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小鼠中阿片类药物镇痛与中枢性胃肠推进的解离:纳洛嗪研究

Dissociation of opioid antinociception and central gastrointestinal propulsion in the mouse: studies with naloxonazine.

作者信息

Heyman J S, Williams C L, Burks T F, Mosberg H I, Porreca F

机构信息

Department of Pharmacology, University of Arizona Health Sciences Center, Tucson.

出版信息

J Pharmacol Exp Ther. 1988 Apr;245(1):238-43.

PMID:2834537
Abstract

The effect of pretreatment with naloxonazine on opioid-mediated antinociception against a thermal stimulus (55 degrees C warm-water tail-flick test) and inhibition of gastrointestinal transit at supraspinal and spinal levels was studied in unanesthetized mice. The mu-selective agonist [D-Ala2, N-methyl-Phe4, Gly5-ol]enkephalin (DAGO), the delta-selective agonist [D-Pen2, D-Pen5]enkephalin (DPDPE) and the reference mu-acting agonist morphine, all produced antinociception after either i.c.v. or intrathecal(ly) (i.t.) administration. Morphine and DAGO, but not DPDPE, inhibited gastrointestinal transit after i.c.v. administration, whereas all three agonists slowed gut propulsion when given i.t. A single s.c. naloxonazine pretreatment, 35 mg/kg given 24 hr earlier, failed to displace the dose-response line for i.c.v. DPDPE antinociception but produced a marked rightward displacement of the i.c.v. morphine and DAGO dose-response lines for antinociception. In contrast, naloxonazine (35 mg/kg) pretreatment did not alter the antinociceptive effects of i.t. morphine, DAGO or DPDPE. The effects of naloxonazine pretreatment on inhibition of gut propulsion were the converse of those observed for antinociception at supraspinal and spinal sites; naloxonazine had no effect on the antitransit properties of i.c.v. morphine and DAGO but inhibited the antitransit properties of all three agonists when they were given i.t. These results support the view that opioids may produce their supraspinal antitransit effects at a receptor different from that mediating antinociception; morphine and DAGO mediate their antitransit effects at a naloxonazine-insensitive site, whereas their antinociceptive effects are produced at the naloxonazine-sensitive receptor.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在未麻醉的小鼠中,研究了纳洛酮嗪预处理对阿片类药物介导的针对热刺激(55摄氏度温水甩尾试验)的镇痛作用以及在脊髓上和脊髓水平对胃肠蠕动抑制的影响。μ选择性激动剂[D-丙氨酸2,N-甲基苯丙氨酸4,甘氨酸5-醇]脑啡肽(DAGO)、δ选择性激动剂[D-青霉胺2,D-青霉胺5]脑啡肽(DPDPE)和参比μ作用激动剂吗啡,在脑室内(i.c.v.)或鞘内(i.t.)给药后均产生镇痛作用。吗啡和DAGO,但不是DPDPE,在脑室内给药后抑制胃肠蠕动,而当鞘内给药时,所有三种激动剂均减缓肠道推进。单次皮下注射纳洛酮嗪预处理,提前24小时给予35mg/kg,未能使脑室内DPDPE镇痛的剂量-反应线发生位移,但使脑室内吗啡和DAGO镇痛的剂量-反应线明显右移。相比之下,纳洛酮嗪(35mg/kg)预处理并未改变鞘内吗啡、DAGO或DPDPE的镇痛作用。纳洛酮嗪预处理对肠道推进抑制的影响与在脊髓上和脊髓部位观察到的镇痛作用相反;纳洛酮嗪对脑室内吗啡和DAGO的抗蠕动特性无影响,但当三种激动剂鞘内给药时,抑制了它们的抗蠕动特性。这些结果支持以下观点,即阿片类药物可能在与介导镇痛作用不同的受体上产生其脊髓上抗蠕动作用;吗啡和DAGO在纳洛酮嗪不敏感的位点介导其抗蠕动作用,而它们的镇痛作用是在纳洛酮嗪敏感的受体上产生的。(摘要截短于250字)

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