Department of Pharmacology, Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Arch Pharm Res. 2013 Apr;36(4):501-8. doi: 10.1007/s12272-013-0072-z. Epub 2013 Feb 26.
In addition to producing antinociception, opioids exert profound effects on body temperature. This study aimed at comparing antinociceptive and hyperthermic responses between two groups of μ-opioid receptor agonists: fentanyl (4-anilinopiperidine-type) and morphine (phenanthrene-type) derivatives in rats. Analgesic activity was assessed by tail immersion test and the body temperature by insertion of a thermometer probe into the colon. Fentanyl (F), (±)-cis-3-methyl fentanyl (CM), (±)-cis-3-carbomethoxy fentanyl (C), (±)trans-3-carbomethoxy fentanyl (T) and (±)-cis-3 butyl fentanyl (B) produced dose-dependent increase in antinociception and hyperthermia. The relative order of analgesic potency was: CM(11.27)>F(1)>C(0.35)≥T(0.11)≥B(0.056). Similar to this, the relative order of hyperthermic potency was: CM(8.43)>F(1)>C(0.46)≥T(0.11)≥B(0.076). Morphine (M), oxycodone (O), thebacon (T) and 6,14-ethenomorphinan-7-methanol, 4,5-epoxy-6-fluoro-3-hydroxy-α,α,17-trimethyl-, (5α,7α) (E) also produced dose-dependent increase in antinociception and hyperthermia. Among morphine derivatives the relative order of analgesic potency was: E(56)>O(5)≥T(2.6)>M(1), and similar to this, the relative order of hyperthermic potency was: E(37)>O(3)≥T(2.3)>M(1). Morphine (phenanthrene-type) and fentanyl (4-anilinopiperidine-type) derivatives produced hyperthermia in rats at doses about 2 times lower, and 6-11 times higher, than their median antinociceptive doses, respectively. This study is first to identify difference between these two classes of opioid drugs in their potencies in producing hyperthermia. Further studies are needed to clarify the significance of these findings.
除了产生镇痛作用外,阿片类药物还对体温产生深远影响。本研究旨在比较两组μ-阿片受体激动剂(芬太尼(4-苯胺哌啶型)和吗啡(菲啶型)衍生物)在大鼠中的镇痛和发热反应。镇痛活性通过尾巴浸入试验评估,体温通过将温度计探头插入结肠来评估。芬太尼(F)、(±)-顺式-3-甲基芬太尼(CM)、(±)-顺式-3-羧基甲氧基芬太尼(C)、(±)-反式-3-羧基甲氧基芬太尼(T)和(±)-顺式-3-丁基芬太尼(B)产生剂量依赖性增加的镇痛和发热作用。镇痛效力的相对顺序为:CM(11.27)>F(1)>C(0.35)≥T(0.11)≥B(0.056)。同样,发热效力的相对顺序为:CM(8.43)>F(1)>C(0.46)≥T(0.11)≥B(0.076)。吗啡(M)、羟考酮(O)、替布卡因(T)和 6,14-乙叉吗啡-7-甲醇,4,5-环氧-6-氟-3-羟基-α,α,17-三甲基-,(5α,7α)(E)也产生剂量依赖性增加的镇痛和发热作用。在吗啡衍生物中,镇痛效力的相对顺序为:E(56)>O(5)≥T(2.6)>M(1),同样,发热效力的相对顺序为:E(37)>O(3)≥T(2.3)>M(1)。吗啡(菲啶型)和芬太尼(4-苯胺哌啶型)衍生物在大鼠中产生发热的剂量分别约为其中等镇痛剂量的 2 倍和 6-11 倍,而产生发热的剂量则分别约为其中等镇痛剂量的 2 倍和 6-11 倍。本研究首次确定了这两类阿片类药物在产生发热方面的效力差异。需要进一步的研究来阐明这些发现的意义。