Kromer W
Byk Gulden Pharmaceuticals, Department of Pharmacology, Konstanz, Federal Republic of Germany.
Naunyn Schmiedebergs Arch Pharmacol. 1990 May;341(5):450-4. doi: 10.1007/BF00176339.
(1) Reflex peristalsis in the circular muscle of the guinea pig ileum was elicited in vitro by sustained luminal distension of the intestinal wall according to 2 cm H2O and evaluated in terms of the number of peristaltic waves within 15 min intervals. (2) The poorly mu-selective opioid antagonist naloxone at concentrations of 10(-7) and 10(-6) mol/l increased the frequency of peristaltic contractions within the first 15 min interval, and thereafter in a declining fashion, by 68 and 88%, respectively. The highly kappa-selective opioid antagonist nor-binaltorphimine behaved similarly. It was, by one order of magnitude, more potent but a little less effective than naloxone, i.e., the maximum effect was 57% increase in peristaltic frequency at 10(-8) mol/l. Concentrations of 10(-7) and 10(-6) mol/l had the same effect as 10(-8) mol/l, and 10(-9) mol/l were ineffective. The highly mu-selective antagonist CTOP-NH2 and the highly delta-selective antagonist ICI 174,864 were ineffective up to 10(-6) mol/l. (3) It is concluded that predominantly kappa opioid receptors are used by endogenous opioids under the present conditions to inhibit reflex peristalsis.
(1) 通过按照2 cm H2O对豚鼠回肠肠壁进行持续管腔内扩张,在体外诱发其环形肌的反射性蠕动,并根据15分钟间隔内蠕动波的数量进行评估。(2) 非选择性μ阿片受体拮抗剂纳洛酮在浓度为10(-7)和10(-6) mol/l时,在最初的15分钟间隔内增加了蠕动收缩的频率,此后呈下降趋势,分别增加了68%和88%。高选择性κ阿片受体拮抗剂诺-纳曲酮表现类似。它的效力高一个数量级,但比纳洛酮的效果稍差,即最大效应是在10(-8) mol/l时蠕动频率增加57%。10(-7)和10(-6) mol/l的浓度与10(-8) mol/l具有相同的效果,而10(-9) mol/l无效。高选择性μ阿片受体拮抗剂CTOP-NH2和高选择性δ阿片受体拮抗剂ICI 174,864在高达10(-6) mol/l时均无效。(3) 得出结论,在当前条件下,内源性阿片类物质主要通过κ阿片受体来抑制反射性蠕动。