Peters K D, Wood R I
Department of Cell and Neurobiology, Keck School of Medicine at the University of Southern California, 1333 San Pablo Street, BMT 401, Los Angeles, CA 90033, USA.
Neuroscience. 2005;130(4):971-81. doi: 10.1016/j.neuroscience.2004.09.063.
Anabolic steroids are drugs of abuse. However, the potential for steroid reward and addiction remains largely unexplored. This study used i.c.v. testosterone self-administration and controlled infusions of testosterone or vehicle in hamsters to explore central mechanisms of androgen overdose. Forty-two hamsters used nose-pokes to self-administer 1 microg/microl testosterone i.c.v. 4 h/day in an operant chamber. During 1-56 days of androgen self-administration, 10 (24%) hamsters died. Deaths correlated with peak daily intake of testosterone. Of the hamsters that self-administered a peak intake of <20 microg/day, there was 100% survival (10/10). Survival decreased to 86% (19/22) when daily testosterone intake peaked at 20-60 microg/day. Only 30% (three of 10) survived when daily testosterone intake exceeded 60 microg/day. Deaths are not due to volume or vehicle because i.c.v. infusions of 80 mul vehicle had no effect. Testosterone overdose resembles opiate intoxication. When male hamsters received infusions of 40 microg testosterone, locomotion (25.1+/-18.8 grid-crossings/10 min), respiration (72.7+/-5.4 breaths/min) and body temperature (33.5+/-0.4 degrees C) were significantly reduced, compared with males receiving vehicle infusions (186.1+/-8.1 crossings/10 min, 117.6+/-1.0 breaths/min, 35.9+/-0.1 degrees C, P<0.05). However, males developed tolerance to continued daily testosterone infusion. After 15 days, locomotion (170.2+/-6.3 crossings), respiration (118.4+/-1.3 breaths/min), and body temperature (35.3+/-0.3 degrees C) in testosterone-infused males were equivalent to that in vehicle controls (P>0.05). The depressive effects of testosterone infusion are blocked by the opioid antagonist, naltrexone. With naltrexone pre-treatment (10 mg/kg s.c.), locomotion (183.7+/-1.8 crossings/10 min), respiration (116.9+/-0.3 breaths/min), and body temperature (36.1+/-0.4 degrees C) during testosterone infusion were equivalent to vehicle controls. Likewise, naltrexone prevents the reinforcing effects of i.c.v. testosterone self-administration. These results indicate that testosterone at high doses causes central autonomic depression, which may be a factor in deaths during self-administration. As well, the depressive effects of large quantities of testosterone may be mediated, at least in part, by an opioidergic mechanism.
合成代谢类固醇是滥用药物。然而,类固醇奖赏和成瘾的可能性在很大程度上仍未得到探索。本研究采用脑室内睾酮自我给药以及对仓鼠进行睾酮或赋形剂的控制性输注,以探究雄激素过量的中枢机制。42只仓鼠在操作性条件反射箱中通过鼻触来自我给药,每天4小时,脑室内给予1微克/微升睾酮。在雄激素自我给药的1至56天期间,10只(24%)仓鼠死亡。死亡与每日睾酮摄入量峰值相关。每日睾酮摄入量峰值<20微克/天的仓鼠,存活率为100%(10/10)。当每日睾酮摄入量峰值在20至60微克/天时,存活率降至86%(19/22)。当每日睾酮摄入量超过60微克/天时,只有30%(10只中的3只)存活。死亡并非由于容量或赋形剂,因为脑室内输注80微升赋形剂没有影响。睾酮过量类似于阿片类中毒。当雄性仓鼠接受40微克睾酮输注时,与接受赋形剂输注的雄性仓鼠相比(186.1±8.1次穿越/10分钟,117.6±1.0次呼吸/分钟,35.9±0.1℃),运动能力(25.1±18.8次穿越网格/10分钟)、呼吸(72.7±5.4次呼吸/分钟)和体温(33.5±0.4℃)显著降低(P<0.05)。然而,雄性仓鼠对持续每日睾酮输注产生了耐受性。15天后,接受睾酮输注的雄性仓鼠的运动能力(170.2±6.3次穿越)、呼吸(118.4±1.3次呼吸/分钟)和体温(35.3±0.3℃)与赋形剂对照组相当(P>0.05)。睾酮输注的抑制作用被阿片类拮抗剂纳曲酮阻断。经纳曲酮预处理(10毫克/千克皮下注射)后,睾酮输注期间的运动能力(183.7±1.8次穿越/10分钟)、呼吸(116.9±0.3次呼吸/分钟)和体温(36.1±0.4℃)与赋形剂对照组相当。同样,纳曲酮可防止脑室内睾酮自我给药的强化作用。这些结果表明,高剂量睾酮会导致中枢自主神经抑制,这可能是自我给药期间死亡的一个因素。此外,大量睾酮的抑制作用可能至少部分由阿片样物质机制介导。