Xu Tao, Jiang Wei, Du Dongping, Xu Yongming, Hu Qian, Shen Qin
Department of Anesthesiology, Shanghai Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China.
Neurosci Lett. 2007 Jun 13;420(2):155-9. doi: 10.1016/j.neulet.2007.04.065. Epub 2007 May 3.
Prolonged intrathecal (i.t.) administration of morphine results in tolerance to morphine-induced antinociception. We found that co-administration of selective metabotropic glutamate receptor subtype 5 antagonist MPEP with morphine could suppress the loss of morphine-induced antinociception and inhibit the development of tolerance to morphine-induced antinociceptive effect. Whereas, the specific metabotropic glutamate receptor subtype 5 agonist CHPG does the opposite. As the activation of NMDA receptor after chronic morphine administration has been verified, we suppose there is an enhanced activation of mGluR5 during the development of tolerance to morphine-induced antinociception. Activation of mGluR5 may mobilize the release of intracellular Ca(2+) and activate PKC, leading to morphine-induced antinociception suppression. We conclude that mGluR5 contributes to the development of tolerance to morphine-induced antinociception after chronic morphine exposure.
鞘内长期注射吗啡会导致对吗啡诱导的镇痛作用产生耐受性。我们发现,将选择性代谢型谷氨酸受体5亚型拮抗剂MPEP与吗啡联合使用,可抑制吗啡诱导的镇痛作用的丧失,并抑制对吗啡诱导的镇痛效果耐受性的形成。然而,特异性代谢型谷氨酸受体5亚型激动剂CHPG的作用则相反。由于慢性吗啡给药后NMDA受体的激活已得到证实,我们推测在对吗啡诱导的镇痛作用产生耐受性的过程中,代谢型谷氨酸受体5的激活增强。代谢型谷氨酸受体5的激活可能会促使细胞内Ca(2+)释放并激活蛋白激酶C,从而导致吗啡诱导的镇痛作用受到抑制。我们得出结论,代谢型谷氨酸受体5在慢性吗啡暴露后对吗啡诱导的镇痛作用耐受性的形成中起作用。