Paul D, Pick C G, Tive L A, Pasternak G W
Cotzias Laboratory of Neuro-Oncology, Cornell University Medical College, New York, New York.
J Pharmacol Exp Ther. 1991 Apr;257(1):1-7.
Nalorphine is an unusual opiate. Whereas low doses of nalorphine antagonize morphine analgesia, higher nalorphine doses are analgesic, with ED50 values (95% CL) of 13.4 (11.5, 15.8) mg/kg in the writhing and 39.5 (26.6, 60.1) mg/kg in the tail-flick assay. Although nalorphine analgesia is sensitive to naloxone, implying an opioid mechanism, neither beta-funaltrexamine, naltrindole nor nor-binaltorphomine antagonized nalorphine analgesia in the tail-flick assay at doses which reversed equianalgesic doses of their respective selective agonists. Nalorphine and the kappa 3 opiate naloxone benzoylhydrazone demonstrated analgesic cross-tolerance regardless of whether the mice were treated chronically with either nalorphine or naloxone benzoylhydrazone. Animals tolerant to nalorphine were not tolerant to either morphine or U50,488H (trans-3,4-dichloro-N-methyl-N-[2-(pyrrolindinyl)-cyclohexyl]- benzeneacetamide). Furthermore, nalorphine retained its analgesic potency in animals tolerant to U50,488H. Nalorphine exerts its analgesia predominantly through supraspinal mechanisms. Against systemically administered nalorphine, the opiate antagonist WIN44,441 ([2,6,11S-(-)-1-cyclopentyl-5-(1,2,3,4,5,6-hexahydro-8-hydroxy-3,6, 11-trimethyl-2,6-methano-e-benazocine-11-yl)-3-pentanone methylsulfonate) reversed nalorphine analgesia 1500-fold more potently when administered i.c.v. (ID50, 0.1 ng) than when given intrathecally (ID50,159 ng). Together these results indicate that nalorphine analgesia in the tail-flick assay does not involve mu, delta or the U50,488H-sensitive kappa 1 receptor and strongly suggest a role for supraspinal kappa 3 receptors.
纳洛芬是一种不同寻常的阿片类药物。低剂量的纳洛芬可拮抗吗啡镇痛作用,而较高剂量的纳洛芬具有镇痛作用,在扭体试验中的ED50值(95%可信区间)为13.4(11.5,15.8)mg/kg,在甩尾试验中为39.5(26.6,60.1)mg/kg。尽管纳洛芬镇痛作用对纳洛酮敏感,提示存在阿片样物质机制,但在甩尾试验中,β-氟奈曲胺、纳曲吲哚或去甲二氢吗啡酮在能逆转各自选择性激动剂等效镇痛剂量的剂量下,均未拮抗纳洛芬的镇痛作用。无论小鼠是长期用纳洛芬还是纳洛酮苯甲酰腙处理,纳洛芬和κ3阿片类药物纳洛酮苯甲酰腙均表现出镇痛交叉耐受性。对纳洛芬耐受的动物对吗啡或U50,488H(反式-3,4-二氯-N-甲基-N-[2-(吡咯烷基)-环己基]-苯乙酰胺)均不耐受。此外,纳洛芬在对U50,488H耐受的动物中仍保留其镇痛效力。纳洛芬主要通过脊髓上机制发挥其镇痛作用。对于全身给药的纳洛芬,阿片类拮抗剂WIN44,441([2,6,11S-(-)-1-环戊基-5-(1,2,3,4,5,6-六氢-8-羟基-3,6,11-三甲基-2,6-亚甲基-e-苯并吖庚因-11-基)-3-戊酮甲磺酸盐])经脑室内给药(ID50,0.1 ng)时逆转纳洛芬镇痛作用的效力比鞘内给药(ID50,159 ng)时强1500倍。这些结果共同表明,甩尾试验中纳洛芬的镇痛作用不涉及μ、δ或对U50,488H敏感的κ1受体,并强烈提示脊髓上κ3受体起作用。