Young A M, Kapitsopoulos G, Makhay M M
Department of Psychology, Wayne State University, Detroit, Michigan.
J Pharmacol Exp Ther. 1991 May;257(2):795-805.
Experiments assessed the ability of repeated treatment with morphine to produce tolerance to morphine-like discriminative stimulus effects of buprenorphine, etorphine, methadone, morphine, and nalbuphine. Before treatment, each compound evoked full morphine-like stimulus effects in rats trained to discriminate saline and 3.2 mg/kg morphine. During treatment, training was halted and a dose of 10 mg/kg morphine administered every 12 h for 14-18 days. Repeated treatment with morphine increased the ED50 for stimulus control by etorphine, methadone or buprenorphine 2- to 4-fold and that for morphine 4.5-fold. Repeated treatment produced an insurmountable tolerance to the morphine-like stimulus effects of nalbuphine, so that a dose 150-fold higher than the initial ED50 evoked only 40% generalization. Treatment with a lower dose of morphine (10 mg/kg every 24 h) produced a short-lived surmountable tolerance to stimulus effects of nalbuphine. For etorphine, methadone and morphine, tolerance to morphine-like stimulus effects was accompanied by tolerance to rate suppressing effects. After treatment ended, the ED50 for stimulus control by etorphine, methadone or nalbuphine returned to initial values within 3 days; that for morphine, within 5 days; that for buprenorphine, within 10 days. These results demonstrate that repeated treatment with morphine produces cross-tolerance to compounds that exert morphine-like stimulus effects. Additionally, the results suggest that differences among these compounds in agonist efficacy may be revealed as differences in the degree of tolerance produced by morphine treatment.
实验评估了反复用吗啡治疗对产生对丁丙诺啡、埃托啡、美沙酮、吗啡和纳布啡的吗啡样辨别刺激效应耐受性的能力。在治疗前,每种化合物在经过训练以辨别生理盐水和3.2毫克/千克吗啡的大鼠中诱发完全的吗啡样刺激效应。在治疗期间,停止训练,并每12小时给予10毫克/千克吗啡,持续14 - 18天。反复用吗啡治疗使埃托啡、美沙酮或丁丙诺啡刺激控制的半数有效剂量(ED50)增加了2至4倍,吗啡的增加了4.5倍。反复治疗对纳布啡的吗啡样刺激效应产生了不可克服的耐受性,以至于比初始ED50高150倍的剂量仅诱发40%的泛化反应。用较低剂量的吗啡(每24小时10毫克/千克)治疗对纳布啡的刺激效应产生了短暂的可克服耐受性。对于埃托啡、美沙酮和吗啡,对吗啡样刺激效应的耐受性伴随着对速率抑制效应的耐受性。治疗结束后,埃托啡、美沙酮或纳布啡刺激控制的ED50在3天内恢复到初始值;吗啡的在5天内;丁丙诺啡的在10天内。这些结果表明,反复用吗啡治疗会对产生吗啡样刺激效应的化合物产生交叉耐受性。此外,结果表明这些化合物在激动剂效力上的差异可能表现为吗啡治疗产生的耐受性程度的差异。