Naguib Mohamed, Baker Max T, Spadoni Gilberto, Gregerson Marc
Departments of Anesthesia, *University of Iowa College of Medicine, Iowa City, Iowa; and †Institute of Medicinal Chemistry and Toxicology, University of Urbino, piazza Rinascimento, Italy.
Anesth Analg. 2003 Sep;97(3):763-768. doi: 10.1213/01.ANE.0000074796.10856.1F.
2-bromomelatonin is an analog of melatonin with a higher melatonin receptor affinity. We tested the hypnotic and analgesic properties of 2-bromomelatonin and compared them with those of propofol. Sprague-Dawley rats were assigned to receive 2-bromomelatonin or propofol IV, or morphine intraperitoneally. Righting reflex and response to tail clamping were assessed. Both 2-bromomelatonin and propofol caused a dose-dependent increase in the percent of rats displaying loss of both the righting reflex and the response to tail clamping. 2-Bromomelatonin was comparable to propofol in terms of its rapid onset and short duration of hypnosis. The 50% effective dose (95% confidence interval) for loss of righting reflex for propofol and 2-bromomelatonin were 3.7 (3.4-4.0) and 38 (35-41) mg/kg, respectively. Corresponding values for loss of response to tail clamp were 2.9 (3.5-4.0) and 21 (15-30) mg/kg, respectively. 2-bromomelatonin is approximately 6-10 times less potent than propofol depending on the end-point used. Intraperitoneal 30 mg/kg morphine did not affect the righting reflex, but resulted in loss of response to tail clamping in all animals. 2-bromomelatonin can exert hypnotic and antinocifensive effects similar to that observed with propofol. Unlike propofol, the reduced nocifensive behavior persisted after the animals had regained their righting reflex. This study provides evidence that 2-bromomelatonin has properties that are desirable in anesthetics or anesthetic adjuvants.
2-溴褪黑素是一种对褪黑素受体亲和力更高的褪黑素类似物。我们测试了2-溴褪黑素的催眠和镇痛特性,并将其与丙泊酚的特性进行了比较。将Sprague-Dawley大鼠分为接受2-溴褪黑素或丙泊酚静脉注射,或吗啡腹腔注射的组。评估翻正反射和对夹尾的反应。2-溴褪黑素和丙泊酚均导致表现出翻正反射和对夹尾反应丧失的大鼠百分比呈剂量依赖性增加。2-溴褪黑素在起效速度和催眠持续时间方面与丙泊酚相当。丙泊酚和2-溴褪黑素导致翻正反射丧失的50%有效剂量(95%置信区间)分别为3.7(3.4-4.0)和38(35-41)mg/kg。对夹尾反应丧失的相应值分别为2.9(3.5-4.0)和21(15-30)mg/kg。根据所使用的终点指标,2-溴褪黑素的效力比丙泊酚低约6-10倍。腹腔注射30mg/kg吗啡不影响翻正反射,但导致所有动物对夹尾反应丧失。2-溴褪黑素可发挥与丙泊酚类似的催眠和抗伤害感受作用。与丙泊酚不同,动物恢复翻正反射后,其降低的伤害感受行为仍然存在。这项研究提供了证据表明2-溴褪黑素具有麻醉剂或麻醉辅助剂中所需的特性。