Easterling Keith W, Holtzman Stephen G
Department of Pharmacology, School of Medicine, Emory University, Atlanta, GA, USA.
Psychopharmacology (Berl). 2004 Sep;175(3):287-95. doi: 10.1007/s00213-004-1829-3.
Lower (0.001-1.0 mg/kg) doses of the opioid antagonist naltrexone produce few behavioral effects in otherwise drug-free rats responding for ICSS, but reduce response rates by up to 75% after a single dose of morphine.
The present study represents an effort to verify that other opioid antagonists produce this acute opioid dependence effect, and to characterize their relative pharmacological profiles.
We implanted bipolar electrodes in the lateral hypothalamus of adult male rats, and then trained them to lever-press on an "autotitration" ICSS schedule, where responding on a "reset" lever allows the rat to control the frequency of stimulation; performance stabilized at approximately 1.5 responses/s.
During twice-weekly test sessions, cumulative doses of five of seven opioid antagonists produced significant response rate decreases (30-80%) in saline-pretreated rats; nalorphine (ED25=15.6 mg/kg)> naltrexone (ED25=13.1 mg/kg)>naloxone (ED25=7.3 mg/kg)>levallorphan (ED25=13.96 mg/kg)>(-)cyclazocine (ED25=0.028 mg/kg). A single MOR pretreatment (10 mg/kg, 4 h) significantly enhanced the rate-decreasing effects of six of the seven agonists tested; by 10-fold (-) cyclazocine>13-fold (nalorphine)>93-fold (levallorphan)>972-fold (naloxone)>2190-fold (naltrexone). The pure non-selective antagonist diprenorphine potently decreased rates after MOR pretreatment (ED25= 0.01 mg/kg), but did not after saline pretreatment. The mixed opioid agonist-antagonist drug nalbuphine (1.0-30 mg/kg) did not affect responding after either saline or MOR.
Antagonists with a high affinity for, and a lack of intrinsic activity at, the micro-opioid receptor precipitate the greatest behavioral changes in rats acutely dependent on MOR.
较低剂量(0.001 - 1.0毫克/千克)的阿片类拮抗剂纳曲酮对未接触其他药物、通过颅内自我刺激(ICSS)做出反应的大鼠几乎没有行为影响,但在单剂量吗啡给药后可使反应率降低高达75%。
本研究旨在验证其他阿片类拮抗剂是否会产生这种急性阿片类药物依赖性效应,并描述它们的相对药理学特征。
我们将双极电极植入成年雄性大鼠的下丘脑外侧,然后训练它们按照“自动滴定”ICSS程序按压杠杆,在“重置”杠杆上做出反应可使大鼠控制刺激频率;反应稳定在约1.5次/秒。
在每周两次的测试期间,七种阿片类拮抗剂中的五种累积剂量在生理盐水预处理的大鼠中使反应率显著降低(30 - 80%);烯丙吗啡(ED25 = 15.6毫克/千克)>纳曲酮(ED25 = 13.1毫克/千克)>纳洛酮(ED25 = 7.3毫克/千克)>左洛啡烷(ED25 = 13.96毫克/千克)>(-)环唑辛(ED25 = 0.028毫克/千克)。单次给予μ-阿片受体(MOR)预处理(10毫克/千克,4小时)显著增强了所测试的七种激动剂中六种的降低反应率作用;增强倍数为:(-)环唑辛10倍>烯丙吗啡13倍>左洛啡烷93倍>纳洛酮972倍>纳曲酮2190倍。纯非选择性拮抗剂二丙诺啡在MOR预处理后能有效降低反应率(ED25 = 0.01毫克/千克),但在生理盐水预处理后则无此作用。混合阿片类激动剂 - 拮抗剂药物纳布啡(1.0 - 30毫克/千克)在生理盐水或MOR预处理后均不影响反应。
对微阿片受体具有高亲和力且无内在活性的拮抗剂会使急性依赖MOR的大鼠产生最大的行为变化。