Delle M, Ricksten S E, Häggendal J, Olsson K, Skarphedinsson J O, Thorén P
Department of Physiology, University of Göteborg, Sweden.
J Pharmacol Exp Ther. 1990 May;253(2):646-54.
The aim of the study was to examine regional changes in sympathetic nerve activity (SNA) and baroreceptor function and arterial plasma catecholamines, arginine vasopressin (AVP) and plasma renin activity during morphine withdrawal in chloralose-anesthetized rats. Dependence was induced by s.c. morphine base pellets. Adrenal, renal and splanchnic SNA and SNA from the lumbar sympathetic chain were recorded before and after i.v. injections of naloxone. Baroreceptor function was examined with phenylephrine-induced increases in mean arterial pressure. In separate experiments, arterial plasma norepinephrine, epinephrine, dopamine, plasma renin activity and AVP were measured before and after naloxone-precipitated withdrawal. Naloxone administration elicited an increase in mean arterial pressure and heart rate. Although renal SNA was inhibited by approximately 50%, adrenal SNA and lumbar SNA increased by approximately 400 and 80%, respectively. Splanchnic SNA did not change significantly. The baroreceptor-mediated inhibition of adrenal SNA was facilitated while that for renal SNA was attenuated. The arterial plasma level of norepinephrine was doubled and epinephrine increased almost 20-fold. AVP increased about 15-fold, whereas plasma renin activity showed only a minor increase after naloxone. This study shows that a marked differentiation of the SNA response occurs during morphine withdrawal in rats, which suggests an interaction between opioid receptors and the control of regional sympathetic output. Furthermore, large amounts of AVP and epinephrine are released, which probably contribute to the cardiovascular changes seen in the withdrawal phase.
本研究的目的是检测水合氯醛麻醉大鼠吗啡戒断期间交感神经活动(SNA)、压力感受器功能以及动脉血浆儿茶酚胺、精氨酸血管加压素(AVP)和血浆肾素活性的区域变化。通过皮下注射吗啡碱微丸诱导大鼠产生依赖性。在静脉注射纳洛酮前后,记录肾上腺、肾和内脏的SNA以及腰交感神经链的SNA。通过苯肾上腺素诱导平均动脉压升高来检测压力感受器功能。在单独的实验中,测量纳洛酮诱发戒断前后动脉血浆去甲肾上腺素、肾上腺素、多巴胺、血浆肾素活性和AVP。注射纳洛酮后平均动脉压和心率升高。虽然肾SNA被抑制了约50%,但肾上腺SNA和腰SNA分别增加了约400%和80%。内脏SNA没有显著变化。压力感受器介导的对肾上腺SNA的抑制作用增强,而对肾SNA的抑制作用减弱。动脉血浆去甲肾上腺素水平翻倍,肾上腺素增加了近20倍。纳洛酮后AVP增加约15倍,而血浆肾素活性仅略有增加。本研究表明,大鼠吗啡戒断期间SNA反应存在明显差异,这表明阿片受体与区域交感神经输出控制之间存在相互作用。此外,大量AVP和肾上腺素释放,这可能是戒断期心血管变化的原因。