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对安定镇静和抗焦虑作用的耐受性与大鼠大脑皮层中GABAA受体的不同改变有关。

Tolerance to the sedative and anxiolytic effects of diazepam is associated with different alterations of GABAA receptors in rat cerebral cortex.

作者信息

Ferreri M C, Gutiérrez M L, Gravielle M C

机构信息

Instituto de Investigaciones Farmacológicas, Consejo Nacional de Investigaciones Científicas y Técnicas, Universidad de Buenos Aires, Junín 956, C1113AAD Buenos Aires, Argentina.

Instituto de Investigaciones Farmacológicas, Consejo Nacional de Investigaciones Científicas y Técnicas, Universidad de Buenos Aires, Junín 956, C1113AAD Buenos Aires, Argentina.

出版信息

Neuroscience. 2015 Dec 3;310:152-62. doi: 10.1016/j.neuroscience.2015.09.038. Epub 2015 Sep 29.

Abstract

The clinical use of benzodiazepines is limited by the development of tolerance to their pharmacological effects. Tolerance to each of the pharmacological actions of benzodiazepines develops at different rates. The aim of this work was to investigate the mechanism of tolerance by performing behavioral tests in combination with biochemical studies. To this end, we administered prolonged treatments of diazepam to rats for 7 or 14 days. Tolerance to the sedative effects of diazepam was detected by means of the open field test after the 7- and 14-day treatments, whereas tolerance to the anxiolytic actions of benzodiazepine manifested following only the 14-day treatment in the elevated plus maze. The cerebral cortical concentrations of diazepam did not decline after the diazepam treatments, indicating that tolerance was not due to alterations in pharmacokinetic factors. The uncoupling of GABA/benzodiazepine site interactions and an increase in the degree of phosphorylation of the GABAA receptor γ2 subunit at serine 327 in the cerebral cortex were produced by day 7 of diazepam treatment and persisted after 14 days of exposure to benzodiazepine. Thus, these alterations could be part of the mechanism of tolerance to the sedative effects of diazepam. An increase in the percentage of α1-containing GABAA receptors in the cerebral cortex was observed following the 14-day treatment with diazepam but not the 7-day treatment, suggesting that tolerance to the anxiolytic effects is associated with a change in receptor subunit composition. The understanding of the molecular bases of tolerance could be important for the development of new drugs that maintain their efficacies over long-term treatments.

摘要

苯二氮䓬类药物的临床应用受到其药理作用耐受性发展的限制。对苯二氮䓬类药物各药理作用的耐受性发展速度不同。本研究的目的是通过结合行为测试和生化研究来探究耐受性的机制。为此,我们对大鼠进行了为期7天或14天的地西泮长期治疗。在7天和14天治疗后,通过旷场试验检测到对地西泮镇静作用的耐受性,而在高架十字迷宫试验中,仅在14天治疗后才表现出对苯二氮䓬类抗焦虑作用的耐受性。地西泮治疗后,大脑皮质中的地西泮浓度并未下降,这表明耐受性并非由药代动力学因素的改变所致。地西泮治疗7天时,大脑皮质中GABA/苯二氮䓬位点相互作用解偶联,GABAA受体γ2亚基丝氨酸327位点的磷酸化程度增加,且在暴露于苯二氮䓬类药物14天后仍持续存在。因此,这些改变可能是对地西泮镇静作用产生耐受性的机制的一部分。地西泮治疗14天后,观察到大脑皮质中含α1的GABAA受体百分比增加,而7天治疗后未观察到,这表明对苯二氮䓬类抗焦虑作用的耐受性与受体亚基组成的变化有关。了解耐受性的分子基础对于开发在长期治疗中仍能保持疗效的新药可能很重要。

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