Minervini Vanessa, France Charles P
Departments of Pharmacology.
Psychiatry and Addiction Research, Treatment & Training Center of Excellence, University of Texas Health Science Center, San Antonio, Texas, USA.
Behav Pharmacol. 2018 Feb;29(1):60-70. doi: 10.1097/FBP.0000000000000339.
µ-Opioid receptor agonists are commonly used to treat pain despite their adverse effects. In preclinical studies, cannabinoid receptor agonists increase the potency of opioids for producing antinociceptive but not reinforcing effects. It is unknown whether other adverse effects of these drugs, such as impairment of complex behavior, are enhanced by their co-administration. This study characterized the effects of morphine (µ-opioid receptor agonist; 0.32-5.6 mg/kg, subcutaneously) and CP55940 (CB1/CB2 cannabinoid receptor agonist; 0.0032-0.32 mg/kg, subcutaneously), alone and in mixtures, in monkeys (n=3) choosing between one pellet delivered immediately and two pellets delivered after a delay. Two consecutive choices of the immediate or delayed reward decreased or increased, respectively, the delay. The median adjusted delay, indicating indifference between the immediate and delayed reinforcers, was increased by morphine (3.2 mg/kg) and CP55940 (0.01-0.032 mg/kg). Performance after administration of morphine (0.32 and 1 mg/kg)/CP55940 (0.0032-0.032 mg/kg) mixtures was not different from performance after CP55940 alone. Neither morphine, CP55940, nor mixtures decreased the median adjusted delay (i.e. increased impulsivity). These findings failed to confirm previous studies showing that morphine increases impulsivity, perhaps because of procedural differences among studies. Treatment of pain often requires repeated drug administration; thus, it remains to be determined whether the present findings predict the effects of chronically administered morphine/CP5540 mixtures on impulsive choice.
尽管存在副作用,μ-阿片受体激动剂仍常用于治疗疼痛。在临床前研究中,大麻素受体激动剂可增强阿片类药物产生抗伤害感受的效力,但不会增强其强化作用。尚不清楚这些药物的其他副作用,如复杂行为受损,是否会因联合使用而增强。本研究对吗啡(μ-阿片受体激动剂;0.32 - 5.6毫克/千克,皮下注射)和CP55940(CB1/CB2大麻素受体激动剂;0.0032 - 0.32毫克/千克,皮下注射)单独使用及混合使用对猴子(n = 3)的影响进行了表征,这些猴子要在立即获得一个小球和延迟后获得两个小球之间做出选择。连续两次选择立即奖励或延迟奖励会分别缩短或延长延迟时间。表明对立即和延迟强化物无差异的中位调整延迟时间,因吗啡(3.2毫克/千克)和CP55940(0.01 - 0.032毫克/千克)而增加。给予吗啡(0.32和1毫克/千克)/CP55940(0.0032 - 0.032毫克/千克)混合物后的表现与单独给予CP55940后的表现没有差异。吗啡、CP55940及其混合物均未缩短中位调整延迟时间(即增加冲动性)。这些发现未能证实先前的研究表明吗啡会增加冲动性,这可能是由于研究之间的程序差异。疼痛治疗通常需要重复给药;因此,目前的发现是否能预测长期给予吗啡/CP5540混合物对冲动选择的影响仍有待确定。