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脊髓麻醉大鼠静脉注射μ和κ阿片类药物的脊髓抗伤害感受作用及纳洛酮可逆性:与脊髓给药报道值的效价不匹配

Spinal antinociceptive actions and naloxone reversibility of intravenous mu- and kappa-opioids in spinalized rats: potency mismatch with values reported for spinal administration.

作者信息

Parsons C G, West D C, Headley P M

机构信息

Department of Physiology, School of Medical Sciences, University of Bristol.

出版信息

Br J Pharmacol. 1989 Oct;98(2):533-43. doi: 10.1111/j.1476-5381.1989.tb12627.x.

Abstract
  1. The relative spinal effectiveness of mu- and kappa-opioids has been assessed by their intravenous potencies on nociceptive responses (heat and/or pinch) of single motoneurones recorded in alpha-chloralose anaesthetized, spinalized rats. 2. The depressant actions of both mu- and kappa-opioids were reversed by low intravenous doses of naloxone (10 to 100 micrograms kg-1). When tested at a dose of 1 microgram kg-1 i.v., naloxone antagonized the effects of the mu-agonist morphine but had no effect on the kappa-opioid U-50,488. This provides further support for the theory that the actions of mu- and kappa-ligands were mediated at different subclasses of opioid receptor but highlights the difficulties in using antagonists with poor receptor selectivity to differentiate between mu- and kappa-receptor-mediated effects in vivo. 3. The molar potency rations of fentanyl: morphine:U-50,488: tifluadom for thermal and mechanical nociceptive responses were 620: 1.0:0.74:5.7 and 520:1.0:0.56:7.7 respectively. These potency ratios, as well as the absolute potencies, agree well with those reported in several behavioural studies in which systemic administration of agonists was used in non-thermal tests. 4. The agonist potency values obtained in this study contrast with those reported for local spinal administration. By this route, the potency of lipophilic opioids (e.g. fentanyl, U-50,488 and tifluadom) relative to hydrophilic opioids (e.g. morphine) is much reduced, implying that activity of intrathecally administered opioids is more dependent on the physico-chemical properties of the agonists used than on the relative abundance in the spinal cord of functional opioid receptors of the mu- and kappa-subtypes. This conclusion indicates that the results with locally applied opioids should not be used to assess spinal opioid receptor function.
摘要
  1. 通过静脉注射μ和κ阿片类药物对在α-氯醛糖麻醉、脊髓横断的大鼠中记录的单个运动神经元的伤害性反应(热刺激和/或夹捏刺激)的效力,评估了它们相对脊髓的有效性。2. 低剂量静脉注射纳洛酮(10至100微克/千克)可逆转μ和κ阿片类药物的抑制作用。当以1微克/千克静脉注射剂量进行测试时,纳洛酮拮抗了μ激动剂吗啡的作用,但对κ阿片类药物U-50,488没有影响。这为μ和κ配体的作用是在不同亚类的阿片受体介导的这一理论提供了进一步支持,但也凸显了在体内使用受体选择性差的拮抗剂来区分μ和κ受体介导的效应的困难。3. 芬太尼、吗啡、U-50,488、替氟朵对热和机械伤害性反应的摩尔效力比分别为620:1.0:0.74:5.7和520:1.0:0.56:7.7。这些效力比以及绝对效力与几项行为学研究中报道的结果非常一致,在这些研究中,激动剂是通过全身给药用于非热测试的。4. 本研究中获得的激动剂效力值与局部脊髓给药报道的值形成对比。通过这种途径,亲脂性阿片类药物(如芬太尼、U-50,488和替氟朵)相对于亲水性阿片类药物(如吗啡)的效力大大降低,这意味着鞘内给药阿片类药物的活性更多地取决于所用激动剂的物理化学性质,而不是取决于脊髓中μ和κ亚型功能性阿片受体的相对丰度。这一结论表明,局部应用阿片类药物的结果不应被用于评估脊髓阿片受体功能。

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