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急性给予巴比妥类药物可增加体内苯二氮䓬受体结合。

Acute barbiturate administration increases benzodiazepine receptor binding in vivo.

作者信息

Miller L G, Deutsch S I, Greenblatt D J, Paul S M, Shader R I

机构信息

Division of Clinical Pharmacology, Tufts University School of Medicine, Boston, MA 02111.

出版信息

Psychopharmacology (Berl). 1988;96(3):385-90. doi: 10.1007/BF00216067.

Abstract

Barbiturates have been reported to augment benzodiazepine receptor affinity in vitro, but their effects in vivo are uncertain. We determined benzodiazepine receptor binding in vivo by specific uptake of [3H]Ro15-1788 after barbiturate administration. Pentobarbital (30 mg/kg) increased receptor binding in cerebral cortex and cerebellum at 30 min after injection, with a peak effect occurring at 1 h after dosage, and a return to control levels at 2 h. Specific binding was increased at 1 h after pentobarbital administration in a dose-dependent fashion (7.5-90 mg/kg). Pentobarbital at doses up to 30 mg/kg failed to alter nonspecific binding, but at doses of 60 mg/kg increases in nonspecific binding were observed. The increases in specific binding observed after barbiturate administration were most likely due to a change in apparent receptor affinity, as determined by administration of varying doses of clonazepam to pentobarbital-treated (30 mg/kg) animals. The order of potency of a series of barbiturates in augmenting benzodiazepine receptor binding in cerebral cortex and cerebellum in vivo was: secobarbital greater than pentobarbital greater than amobarbital greater than phenobarbital greater than barbital. The same relative rank order of potency exists for the anesthetic/hypnotic activity of these barbiturates. These data suggest that barbiturates increase the apparent affinity of benzodiazepine receptors in vivo; unlike their in vitro actions, these alterations can be detected with a receptor antagonist.

摘要

据报道,巴比妥类药物在体外可增强苯二氮䓬受体亲和力,但其体内作用尚不确定。我们通过在给予巴比妥类药物后特异性摄取[3H]Ro15 - 1788来测定体内苯二氮䓬受体结合情况。戊巴比妥(30毫克/千克)注射后30分钟可增加大脑皮层和小脑的受体结合,给药后1小时达到峰值效应,2小时恢复至对照水平。戊巴比妥给药后1小时特异性结合呈剂量依赖性增加(7.5 - 90毫克/千克)。剂量高达30毫克/千克的戊巴比妥未能改变非特异性结合,但剂量为60毫克/千克时可观察到非特异性结合增加。给予不同剂量的氯硝西泮给戊巴比妥处理(30毫克/千克)的动物后确定,巴比妥类药物给药后观察到的特异性结合增加很可能是由于表观受体亲和力的改变。一系列巴比妥类药物在体内增强大脑皮层和小脑苯二氮䓬受体结合的效力顺序为:司可巴比妥大于戊巴比妥大于异戊巴比妥大于苯巴比妥大于巴比妥。这些巴比妥类药物的麻醉/催眠活性也存在相同的相对效力等级顺序。这些数据表明,巴比妥类药物在体内增加苯二氮䓬受体的表观亲和力;与它们的体外作用不同,这些改变可用受体拮抗剂检测到。

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