Mizuta Kotaro, Fujita Tsugumi, Nakatsuka Terumasa, Kumamoto Eiichi
Department of Physiology, Saga Medical School, 5-1-1 Nabeshima, Saga, Japan.
Life Sci. 2008 Aug 1;83(5-6):198-207. doi: 10.1016/j.lfs.2008.06.002. Epub 2008 Jun 14.
An opioid tramadol more effectively inhibits compound action potentials (CAPs) than its metabolite mono-O-demethyl-tramadol (M1). To address further this issue, we examined the effects of opioids (morphine, codeine, ethylmorphine and dihydrocodeine) and cocaine on CAPs by applying the air-gap method to the frog sciatic nerve. All of the opioids at concentrations less than 10 mM reduced the peak amplitude of the CAP in a reversible and dose-dependent manner. The sequence of the CAP peak amplitude reductions was ethylmorphine>codeine>dihydrocodeine> or = morphine; the effective concentration for half-maximal inhibition (IC(50)) of ethylmorphine was 4.6 mM. All of the CAP inhibitions by opioids were resistant to a non-specific opioid-receptor antagonist naloxone. The CAP peak amplitude reductions produced by morphine, codeine and ethylmorphine were related to their chemical structures in such that this extent enhanced with an increase in the number of -CH(2) in a benzene ring, as seen in the inhibitory actions of tramadol and M1. Cocaine reduced CAP peak amplitudes with an IC(50) value of 0.80 mM. It is concluded that opioids reduce CAP peak amplitudes in a manner being independent of opioid-receptor activation and with an efficacy being much less than that of cocaine. It is suggested that the substituted groups of -OH bound to the benzene ring of morphine, codeine and ethylmorphine as well as of tramadol and M1, the structures of which are quite different from those of the opioids, may play an important role in producing nerve conduction block.
阿片类药物曲马多比其代谢产物单 - O - 去甲基曲马多(M1)更有效地抑制复合动作电位(CAPs)。为进一步探讨这一问题,我们通过气隙法对青蛙坐骨神经施加阿片类药物(吗啡、可待因、乙基吗啡和二氢可待因)和可卡因,研究它们对CAPs的影响。所有浓度低于10 mM的阿片类药物均以可逆且剂量依赖的方式降低CAP的峰值幅度。CAP峰值幅度降低的顺序为:乙基吗啡>可待因>二氢可待因>或 = 吗啡;乙基吗啡半数最大抑制浓度(IC(50))为4.6 mM。阿片类药物对CAP的所有抑制作用均对非特异性阿片受体拮抗剂纳洛酮具有抗性。吗啡、可待因和乙基吗啡引起的CAP峰值幅度降低与其化学结构有关,即随着苯环中 - CH(2) 数量的增加,这种抑制程度增强,这与曲马多和M1的抑制作用情况类似。可卡因降低CAP峰值幅度,IC(50) 值为0.80 mM。结论是,阿片类药物以独立于阿片受体激活的方式降低CAP峰值幅度,且效力远低于可卡因。提示与吗啡、可待因和乙基吗啡以及曲马多和M1苯环相连的 - OH取代基,其结构与阿片类药物有很大不同,可能在产生神经传导阻滞中起重要作用。