Millan M J, Członkowski A, Herz A
Department of Neuropharmacology, Max-Planck-Institut für Psychiatrie, Martinsried, F.R.G.
Neuroscience. 1987 Sep;22(3):885-96. doi: 10.1016/0306-4522(87)92967-8.
Electrical stimulation of the ventral midbrain in freely moving rats led to an antinociception against both noxious heat and noxious pressure. Recurrent stimulation was associated with a progressive loss of the antinociceptive efficacy of stimulation. Rats adapted ("tolerant") to stimulation revealed a significant reduction in the antinociceptive potency of a low dose of the systemically applied selective mu-opioid agonist, morphine. In distinction, the antinociceptive effect of the selective kappa-agonist, trans-3,4-dichloro-N-methyl-N[2-(1-pyrrolidinyl)cyclohexyl]benzeneacetam ide (U50488H) was not modified. In the presence of naloxone, delivered subcutaneously via minipumps at a low dose for 7 days, the antinociceptive action of morphine was abolished, whereas that of U50488H was not attenuated: this reflects the selective blockade of mu-receptors. Rats receiving naloxone failed to develop an antinociception upon midbrain electrical stimulation. Removal of the pumps led to a supersensitivity to the antinociceptive effects of morphine but not U50488H. Similarly, midbrain stimulation-produced antinociception was enhanced. These data demonstrate that (1) midbrain stimulation-produced analgesia is selectively cross-tolerant to a mu- as compared to a kappa-agonist; (2) a very low dose of naloxone selective for the mu-receptor blocks midbrain stimulation-produced analgesia, and (3) chronic naloxone treatment leads to a selective supersensitivity to a mu-agonist as compared to a kappa-agonist and an enhancement of midbrain stimulation-produced analgesia. Collectively, the data indicate that a mu-opioid receptor mediates midbrain stimulation-produced analgesia in the rat against both noxious heat and noxious pressure.
对自由活动的大鼠腹侧中脑进行电刺激会产生对伤害性热刺激和伤害性压力刺激的镇痛作用。反复刺激会导致刺激的镇痛效果逐渐丧失。适应(“耐受”)刺激的大鼠显示,全身应用低剂量选择性μ-阿片受体激动剂吗啡的镇痛效力显著降低。相比之下,选择性κ-阿片受体激动剂反式-3,4-二氯-N-甲基-N-[2-(1-吡咯烷基)环己基]苯乙酰胺(U50488H)的镇痛作用未改变。在通过微型泵以低剂量皮下注射纳洛酮7天的情况下,吗啡的镇痛作用被消除,而U50488H的镇痛作用未减弱:这反映了μ-阿片受体的选择性阻断。接受纳洛酮的大鼠在中脑电刺激时未能产生镇痛作用。移除微型泵会导致对吗啡而非U50488H的镇痛作用产生超敏反应。同样,中脑刺激产生的镇痛作用增强。这些数据表明:(1)与κ-阿片受体激动剂相比,中脑刺激产生的镇痛作用对μ-阿片受体激动剂具有选择性交叉耐受性;(2)极低剂量的对μ-阿片受体具有选择性的纳洛酮可阻断中脑刺激产生的镇痛作用;(3)与κ-阿片受体激动剂相比,慢性纳洛酮治疗会导致对μ-阿片受体激动剂产生选择性超敏反应,并增强中脑刺激产生的镇痛作用。总体而言,这些数据表明μ-阿片受体介导了大鼠中脑刺激产生的针对伤害性热刺激和伤害性压力刺激的镇痛作用。