Iglesias V, Alamo C, Cuenca E, Morales L, Perez-Garcia C, Alguacil L F
Departamento Farmacologia, Universidad Alcalaá de HenaresDepartamento Ciencias Biomédicas, Universidad San Pablo CEU, Madrid, Spain.
Addict Biol. 1998 Oct;3(4):459-63. doi: 10.1080/13556219872001.
Acute administration of the alpha-2 adrenoceptor agonist clonidine and chronic administration of the alpha2 antagonist yohimbine both inhibit opioid withdrawal signs in experimental models of dependence and also in clinical studies with opiate abusers. There are exceptions to this general rule: restlessness or self-reported abstinence in humans and withdrawal-induced escape behaviour in rodents are resistant to inhibition by acute clonidine. We have explored the effect of the alpha-2 antagonist yohimbine on morphine withdrawal-induced escape behaviour in a mouse model that we have proposed to differentiate between the urge to escape (number of jumps) and non-specific sedative/motor actions (height of jumps). Morphine dependence was induced by s.c. administration of a sustained-release preparation (1 g/kg). Naloxone (1 mg/kg) was injected to precipitate withdrawal jumping 72 hours after morphine injection. Co-treatment with yohimbine dissolved in the tap water (70 mg/l) decreased the number of jumps upon naloxone challenge, an effect which did not seem to be related with a sedative or toxic effect of the drug. This result confirms previous data and suggests that yohimbine could prevent the development of opioid dependence being active to decrease withdrawal-induced escape behaviour. The mechanisms of this action are discussed.
在依赖性实验模型以及针对阿片类药物滥用者的临床研究中,α-2肾上腺素能受体激动剂可乐定的急性给药和α2拮抗剂育亨宾的慢性给药均能抑制阿片类药物戒断症状。但这一普遍规律也有例外:人类的烦躁不安或自我报告的戒断情况,以及啮齿动物中戒断诱导的逃避行为,对可乐定急性给药的抑制作用具有抗性。我们在一个小鼠模型中探讨了α-2拮抗剂育亨宾对吗啡戒断诱导的逃避行为的影响,我们提出该模型可区分逃避冲动(跳跃次数)和非特异性镇静/运动行为(跳跃高度)。通过皮下注射缓释制剂(1克/千克)诱导小鼠产生吗啡依赖性。在注射吗啡72小时后注射纳洛酮(1毫克/千克)以引发戒断性跳跃。将育亨宾溶解于自来水中(70毫克/升)进行联合治疗,可减少纳洛酮激发后的跳跃次数,该效应似乎与药物的镇静或毒性作用无关。这一结果证实了先前的数据,并表明育亨宾可能通过降低戒断诱导的逃避行为来预防阿片类药物依赖性的发展。本文还讨论了这一作用的机制。