Department of Anesthesiology, School of Medicine, Tokai University, Isehara, 259-1193, Japan.
J Anesth. 2015 Feb;29(1):65-77. doi: 10.1007/s00540-014-1860-4. Epub 2014 Jun 19.
The N- and C-terminal regions of dynorphin (Dyn) A (1-17) activate opioid and N-methyl-D-aspartate receptors, respectively. Earlier studies demonstrated that Dyn-converting enzyme cleaved Dyn A (1-17) mainly at the Arg(6)-Arg(7) bond, resulting in the production of N- and C-terminal region peptide fragments, and that this enzyme was not inhibited by a mixture of the three peptidase inhibitors (PIs) amastatin (A), captopril (C), and phosphoramidon (P). The purpose of the present study was to evaluate antinociceptive potential and toxicity with intracerebroventricular administration of Dyn A (1-17) or (1-13) under pretreatment with a mixture of A, C, and P and/or Dyn-converting enzyme inhibitor (p-hydroxymercuribenzoate).
Peptide fragments from Dyn A (1-17) following incubation with membrane preparation under pretreatment with a mixture of the three PIs was identified by matrix-assisted laser desorption ionization time-of-flight mass spectrometer (MALDI-TOF-MS). Infusion of drugs and peptides into the third ventricle in rats was performed via indwelling cannulae. Induction of antinociception and toxicity by Dyn A (1-17), Dyn A (1-13), Dyn A (1-6), or Dyn A (7-17) were determined by the tail-flick test and induction of barrel rotation, respectively. The effects of the PIs on antinociception and toxicity were evaluated by a dose-response study and a comparison of differences among various combinations of Dyn A (1-17) or Dyn A (1-13) and the three PIs and p-hydroxymercuribenzoate.
MALDI-TOF-MS analysis identified Dyn A (1-6) and Dyn A (1-10) fragments as products following incubation of Dyn A (1-17) with membrane preparation of rat midbrain under pretreatment with a mixture of the three PIs. Pretreatment with a mixture of the three PIs produced an approximately 30-fold augmentation in antinociception induced by low-dose intracerebroventricular administration of Dyn A (1-17) or (1-13) in a μ-, δ- and κ-opioid receptor antagonist-reversible manner, but without signs of toxicity such as barrel rotation in the rat. Dyn A (1-17)-induced antinociception and toxicity was greater than that of Dyn A (1-6), Dyn A (1-13), or Dyn A (7-17) at the same dose. Dyn A (1-17)-induced antinociception and toxicity under pretreatment with various combinations of the three PIs and p-hydroxymercuribenzoate was greater than that with a mixture of the three PIs alone.
These findings suggest that administration of a mixture of the three PIs increases Dyn A (1-17)- or (1-13)-induced antinociception under physiological conditions without toxicity.
强啡肽 A(1-17)的 N 端和 C 端区域分别激活阿片受体和 N-甲基-D-天冬氨酸受体。早期研究表明,Dyn 转化酶主要在 Arg(6)-Arg(7)键处切割 Dyn A(1-17),产生 N 端和 C 端区域肽片段,并且该酶不受三种肽酶抑制剂(PI)混合物(氨肽酶抑制剂、卡托普利和磷氨肽酶抑制剂)的抑制。本研究的目的是评估在预先用混合物(A、C 和 P)和/或 Dyn 转化酶抑制剂(对羟基汞苯甲酸)预处理后,鞘内给予 Dyn A(1-17)或(1-13)时的镇痛潜力和毒性。
用基质辅助激光解吸电离飞行时间质谱(MALDI-TOF-MS)鉴定 Dyn A(1-17)在与三种 PI 混合物预处理的膜制剂孵育后的肽片段。通过留置套管将药物和肽注入大鼠第三脑室。通过尾巴闪烁试验和诱导桶旋转分别确定 Dyn A(1-17)、Dyn A(1-13)、Dyn A(1-6)或 Dyn A(7-17)引起的镇痛和毒性。通过剂量反应研究和比较 Dyn A(1-17)或 Dyn A(1-13)与三种 PI 和对羟基汞苯甲酸的各种组合之间的差异,评估 PI 对镇痛和毒性的影响。
MALDI-TOF-MS 分析鉴定出 Dyn A(1-6)和 Dyn A(1-10)片段作为产物,方法是在与三种 PI 混合物预处理的大鼠中脑膜制剂孵育 Dyn A(1-17)。预先用三种 PI 混合物处理可使低剂量鞘内给予 Dyn A(1-17)或(1-13)诱导的镇痛作用增加约 30 倍,这种作用呈 μ、δ 和 κ 阿片受体拮抗剂逆转方式,但大鼠无桶旋转等毒性迹象。在相同剂量下,Dyn A(1-17)诱导的镇痛作用和毒性大于 Dyn A(1-6)、Dyn A(1-13)或 Dyn A(7-17)。用三种 PI 和对羟基汞苯甲酸的各种组合预处理后,Dyn A(1-17)诱导的镇痛作用和毒性大于单独用三种 PI 混合物预处理。
这些发现表明,在生理条件下,给予三种 PI 混合物可增加 Dyn A(1-17)或(1-13)诱导的镇痛作用,而无毒性。