Pourpak Z, Ahmadiani A, Alebouyeh M
Department of Immunology and Allergy, Medical Center for Children, Tehran University of Medical Science, Tehran, Iran.
Scand J Immunol. 2004 Mar;59(3):273-7. doi: 10.1111/j.0300-9475.2004.01396.x.
Recent studies suggest that peripheral morphine may represent a valuable treatment in acute inflammatory painful diseases through peripheral or central mechanisms. In the present study, anti-inflammatory effects of systemic morphine on carrageenan-induced hind paw oedema were examined in a model of peripheral acute oedema in mice. Carrageenan induced a time-dependent inflammation that was maximal 3 h after administration. While intraperitoneal administration of morphine sulfate at a low dose (1 mg/kg) increased carrageenan-induced hind paw oedema, intraperitoneal injection of morphine sulfate at a high dose (7 mg/kg) resulted in significant anti-inflammatory effects on carrageenan-induced hind paw oedema. These anti-inflammatory effects were blocked by pretreatment with naloxone. Measuring the serum levels of interleukin-1beta revealed that increases in serum levels of this cytokine were involved in morphine anti-inflammatory effects. Pretreatment with naloxone decreased interleukin-1beta serum levels near to those of control group. In conclusion, these data demonstrate that morphine produced pro- or anti-inflammatory effects in a dose-dependent manner through peripheral or central mechanisms. The observed anti-inflammatory effects may be due to an increase in the cytokine production and/or release by host immune systems.
近期研究表明,外周吗啡可能通过外周或中枢机制成为急性炎性疼痛疾病的一种有价值的治疗方法。在本研究中,在小鼠外周急性水肿模型中检测了全身应用吗啡对角叉菜胶诱导的后爪水肿的抗炎作用。角叉菜胶诱导了一种时间依赖性炎症,给药后3小时达到最大程度。低剂量(1毫克/千克)腹腔注射硫酸吗啡会增加角叉菜胶诱导的后爪水肿,而高剂量(7毫克/千克)腹腔注射硫酸吗啡对角叉菜胶诱导的后爪水肿产生显著的抗炎作用。这些抗炎作用被纳洛酮预处理所阻断。测量白细胞介素-1β的血清水平发现,该细胞因子血清水平的升高与吗啡的抗炎作用有关。纳洛酮预处理使白细胞介素-1β血清水平降至接近对照组水平。总之,这些数据表明吗啡通过外周或中枢机制以剂量依赖性方式产生促炎或抗炎作用。观察到的抗炎作用可能是由于宿主免疫系统细胞因子产生和/或释放增加所致。