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肾上腺切除术对镇痛与吗啡组织含量相关性的影响。

Effect of adrenalectomy on correlation of analgesia with tissue content of morphine.

作者信息

Miyamoto Y, Ozaki M, Yamamoto H

机构信息

Department of Pharmacology, Wakayama Medical College, Japan.

出版信息

Eur J Pharmacol. 1989 Aug 11;167(1):11-20. doi: 10.1016/0014-2999(89)90742-5.

Abstract

Adrenalectomy potentiated the antinociception of s.c. morphine (1.9-fold) but not that of i.c.v. morphine. After s.c. administration, the semilogarithmic plots of morphine content (plasma, brain, cerebrospinal fluid (CSF) or spinal cord) and morphine antinociception showed linearity for both sham-operated (SHAM) and adrenalectomized rats (ADX), and the regression lines for ADX showed leftward shifts (1.5-1.9-fold) compared with those for SHAM. After i.c.v. administration, the semilogarithmic plots of morphine content in brain or CSF and morphine antinociception showed linearity for both groups without difference in the regression lines for SHAM and for ADX, and the correlation between spinal morphine and antinociception was poor. Morphine was distributed in both brain and spinal cord after s.c., but was predominantly found in brain after i.c.v. administration. These results suggest that increased sensitivity to morphine is the main cause of adrenalectomy-induced potentiation of morphine antinociception and that adrenalectomy increases the sensitivity to morphine at the spinal site and/or potentiates the synergistic interaction of supraspinal and spinal morphine action.

摘要

肾上腺切除术增强了皮下注射吗啡的镇痛作用(1.9倍),但对脑室内注射吗啡的镇痛作用没有增强。皮下给药后,假手术组(SHAM)和肾上腺切除大鼠(ADX)的吗啡含量(血浆、脑、脑脊液(CSF)或脊髓)与吗啡镇痛作用的半对数图均呈线性,与SHAM组相比,ADX组的回归线向左移动(1.5 - 1.9倍)。脑室内给药后,两组脑或脑脊液中吗啡含量与吗啡镇痛作用的半对数图均呈线性,SHAM组和ADX组的回归线无差异,且脊髓吗啡与镇痛作用之间的相关性较差。皮下给药后吗啡分布于脑和脊髓,但脑室内给药后主要分布于脑。这些结果表明,对吗啡敏感性增加是肾上腺切除术诱导吗啡镇痛作用增强的主要原因,肾上腺切除术增加了脊髓部位对吗啡的敏感性和/或增强了脊髓上和脊髓吗啡作用的协同相互作用。

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