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[替氟朵姆,一种具有阿片样活性的苯二氮䓬类药物:对其在清醒犬体内的中枢作用机制的研究]

[Tifluadom, a benzodiazepine with opioid-like activity: study of its central mechanism of action in conscious dogs].

作者信息

Schaal M, Freye E, Windelschmidt R

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1986 Mar;17(1):27-31.

PMID:3084201
Abstract

A derivative of the 1,4-benzodiazepine series with reported opioid activity was evaluated in regard to its effect on central nervous activity in the awake canine. Additionally a possible benzodiazepine- or opioid-receptor interaction was evaluated by using specific antagonists. In 10 experiments increasing doses of tifluadom (5, 10, 20, 40, 80 micrograms/kg) modified somato-sensory-evoked potentials (SEP) inducing a dose-related latency change (40-80 micrograms/kg) and a suppression (80 micrograms/kg) of the P50-peak. Both effects are interpreted as a modification of stimuli reaching the somatosensory cortex. EEG-spectral analysis was characterized by a dose-related decrease of power in the higher frequency range (13-40 Hz) accompanied by an increase of power in the lower band (0.5-3.5 Hz). This effect was paralleled by deep sedation. The specific benzodiazepine antagonist Ro 15-1788 (240 micrograms/kg) was ineffective in reversing central nervous EEG- and SEP-changes. Naloxone (20 micrograms/kg) induced a short-term (5 min) arousal and a partial reversal of SEP-changes. The specific opioid-kappa-antagonist Mr 2266 (20 micrograms/kg) however, induced a long lasting return of power spectra and SEP-changes back to control. This results suggest that tifluadom, although being structurally a benzodiazepine, interacts with an opioid sub-receptor of the kappa-type, which is known to induce sedation and supraspinal analgesia without respiratory depression.

摘要

对一种据报道具有阿片样物质活性的1,4 - 苯二氮䓬类衍生物在清醒犬中枢神经活动方面的作用进行了评估。此外,通过使用特异性拮抗剂评估了可能存在的苯二氮䓬或阿片受体相互作用。在10项实验中,递增剂量的替氟朵(5、10、20、40、80微克/千克)改变体感诱发电位(SEP),诱导出剂量相关的潜伏期变化(40 - 80微克/千克)以及P50波峰的抑制(80微克/千克)。这两种效应均被解释为到达体感皮层的刺激发生了改变。脑电图频谱分析的特征是高频范围(13 - 40赫兹)功率呈剂量相关下降,同时低频带(0.5 - 3.5赫兹)功率增加。这种效应与深度镇静并行。特异性苯二氮䓬拮抗剂Ro 15 - 1788(240微克/千克)在逆转中枢神经脑电图和SEP变化方面无效。纳洛酮(20微克/千克)诱导了短期(5分钟)的觉醒以及SEP变化的部分逆转。然而,特异性阿片κ受体拮抗剂Mr 2266(20微克/千克)使功率谱和SEP变化长期恢复至对照水平。这些结果表明,替氟朵虽然在结构上是一种苯二氮䓬,但与κ型阿片受体亚型相互作用,已知该受体可诱导镇静和脊髓上镇痛且无呼吸抑制作用。

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1
[Tifluadom, a benzodiazepine with opioid-like activity: study of its central mechanism of action in conscious dogs].[替氟朵姆,一种具有阿片样活性的苯二氮䓬类药物:对其在清醒犬体内的中枢作用机制的研究]
EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1986 Mar;17(1):27-31.
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Bremazocine: an opiate that induces sedation and analgesia without respiratory depression.布瑞马佐辛:一种能诱导镇静和镇痛而无呼吸抑制作用的阿片类药物。
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Studies on the abstinence-like overshoot following reversal of the potent 19-isoamyl derivative of etorphine with naloxone. A comparison with the opioids fentanyl and alfentanil.纳洛酮逆转埃托啡强效19-异戊基衍生物后的戒断样过冲研究。与阿片类药物芬太尼和阿芬太尼的比较。
Arzneimittelforschung. 1997 Jan;47(1):6-9.
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Tifluadom (KC 5103) induces suppression and latency changes on somatosensory evoked potentials which are reversed by opioid antagonists.
Life Sci. 1983;33 Suppl 1:537-40. doi: 10.1016/0024-3205(83)90559-3.
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Somatosensory-evoked potentials (SEPs) are affected differently by mu- and kappa-selective opioids in the dog.体感诱发电位(SEPs)在犬类中受μ-和κ-选择性阿片类药物的影响不同。
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The role of opioid receptor sub-types in tifluadom-induced feeding.
J Pharm Pharmacol. 1984 Oct;36(10):683-6. doi: 10.1111/j.2042-7158.1984.tb04843.x.