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大鼠皮下植入药丸诱导对吗啡耐受丧失及身体依赖性的药效学和动力学

Pharmacodynamics and kinetics of loss of tolerance and physical dependence on morphine induced by pellet implantation in the rat.

作者信息

Villar V M, Bhargava H N

机构信息

Department of Pharmacodynamics, University of Illinois, Chicago 60612.

出版信息

Pharmacology. 1992;45(6):319-28. doi: 10.1159/000139017.

Abstract

The decay characteristics of tolerance and physical dependence on morphine induced by a pellet implantation procedure were determined in male Sprague-Dawley rats. Rats were implanted subcutaneously with 6 morphine pellets during a 7-day period. The pellets were removed, and at various times thereafter tolerance to the analgesic and hyperthermic effects of morphine was measured by determining the response in rats implanted with morphine and placebo pellets. Similarly, the physical dependence was assessed by monitoring withdrawal signs following an injection of naloxone. A high degree of tolerance developed to the analgesic and hyperthermic effects of morphine. Similarly, a high degree of physical dependence also developed as evidenced by a high incidence of jumping response, teeth chattering and production of fecal boli induced by injections of naloxone. In addition, loss of body weight and body temperature also occurred. The analgesic and hyperthermic response to morphine recovered very gradually. There was no significant difference in the analgesic and hyperthermic responses to morphine on day 4 after the pellet removal in rats implanted with morphine and placebo pellets. The decay of tolerance was linear with time for the analgesic effect (r = 0.98) and for the hyperthermic effect (r = 0.93). The change in symptoms of physical dependence on morphine with time depended on the specific symptom monitored. The average number of jumps and teeth chattering decreased with time in a linear fashion with r values of 0.98 and 0.99, respectively. However, the number of fecal boli and wet dog shakes increased linearly with time (r = 0.97). The recovery of loss of body weight was also linear with time. Thus, it is clear that fecal boli and wet dog shakes, which increase in number as the dependence decays, are signs of a low degree of dependence. The results suggest that different central or peripheral mechanisms may be operating in different withdrawal symptoms. These studies may prove to be useful when studying the mechanisms involved in the induction and reversibility of tolerance and dependence processes, and in long-term effects of opiates at a time when the tolerance and physical dependence is no longer evident.

摘要

通过植入药丸程序诱导雄性斯普拉格 - 道利大鼠对吗啡产生耐受性和身体依赖性的衰减特征进行了测定。在7天的时间内,给大鼠皮下植入6颗吗啡药丸。移除药丸后,在随后的不同时间,通过测定植入吗啡和安慰剂药丸的大鼠的反应,来测量对吗啡镇痛和体温升高作用的耐受性。同样,通过监测注射纳洛酮后的戒断症状来评估身体依赖性。对吗啡的镇痛和体温升高作用产生了高度耐受性。同样,高度的身体依赖性也表现出来,如注射纳洛酮后跳跃反应、牙齿打颤和粪便团块产生的发生率很高。此外,还出现了体重减轻和体温下降。对吗啡的镇痛和体温升高反应恢复得非常缓慢。在移除药丸后第4天,植入吗啡和安慰剂药丸的大鼠对吗啡的镇痛和体温升高反应没有显著差异。耐受性的衰减对于镇痛作用(r = 0.98)和体温升高作用(r = 0.93)而言与时间呈线性关系。吗啡身体依赖性症状随时间的变化取决于所监测的具体症状。跳跃和牙齿打颤的平均次数随时间呈线性下降,r值分别为0.98和0.99。然而,粪便团块和湿狗样抖动的次数随时间呈线性增加(r = 0.97)。体重减轻的恢复也与时间呈线性关系。因此,很明显,随着依赖性衰减数量增加的粪便团块和湿狗样抖动是低程度依赖性的迹象。结果表明,不同的中枢或外周机制可能在不同的戒断症状中起作用。这些研究在研究耐受性和依赖性过程的诱导和可逆性以及阿片类药物在耐受性和身体依赖性不再明显时的长期作用所涉及的机制时可能会被证明是有用的。

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