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κ和δ阿片受体在介导吗啡耐受幼鼠吗啡诱导的镇痛作用中的作用。

Role of kappa and delta opioid receptors in mediating morphine-induced antinociception in morphine-tolerant infant rats.

作者信息

Stoller Dawn C, Sim-Selley Laura J, Smith Forrest L

机构信息

Department of Pharmacology and Toxicology, Virginia Commonwealth University Medical Center, PO Box 980613, Richmond, VA 23298-0613, USA.

出版信息

Brain Res. 2007 Apr 20;1142:28-36. doi: 10.1016/j.brainres.2007.01.028. Epub 2007 Jan 13.

Abstract

We have previously noted that the antinociceptive efficacy of morphine was significantly decreased in rat pups chronically infused with morphine from implanted osmotic minipumps. In this study, morphine was fully efficacious (i.e., 100% maximum possible effect, %MPE) in the 52 degrees C tail-immersion test after a 72-h infusion from implanted saline-filled osmotic minipumps. However, administration of up to 1000 mg/kg, s.c. morphine failed to elicit greater than a 27% MPE in rats infused with morphine at 2 mg/kg/h. Morphine was more efficacious when the water bath temperature was decreased to 49 degrees C. Experiments were conducted to determine the mechanisms whereby chronic morphine administration leads to a decrease in antinociceptive efficacy. The kappa-opioid antagonist nor-binalorphimine completely blocked the antinociceptive effects of morphine in morphine-infused rat pups. The kappa agonist U50,488 elicited antinociception; however, the requirement to use higher doses in morphine- than saline-infused rats indicates that kappa cross-tolerance was present. Thus, in tolerant rats the antinociceptive effects of high doses of morphine appear to be mediated through kappa-opioid receptors. The delta-opioid antagonist naltrindole was inactive in both treatment groups. DAMGO-stimulated [(35)S]GTPgammaS and [(3)H]naloxone binding reveals that the anatomical distribution of the mu-opioid receptor was consistent with that of the adult rat brain. In adult rats, the mu-opioid receptor is desensitized during morphine tolerance. However, desensitization was not evident in P17 rats based on the lack of significant decreases in [(35)S]GTPgammaS binding. Furthermore, [(3)H]naloxone binding indicated a lack of mu receptor downregulation in morphine-tolerant rat pups.

摘要

我们之前已经注意到,通过植入式渗透微型泵长期给幼鼠输注吗啡后,吗啡的镇痛效果显著降低。在本研究中,从植入式充生理盐水的渗透微型泵输注72小时后,吗啡在52℃尾部浸入试验中具有完全效力(即100%最大可能效应,%MPE)。然而,皮下注射高达1000mg/kg的吗啡在以2mg/kg/h输注吗啡的大鼠中未能引起超过27%的MPE。当水浴温度降至49℃时,吗啡的效力更高。进行实验以确定长期给予吗啡导致镇痛效果降低的机制。κ阿片受体拮抗剂去甲二氢吗啡酮完全阻断了吗啡对输注吗啡的幼鼠的镇痛作用。κ激动剂U50,488引起镇痛作用;然而,与输注生理盐水的大鼠相比,吗啡耐受大鼠需要使用更高剂量,这表明存在κ交叉耐受性。因此,在耐受大鼠中,高剂量吗啡的镇痛作用似乎是通过κ阿片受体介导的。δ阿片受体拮抗剂纳曲吲哚在两个治疗组中均无活性。DAMGO刺激的[(35)S]GTPγS和[(3)H]纳洛酮结合显示,μ阿片受体的解剖分布与成年大鼠脑一致。在成年大鼠中,吗啡耐受期间μ阿片受体会脱敏。然而,基于[(35)S]GTPγS结合没有显著降低,在P17大鼠中未观察到脱敏现象。此外,[(3)H]纳洛酮结合表明吗啡耐受的幼鼠中不存在μ受体下调。

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