Boasen Jared F, McPherson Ronald J, Hays Sarah L, Juul Sandra E, Gleason Christine A
Department of Pediatrics, University of Washington, Seattle, Wash. 98195-6320, USA.
Neonatology. 2009;95(3):230-9. doi: 10.1159/000165379. Epub 2008 Oct 27.
Hospitalized preterm infants may experience pain and stress, and narcotics are often administered to lessen their suffering. However, prolonged narcotic therapy may be detrimental during neonatal brain development. Using a rat model combining neonatal stress and morphine, we found that neonatal morphine impaired adult learning. Here we describe a new mouse model examining lasting effects of neonatal stress and morphine.
We tested whether repeated neonatal stress and/or morphine exposure affects early neurodevelopmental or adult behaviors.
Five groups of C57/BL6 mice (1: untreated; 2: morphine (2 mg/kg s.c., b.i.d.); 3: saline, 4: stress + morphine; 5: stress + saline) were treated from postnatal day (P) 5 to P9. Stress consisted of daily maternal separation/isolation (08:00-15:00 h) with gavage feedings and twice daily exposure to brief hypoxia/hyperoxia. Developmental behaviors included righting (P5) and negative geotaxis (P9). Adult behaviors included elevated plus maze, morphine place-preference conditioning, and forced-swimming. Plasma concentrations of morphine (P7) and corticosterone (P9 and adult) were measured.
Neonatal stress or neonatal morphine alone impaired adult place-preference conditioning, but the combination did not (interaction p < 0.01). Adult basal corticosterones were reduced by neonatal morphine treatment. There were no substantial differences in elevated plus maze or forced-swimming times.
Neonatal stress and morphine treatment produced long-lasting behavioral and hormonal effects which suggest that neonatal morphine reduces adult arousal and neonatal stress exaggerates adult arousal, each to a degree sufficient to alter learning, while the combined impact of these neonatal treatments does not alter adult learning.
住院的早产儿可能会经历疼痛和压力,通常会使用麻醉药物来减轻他们的痛苦。然而,长期的麻醉治疗可能对新生儿大脑发育有害。通过使用结合新生儿应激和吗啡的大鼠模型,我们发现新生儿期使用吗啡会损害成年后的学习能力。在此,我们描述一种新的小鼠模型,用于研究新生儿应激和吗啡的长期影响。
我们测试了反复的新生儿应激和/或吗啡暴露是否会影响早期神经发育或成年行为。
五组C57/BL6小鼠(1组:未处理;2组:吗啡(2毫克/千克皮下注射,每日两次);3组:生理盐水;4组:应激+吗啡;5组:应激+生理盐水)在出生后第5天(P5)至第9天(P9)接受处理。应激包括每日母鼠分离/隔离(08:00 - 15:00时)并进行灌胃喂养,以及每天两次短暂暴露于低氧/高氧环境。发育行为包括翻正反射(P5)和负趋地性(P9)。成年行为包括高架十字迷宫实验、吗啡位置偏爱条件反射实验和强迫游泳实验。测量了血浆中吗啡(P7)和皮质酮(P9及成年期)的浓度。
单独的新生儿应激或新生儿期使用吗啡会损害成年后的位置偏爱条件反射,但两者结合则不会(交互作用p < 0.01)。新生儿期使用吗啡治疗会降低成年后的基础皮质酮水平。在高架十字迷宫实验或强迫游泳时间方面没有显著差异。
新生儿应激和吗啡治疗产生了持久的行为和激素影响,这表明新生儿期使用吗啡会降低成年后的觉醒水平,而新生儿应激会加剧成年后的觉醒水平,两者的影响程度足以改变学习能力,而这些新生儿期治疗的综合影响并不会改变成年后的学习能力。