Department of Psychiatry, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, Mail Code 7792, San Antonio, TX 78229-3900, USA.
Psychopharmacology (Berl). 2012 Feb;219(4):1027-37. doi: 10.1007/s00213-011-2432-z. Epub 2011 Aug 12.
Given evidence for age-related differences in the effects of drugs of abuse, surprisingly few preclinical studies have explored effects of opioids in adolescents (versus adults).
This study compared the motor stimulating, ataxic, and hypothermic effects of morphine in adolescent, late adolescent, and adult mice. Plasma and brain levels of morphine were assessed to examine possible pharmacokinetic differences among the age groups.
Locomotion was measured as occlusions of horizontal infrared light beams, ataxia as failing the horizontal wire test, body temperature by rectal probe, and morphine levels by HPLC-UV.
Morphine (3.2-56 mg/kg, i.p.) increased locomotion along an inverted U-shaped dose-response curve in adolescent, late adolescent, and adult male C57BL/6J mice. Its potency to stimulate locomotion was similar in all age groups. However, maximal stimulation was higher in adolescents than in late adolescents, and higher in late adolescents than in adults. In contrast, adolescents showed less ataxia than adults when given morphine (5.6-100 mg/kg, i.p.). The hypothermic effects of morphine did not differ among the age groups. Morphine levels, which peaked in plasma at 15 min and in brain at 45 min after i.p. injection, did not show age-related differences.
The finding that adolescents are not generally more sensitive to morphine than adults, but differ in their sensitivity to effects involving nigrostriatal/mesolimbic dopamine systems, is consistent with evidence of overactivity of these dopamine systems during adolescence relative to adulthood. The age-related differences observed here are unlikely due to pharmacokinetic factors.
鉴于药物滥用的影响在不同年龄段存在差异,令人惊讶的是,很少有临床前研究探索过阿片类药物在青少年(而非成年人)中的作用。
本研究比较了吗啡对青少年、晚期青少年和成年小鼠的运动刺激、共济失调和体温过低的影响。评估了血浆和大脑中的吗啡水平,以检查不同年龄组之间可能存在的药代动力学差异。
通过水平红外光束的遮挡来测量运动,通过水平金属丝测试失败来测量共济失调,通过直肠探针测量体温,通过 HPLC-UV 测量吗啡水平。
吗啡(3.2-56mg/kg,ip)在青少年、晚期青少年和成年雄性 C57BL/6J 小鼠中以倒 U 形剂量反应曲线增加运动。其刺激运动的效力在所有年龄组中相似。然而,在青少年中最大刺激比在晚期青少年中更高,在晚期青少年中比在成年人中更高。相比之下,当给予吗啡(5.6-100mg/kg,ip)时,青少年比成年人表现出较少的共济失调。吗啡的降温作用在各年龄组之间没有差异。吗啡水平在腹腔注射后 15 分钟在血浆中达到峰值,在 45 分钟在大脑中达到峰值,没有表现出与年龄相关的差异。
青少年对吗啡的敏感性一般不比成年人高,但在涉及黑质纹状体/中脑边缘多巴胺系统的作用方面存在敏感性差异的发现,与这些多巴胺系统在青春期比成年期过度活跃的证据一致。这里观察到的与年龄相关的差异不太可能是由于药代动力学因素引起的。