 mg/kg/h) and butorphanol (0.0032-0.032 mg/kg/h). Responding was maintained by cocaine and food under a second order schedule of reinforcement during multiple daily sessions of cocaine and food availability. Saline and each opioid dose were administered continuously for 7 consecutive days during availability of each cocaine dose. All four mu-agonists produced dose-dependent and sustained decreases in cocaine self-administration across a range of cocaine doses (0.0032-0.1 mg/kg/injection). Nalbuphine and butorphanol produced the greatest decreases in cocaine self-administration and the smallest effects on food-maintained responding. Morphine and fentanyl produced smaller decreases in cocaine self-administration, and undesirable effects precluded evaluation of higher fentanyl and morphine doses. Decreases in cocaine self-administration produced by nalbuphine and butorphanol probably did not reflect a general blockade of cocaine's abuse-related effects, because nalbuphine and butorphanol did not block the discriminative stimulus effects of cocaine in monkeys trained to discriminate 0.4 mg/kg cocaine from saline in a food-reinforced drug discrimination procedure. These results suggest that low-efficacy mu-agonists may decrease cocaine self-administration to a greater degree and with fewer undesirable effects than high-efficacy mu-agonists.

摘要

在实验室研究中,μ-阿片受体激动剂可减少可卡因自我给药行为,并且许多同时依赖可卡因和阿片类药物的多药滥用者的可卡因使用量也会减少。为评估μ-激动剂效力作为这些效应决定因素的作用,本研究评估了恒河猴(猕猴)在接受生理盐水或高效μ-激动剂芬太尼(0.001 - 0.01毫克/千克/小时)、中效μ-激动剂吗啡(0.032 - 0.32毫克/千克/小时)或低效μ-激动剂纳布啡(0.1 - 1.0毫克/千克/小时)和布托啡诺(0.0032 - 0.032毫克/千克/小时)慢性治疗期间,对可卡因和食物维持的反应。在每天多次提供可卡因和食物的情况下,通过二级强化程序,用可卡因和食物维持反应。在每种可卡因剂量可用期间,连续7天持续给予生理盐水和每种阿片类药物剂量。所有四种μ-激动剂在一系列可卡因剂量(0.0032 - 0.1毫克/千克/注射)范围内均产生了剂量依赖性且持续的可卡因自我给药减少。纳布啡和布托啡诺使可卡因自我给药减少最多,对食物维持反应的影响最小。吗啡和芬太尼使可卡因自我给药减少较少,且不良效应妨碍了对更高剂量芬太尼和吗啡的评估。纳布啡和布托啡诺引起的可卡因自我给药减少可能并不反映对可卡因滥用相关效应的普遍阻断,因为在食物强化药物辨别程序中训练以区分0.4毫克/千克可卡因和生理盐水的猴子中,纳布啡和布托啡诺并未阻断可卡因的辨别刺激效应。这些结果表明,与高效μ-激动剂相比,低效μ-激动剂可能在更大程度上减少可卡因自我给药,且不良效应更少。

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