Group of Cellular and Molecular Pharmacology, University School of Medicine, Murcia, Spain.
Br J Pharmacol. 2011 Feb;162(4):851-62. doi: 10.1111/j.1476-5381.2010.01090.x.
Recent evidence suggests that corticotropin-releasing factor (CRF) receptor signalling is involved in modulating the negative symptoms of opiate withdrawal. In this study, a series of experiments were performed to further characterize the role of CRF-type 2 receptor (CRF₂) signalling in opiate withdrawal-induced physical signs of dependence, hypothalamus-pituitary-adrenal (HPA) axis activation, enhanced noradrenaline (NA) turnover in the hypothalamic paraventricular nucleus (PVN) and tyrosine hydroxylase (TH) phosphorylation (activation), as well as CRF₂ expression in the nucleus of the solitary tract-A₂ noradrenergic cell group (NTS-A₂).
The contribution of CRF₂ signalling in opiate withdrawal was assessed by i.c.v. infusion of the selective CRF₂ antagonist, antisauvagine-30 (AS-30). Rats were implanted with two morphine (or placebo) pellets. Six days later, rats were pretreated with AS-30 or saline 10 min before naloxone and the physical signs of abstinence, the HPA axis activity, NA turnover, TH activation and CRF₂ expression were measured using immunoblotting, RIA, HPLC and immunohistochemistry.
Rats pretreated with AS-30 showed decreased levels of somatic signs of naloxone-induced opiate withdrawal, but the corticosterone response was not modified. AS-30 attenuated the increased production of the NA metabolite, 3-methoxy-4-hydroxyphenylglycol, as well as the enhanced NA turnover observed in morphine-withdrawn rats. Finally, AS-30 antagonized the TH phosphorylation at Serine40 induced by morphine withdrawal.
These results suggest that physical signs of opiate withdrawal, TH activation and stimulation of noradrenergic pathways innervating the PVN are modulated by CRF₂ signalling. Furthermore, they indicate a marginal role for the HPA axis in CRF₂-mediation of opiate withdrawal.
最近的证据表明,促肾上腺皮质激素释放因子(CRF)受体信号参与调节阿片戒断的阴性症状。在这项研究中,进行了一系列实验,以进一步表征 CRF 型 2 受体(CRF₂)信号在阿片戒断诱导的依赖体征、下丘脑-垂体-肾上腺(HPA)轴激活、增强下丘脑室旁核(PVN)去甲肾上腺素(NA)转化以及酪氨酸羟化酶(TH)磷酸化(激活)以及孤束核-A₂去甲肾上腺素能细胞群(NTS-A₂)中的 CRF₂表达中的作用。
通过脑室内输注选择性 CRF₂拮抗剂抗 Sauvagine-30(AS-30)来评估 CRF₂信号在阿片戒断中的作用。大鼠植入两个吗啡(或安慰剂)丸。六天后,大鼠用 AS-30 或生理盐水预处理 10 分钟,然后用纳洛酮处理,并用免疫印迹、放射免疫分析、HPLC 和免疫组织化学测量戒断体征、HPA 轴活性、NA 转化、TH 激活和 CRF₂表达。
用 AS-30 预处理的大鼠显示出纳洛酮诱导的阿片戒断的躯体体征水平降低,但皮质酮反应没有改变。AS-30 减弱了吗啡戒断大鼠中观察到的 NA 代谢物 3-甲氧基-4-羟基苯乙二醇产量增加以及 NA 转化增加。最后,AS-30 拮抗了吗啡戒断引起的 TH 丝氨酸 40 磷酸化。
这些结果表明,阿片戒断的躯体体征、TH 激活和对 PVN 支配的去甲肾上腺素能途径的刺激是由 CRF₂信号调节的。此外,它们表明 HPA 轴在 CRF₂介导的阿片戒断中作用不大。