Walker Ellen A, Picker Mitchell J, Granger Arthur, Dykstra Linda A
Department of Psychology, University of North Carolina at Chapel Hill, USA.
J Pharmacol Exp Ther. 2004 Jul;310(1):150-8. doi: 10.1124/jpet.103.058503. Epub 2004 Mar 25.
In opioid-dependent subjects, the low-efficacy mu agonist nalbuphine generally precipitates withdrawal or withdrawal-like stimulus effects. To provide a more complete characterization of the discriminative stimulus effects of nalbuphine in opioid-treated subjects, seven White Carneux pigeons were treated daily with 10 mg/kg morphine i.m. and trained 6 h later to discriminate among 10 mg/kg morphine, 1.0 mg/kg nalbuphine, and saline by responding on one of three different keys. When tested, morphine produced morphine-key responding and nalbuphine produced nalbuphine-key responding. Replacing the daily morphine injection with saline produced nalbuphine-key responding, and this effect was reversed by the administration of morphine. In substitution tests with other compounds, the antagonists naltrexone (i.m.) and CTAP (D-Phe-Cys-Tyr-D-Tryp-Lys-Thr-Pen-Thr-NH2) (i.c.v.) produced nalbuphine-key responding. High-efficacy agonists fentanyl and etorphine produced morphine-key responding. The intermediate-efficacy agonists buprenorphine, dezocine, and butorphanol produced a pattern of morphine-, saline-, and/or nalbuphine-key responding that differed across individual pigeons. The lower efficacy agonists nalorphine and levallorphan produced predominantly nalbuphine-key responding. The kappa agonists spiradoline and U50,488 [trans-3,4-dichloro-N-methyl-N-(2-[1-pyrrolidinyl]cyclohexyl)benzeneacetamide methanesulfonate], the nonopioid d-amphetamine, and saline produced predominantly saline-key responding. Naltrexone and nalbuphine dose dependently reversed the morphine-key responding produced by the training dose of morphine. Together, these data suggest that the discriminative-stimulus effects of the low-efficacy micro agonist nalbuphine in morphine-treated pigeons are similar to those of other low-efficacy agonists, naltrexone, and the termination of daily morphine treatment.
在阿片类药物依赖的受试者中,低效价μ激动剂纳布啡通常会引发戒断反应或类似戒断的刺激效应。为了更全面地描述纳布啡在接受阿片类药物治疗的受试者中的辨别性刺激效应,对7只白卡诺鸽每天进行10mg/kg吗啡的肌肉注射治疗,并在6小时后进行训练,让它们通过在三个不同的按键之一上做出反应来区分10mg/kg吗啡、1.0mg/kg纳布啡和生理盐水。测试时,吗啡会引发对吗啡按键的反应,纳布啡会引发对纳布啡按键的反应。用生理盐水替代每日的吗啡注射会引发对纳布啡按键的反应,而给予吗啡可逆转这种效应。在用其他化合物进行的替代测试中,拮抗剂纳曲酮(肌肉注射)和CTAP(D-苯丙氨酸-半胱氨酸-酪氨酸-D-色氨酸-赖氨酸-苏氨酸-苯丙氨酸-苏氨酸-NH2)(脑室内注射)会引发对纳布啡按键的反应。高效价激动剂芬太尼和埃托啡会引发对吗啡按键的反应。中效价激动剂丁丙诺啡、地佐辛和布托啡诺产生的对吗啡、生理盐水和/或纳布啡按键的反应模式因个体鸽而异。低效价激动剂纳洛芬和左洛啡烷主要引发对纳布啡按键的反应。κ激动剂螺旋多林和U50,488[反式-3,4-二氯-N-甲基-N-(2-[1-吡咯烷基]环己基)苯乙酰胺甲磺酸盐]、非阿片类药物右旋苯丙胺和生理盐水主要引发对生理盐水按键的反应。纳曲酮和纳布啡剂量依赖性地逆转了训练剂量吗啡产生的对吗啡按键的反应。总之,这些数据表明,在接受吗啡治疗的鸽中,低效价μ激动剂纳布啡的辨别性刺激效应与其他低效价激动剂、纳曲酮以及每日吗啡治疗的终止效应相似。