Wong C L
Department of Pharmacology, Faculty of Medicine, Chinese University of Hong Kong.
Methods Find Exp Clin Pharmacol. 1991 May;13(4):249-54.
Both clonidine and morphine dose-dependently inhibited intestinal transit in mice. This inhibitory effect of clonidine was antagonized by prior administration of yohimbine but not by naloxone, while morphine's effect was antagonized by both yohimbine and naloxone. Morphine pretreatment did not induce any apparent tolerance to the effect of clonidine and morphine tested 4 h later. However, yohimbine became more potent in antagonizing the effect of clonidine while naloxone remained ineffective. Morphine pretreatment enhanced the antagonistic effectiveness of both yohimbine and naloxone against morphine. Clonidine pretreatment at a dose that did not induce any tolerance slightly enhanced the antagonistic effects of yohimbine and naloxone against morphine. Yohimbine also became more effective against clonidine but naloxone remained ineffective. At higher doses of clonidine pretreatment tolerance to the effects of morphine and clonidine were observed. These results suggest that both alpha 2-adrenoceptors and opioid receptors are involved in the inhibitory action of morphine on intestinal transit, while clonidine mainly acts through the alpha 2-adrenoceptors. In addition, there is a close interaction between the alpha 2-adrenoceptors and opioid receptors in the intestine.
可乐定和吗啡均能剂量依赖性地抑制小鼠肠道蠕动。可乐定的这种抑制作用可被预先给予育亨宾拮抗,但不能被纳洛酮拮抗,而吗啡的作用可被育亨宾和纳洛酮二者拮抗。吗啡预处理并未对4小时后所测试的可乐定和吗啡的作用诱导出任何明显的耐受性。然而,育亨宾拮抗可乐定作用的效力增强,而纳洛酮仍然无效。吗啡预处理增强了育亨宾和纳洛酮对吗啡的拮抗效力。以未诱导任何耐受性的剂量进行可乐定预处理,可轻微增强育亨宾和纳洛酮对吗啡的拮抗作用。育亨宾对可乐定的作用也变得更有效,但纳洛酮仍然无效。在更高剂量的可乐定预处理时,观察到对吗啡和可乐定作用的耐受性。这些结果表明,α₂肾上腺素能受体和阿片受体均参与吗啡对肠道蠕动的抑制作用,而可乐定主要通过α₂肾上腺素能受体发挥作用。此外,肠道中的α₂肾上腺素能受体和阿片受体之间存在密切的相互作用。