Seth Vikas, Ahmad Mushtaq, Upadhyaya Prerna, Sharma Monika, Moghe Vijay
Pharmacology Department, Mahatma Gandhi Medical College, Jaipur, Rajasthan, India.
Subst Abuse. 2010;4:61-6. doi: 10.4137/SART.S6211. Epub 2010 Nov 16.
The present study was conducted to investigate the effect of potassium channel openers and blockers on morphine withdrawal syndrome. Mice were rendered dependent on morphine by subcutaneous injection of morphine; four hours later, withdrawal was induced by using an opioid antagonist, naloxone. Mice were observed for 30 minutes for the withdrawal signs ie, the characteristic jumping, hyperactivity, urination and diarrhea. ATP-dependent potassium (K(+) (ATP)) channel modulators were injected intraperitoneally (i.p.) 30 minutes before the naloxone. It was found that a K(+) (ATP) channel opener, minoxidil (12.5-50 mg/kg i.p.), suppressed the morphine withdrawal significantly. On the other hand, the K(+) (ATP) channel blocker glibenclamide (12.5-50 mg/kg i.p.) caused a significant facilitation of the withdrawal. Glibenclamide was also found to abolish the minoxidil's inhibitory effect on morphine withdrawal. The study concludes that K(+) (ATP) channels play an important role in the genesis of morphine withdrawal and K(+) (ATP) channel openers could be useful in the management of opioid withdrawal. As morphine opens K(+) (ATP) channels in neurons, the channel openers possibly act by mimicking the effects of morphine on neuronal K(+) currents.
本研究旨在探讨钾通道开放剂和阻滞剂对吗啡戒断综合征的影响。通过皮下注射吗啡使小鼠对吗啡产生依赖性;4小时后,使用阿片类拮抗剂纳洛酮诱发戒断反应。观察小鼠30分钟,记录戒断症状,即特征性的跳跃、多动、排尿和腹泻。在注射纳洛酮前30分钟腹腔注射ATP依赖性钾(K(+) (ATP))通道调节剂。结果发现,K(+) (ATP)通道开放剂米诺地尔(12.5 - 50毫克/千克腹腔注射)能显著抑制吗啡戒断反应。另一方面,K(+) (ATP)通道阻滞剂格列本脲(12.5 - 50毫克/千克腹腔注射)则显著促进戒断反应。还发现格列本脲能消除米诺地尔对吗啡戒断的抑制作用。该研究得出结论,K(+) (ATP)通道在吗啡戒断的发生过程中起重要作用,K(+) (ATP)通道开放剂可能有助于治疗阿片类药物戒断。由于吗啡可开放神经元中的K(+) (ATP)通道,通道开放剂可能通过模拟吗啡对神经元K(+)电流的作用来发挥作用。