Zalewska-Kaszubska Jadwiga, Gorska Dorota, Dyr Wanda, Czarnecka Elzbieta
Department of Pharmacodynamics, Medical University of Lodz, Muszynskiego 1, PL 90-151 Lodz, Poland.
Pharmacol Biochem Behav. 2006 Sep;85(1):155-9. doi: 10.1016/j.pbb.2006.07.028. Epub 2006 Aug 24.
An ample support can be found in professional literature for the hypothesis that the endogenous opioid system plays an important role in developing a craving for alcohol. It is well established that people with a genetic deficit of beta-endorphin are particularly susceptible to alcoholism. In our study, we looked into the beta-endorphin plasma level of animals with high- and low-risk of alcohol dependency after repeated treatment with naltrexone, the opioid antagonist known to be effective in the treatment of alcoholism. We used the Warsaw High Preferring (WHP) and Warsaw Low Preferring (WLP) rats and treated them for 10 days with naltrexone in a dose of 2 mg/kg i.p. One hour before blood collection the rats were injected with a single dose of ethanol. A prolonged naltrexone treatment or a single application of ethanol resulted in the increase of the beta-endorphin plasma level. In the WLP rats repeated naltrexone treatment prevents the ethanol-induced increase in beta-endorphin plasma level. In the WHP rats the level of this peptide was similar to it while they were undergoing the naltrexone treatment or had received a single alcohol injection. This finding supports the proposition that the endogenous opioid system plays an important role in developing a craving for alcohol. It is likely that effectiveness of naltrexone in reducing craving for alcohol results from the attenuation of the rewarding properties of ethanol and restoring the beta-endorphin deficit in reward system.
专业文献中有充分的证据支持内源性阿片系统在产生酒精渴望中起重要作用这一假说。众所周知,β-内啡肽基因缺陷的人特别容易患酒精中毒。在我们的研究中,我们研究了反复用纳曲酮治疗后酒精依赖高风险和低风险动物的β-内啡肽血浆水平,纳曲酮是一种已知对治疗酒精中毒有效的阿片拮抗剂。我们使用了华沙高偏好(WHP)和华沙低偏好(WLP)大鼠,并用2mg/kg腹腔注射剂量的纳曲酮对它们进行了10天的治疗。在采血前一小时,给大鼠注射单剂量乙醇。长期的纳曲酮治疗或单次给予乙醇会导致β-内啡肽血浆水平升高。在WLP大鼠中,反复的纳曲酮治疗可防止乙醇诱导的β-内啡肽血浆水平升高。在WHP大鼠中,在接受纳曲酮治疗或单次酒精注射时,这种肽的水平与之相似。这一发现支持了内源性阿片系统在产生酒精渴望中起重要作用的观点。纳曲酮在减少酒精渴望方面的有效性可能是由于乙醇奖赏特性的减弱以及恢复奖赏系统中的β-内啡肽缺乏所致。