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鞘内注射百日咳毒素治疗可减弱阿片类药物的镇痛作用,并降低阿片受体的高亲和力状态。

Intrathecal pertussis toxin treatment attenuates opioid antinociception and reduces high-affinity state of opioid receptors.

作者信息

Wong C S, Su Y F, Chang K J, Watkins W D

机构信息

Tri-Service General Hospital, Taipei, Taiwan, Republic of China.

出版信息

Anesthesiology. 1992 Oct;77(4):691-9. doi: 10.1097/00000542-199210000-00013.

Abstract

The effect of pertussis toxin on opioid antinociception was studied in rats. Intrathecal injection of a single dose of pertussis toxin reduced the antinociceptive effect of PL017, a highly selective mu-opioid agonist, in a dose- and time-dependent manner. The maximal effective dose of pertussis toxin was 1 microgram, and the maximal effect was seen at day 3. The effect of the toxin lasted for 2 weeks, and the antinociceptive response recovered partially at the third week. The dose-response curves of the antinociceptive effect of PL017 were shifted to the right with increasing doses of pertussis toxin. Three days after pertussis injection, receptor-binding activity of membranes in the lumbosacral segment of spinal cords decreased to 70% of control as assayed by 125I-FK33824, a highly selective mu-receptor agonist. In experiments using [3H]naloxone as the radiolabeled ligand, displacement curves of FK33824 were shifted to the right after pertussis toxin treatment. The shift also was dose and time dependent. Scatchard analysis of binding data showed that, after pertussis toxin treatment, there was no significant change in the total number of binding sites, but a class of low-affinity binding sites appeared in addition to the high-affinity sites. When spinal membranes were washed in Na+ (100 mM) and guanosine diphosphate (100 microM) and binding was assayed in the presence of Mg2+ (5 mM), all the mu-receptors were in the high-affinity state in control membranes. After the pertussis toxin treatment, the ratio of low-affinity sites to high-affinity sites increased.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在大鼠中研究了百日咳毒素对阿片类药物镇痛作用的影响。鞘内注射单剂量百日咳毒素以剂量和时间依赖性方式降低了高度选择性μ-阿片受体激动剂PL017的镇痛作用。百日咳毒素的最大有效剂量为1微克,在第3天观察到最大效应。毒素的作用持续2周,在第3周镇痛反应部分恢复。随着百日咳毒素剂量增加,PL017镇痛作用的剂量反应曲线右移。注射百日咳毒素3天后,通过高选择性μ-受体激动剂125I-FK33824测定,脊髓腰段膜的受体结合活性降至对照的70%。在使用[3H]纳洛酮作为放射性标记配体的实验中,百日咳毒素处理后FK33824的置换曲线右移。这种右移也是剂量和时间依赖性的。结合数据的Scatchard分析表明,百日咳毒素处理后,结合位点总数无显著变化,但除高亲和力位点外还出现了一类低亲和力位点。当脊髓膜在Na+(100 mM)和二磷酸鸟苷(100 microM)中洗涤并在Mg2+(5 mM)存在下测定结合时,对照膜中的所有μ-受体均处于高亲和力状态。百日咳毒素处理后,低亲和力位点与高亲和力位点的比例增加。(摘要截短于250字)

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