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阿片类药物剂量和途径依赖性羟考酮和海洛因疫苗在大鼠中的疗效。

Opioid Dose- and Route-Dependent Efficacy of Oxycodone and Heroin Vaccines in Rats.

机构信息

Minneapolis Medical Research Foundation, Minneapolis, Minnesota (M.D.R., M.L., F.B., S.J.P., P.R.P., M.P.); University of Minnesota College of Pharmacy, Minneapolis, Minnesota (M.J.R., A.K.B.); Research Triangle Institute, Research Triangle Park, North Carolina (F.I.C., S.P.R.); Winston Biopharmaceutical Consulting, Boulder, Colorado (S.W.); and University of Minnesota Medical School (P.R.P., M.P.), and Center for Immunology (M.P.), University of Minnesota, Minneapolis, Minnesota

Minneapolis Medical Research Foundation, Minneapolis, Minnesota (M.D.R., M.L., F.B., S.J.P., P.R.P., M.P.); University of Minnesota College of Pharmacy, Minneapolis, Minnesota (M.J.R., A.K.B.); Research Triangle Institute, Research Triangle Park, North Carolina (F.I.C., S.P.R.); Winston Biopharmaceutical Consulting, Boulder, Colorado (S.W.); and University of Minnesota Medical School (P.R.P., M.P.), and Center for Immunology (M.P.), University of Minnesota, Minneapolis, Minnesota.

出版信息

J Pharmacol Exp Ther. 2018 May;365(2):346-353. doi: 10.1124/jpet.117.247049. Epub 2018 Mar 13.

Abstract

Heroin and oxycodone abuse occurs over a wide range of drug doses and by various routes of administration characterized by differing rates of drug absorption. The current study addressed the efficacy of a heroin vaccine [morphine hapten conjugated to keyhole limpet hemocyanin (M-KLH)] or oxycodone vaccine [oxycodone hapten conjugated to keyhole limpet hemocyanin (OXY-KLH)] for reducing drug distribution to brain after intravenous heroin or oxycodone, or subcutaneous oxycodone. Rats immunized with M-KLH or keyhole limpet hemocyanin (KLH) control received an intravenous bolus dose of 0.26 or 2.6 mg/kg heroin. Vaccination with M-KLH increased retention of heroin and its active metabolites 6-acetylmorphine (6-AM) and morphine in plasma compared with KLH controls, and reduced total opioid (heroin + 6-AM + morphine) distribution to brain but only at the lower heroin dose. Immunization also protected against respiratory depression at the lower heroin dose. Rats immunized with OXY-KLH or KLH control received 0.22 or 2.2 mg/kg oxycodone intravenously, the molar equivalent of the heroin doses. Immunization with OXY-KLH significantly reduced oxycodone distribution to brain after either oxycodone dose, although the magnitude of effect of immunization at the higher oxycodone dose was small (12%). By contrast, vaccination with OXY-KLH was more effective when oxycodone was administered subcutaneously rather than intravenously, reducing oxycodone distribution to brain by 44% after an oxycodone dose of 2.3 mg/kg. Vaccination also reduced oxycodone-induced antinociception. These data suggest that the efficacy of OXY-KLH and M-KLH opioid vaccines is highly dependent upon opioid dose and route of administration.

摘要

海洛因和羟考酮滥用发生在广泛的药物剂量范围内,并通过不同的给药途径,其药物吸收速度不同。本研究旨在探讨海洛因疫苗[吗啡半抗原与血蓝蛋白(M-KLH)偶联]或羟考酮疫苗[羟考酮半抗原与血蓝蛋白(OXY-KLH)偶联]对减少静脉内海洛因或羟考酮或皮下羟考酮后药物向脑内分布的疗效。用 M-KLH 或血蓝蛋白(KLH)对照免疫的大鼠接受 0.26 或 2.6mg/kg 海洛因静脉推注剂量。与 KLH 对照相比,M-KLH 疫苗接种增加了海洛因及其活性代谢物 6-乙酰吗啡(6-AM)和吗啡在血浆中的保留率,并减少了总阿片类物质(海洛因+6-AM+吗啡)向脑内的分布,但仅在较低的海洛因剂量下。免疫还能防止较低海洛因剂量下的呼吸抑制。用 OXY-KLH 或 KLH 对照免疫的大鼠接受 0.22 或 2.2mg/kg 羟考酮静脉注射,这是海洛因剂量的摩尔当量。OXY-KLH 免疫显著降低了两种羟考酮剂量后的羟考酮向脑内分布,尽管在较高羟考酮剂量下免疫的效应幅度较小(12%)。相比之下,当羟考酮经皮下而不是静脉给药时,OXY-KLH 疫苗接种更有效,将 2.3mg/kg 羟考酮剂量后的羟考酮向脑内分布减少 44%。疫苗接种还降低了羟考酮引起的镇痛作用。这些数据表明,OXY-KLH 和 M-KLH 阿片类疫苗的疗效高度依赖于阿片类药物剂量和给药途径。

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