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右旋苯丙胺增强吗啡镇痛作用。

Potentiation of morphine analgesia by d-amphetamine.

作者信息

Sasson S, Unterwald E M, Kornetsky C

出版信息

Psychopharmacology (Berl). 1986;90(2):163-5. doi: 10.1007/BF00181233.

DOI:10.1007/BF00181233
PMID:3097695
Abstract

Rats were trained to escape from aversive electrical brain stimulation delivered to the mesencephalic reticular formation (MRF). The threshold for this escape behavior was determined by a modification of the classic psychophysical method of limits. Escape thresholds were determined after the administration of morphine alone, d-amphetamine alone, and the combination of d-amphetamine and an ineffective dose of morphine. Morphine alone caused a dose-dependent raising of the escape threshold (1.0-16.0 mg/kg IP) while d-amphetamine alone (0.06-2.0 mg/kg IP) had no effect or caused a slight lowering of threshold. For each animal, a dose of morphine that produced no change in escape threshold was then selected to be administered concomitantly with various doses of d-amphetamine. The co-administration of morphine and d-amphetamine resulted in a significant, dose-dependent increase in the escape threshold, which was not seen with d-amphetamine alone and was as great or greater in magnitude than the increase seen with the highest dose of morphine tested. The results of this study clearly demonstrate that opiate analgesia is potentiated by concomitant d-amphetamine administration. The mechanisms involved in this potentiation warrant further investigation for the clinical management of pain.

摘要

训练大鼠逃避施加于中脑网状结构(MRF)的厌恶性脑电刺激。这种逃避行为的阈值通过对经典的极限法心理物理学方法进行修改来确定。在单独给予吗啡、单独给予右旋苯丙胺以及给予右旋苯丙胺与无效剂量吗啡的组合后,测定逃避阈值。单独给予吗啡会导致逃避阈值呈剂量依赖性升高(腹腔注射1.0 - 16.0毫克/千克),而单独给予右旋苯丙胺(腹腔注射0.06 - 2.0毫克/千克)则没有效果或导致阈值略有降低。然后为每只动物选择一个对逃避阈值没有影响的吗啡剂量,与各种剂量的右旋苯丙胺同时给药。吗啡和右旋苯丙胺联合给药导致逃避阈值显著且呈剂量依赖性增加,这在单独使用右旋苯丙胺时未观察到,并且在幅度上与测试的最高剂量吗啡所导致的增加相同或更大。这项研究的结果清楚地表明,同时给予右旋苯丙胺可增强阿片类镇痛作用。这种增强作用所涉及的机制值得进一步研究以用于疼痛的临床管理。

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Potentiation of morphine analgesia by d-amphetamine.右旋苯丙胺增强吗啡镇痛作用。
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本文引用的文献

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A COMPARISON OF THE ANALGESIC POTENCIES OF MORPHINE, PENTAZOCINE, AND A MIXTURE OF METHAMPHETAMINE AND PENTAZOCINE IN THE RAT.大鼠体内吗啡、喷他佐辛以及甲基苯丙胺与喷他佐辛混合物镇痛效力的比较
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THE EFFECT OF ADDICTION TO AND ABSTINENCE FROM MORPHINE ON RAT TISSUE CATECHOLAMINE AND SEROTONIN LEVELS.吗啡成瘾及戒断对大鼠组织儿茶酚胺和血清素水平的影响。
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Catecholamines and 5-hydroxytryptamine in morphine tolerance and withdrawal.
阿片类药物和肾上腺素能配体组合对阿片类受体和肾上腺素能受体的相互增强反映在配体的分子互补性上:药物开发的可能性。
Int J Mol Sci. 2019 Aug 24;20(17):4137. doi: 10.3390/ijms20174137.
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Adrenergic Agonists Bind to Adrenergic-Receptor-Like Regions of the Mu Opioid Receptor, Enhancing Morphine and Methionine-Enkephalin Binding: A New Approach to "Biased Opioids"?肾上腺素能激动剂与μ阿片受体上的肾上腺素能受体样区域结合,增强吗啡和甲硫氨酸脑啡肽的结合:一种新的“偏向性阿片类药物”方法?
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Medial forebrain stimulation enhances intracranial nociception and attenuates morphine analgesia suggesting the existence of an endogenous opioid antagonist.内侧前额叶刺激增强颅内痛觉,并减弱吗啡镇痛作用,提示存在内源性阿片样物质拮抗剂。
Pharmacol Biochem Behav. 2010 May;95(3):273-7. doi: 10.1016/j.pbb.2010.01.015. Epub 2010 Feb 10.
儿茶酚胺与5-羟色胺在吗啡耐受性及戒断反应中的作用
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Tolerance to the effect of morphine on escape from reticular formation stimulation.对吗啡作用于网状结构刺激所致逃避反应的耐受性。
Subst Alcohol Actions Misuse. 1981;2(2):107-14.
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Naloxone lowers brain-stimulation escape thresholds.纳洛酮可降低脑刺激逃避阈值。
Pharmacol Biochem Behav. 1983 Feb;18(2):231-3. doi: 10.1016/0091-3057(83)90368-4.
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Potentiation of morphine analgesia by cocaine in mice.可卡因对小鼠吗啡镇痛作用的增强作用。
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Dose dependent modification of codeine analgesia by d-amphetamine in albino rats.在白化大鼠中,右旋苯丙胺对可待因镇痛作用的剂量依赖性修饰。
Arch Int Pharmacodyn Ther. 1970 Apr;184(2):240-4.
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Antagonism of morphine analgesia by reserpine and alpha-methyltyrosine and the role played by catecholamines in morphine analgesic action.利血平和α-甲基酪氨酸对吗啡镇痛的拮抗作用以及儿茶酚胺在吗啡镇痛作用中所起的作用。
J Pharm Pharmacol. 1967 Apr;19(4):264-5. doi: 10.1111/j.2042-7158.1967.tb08083.x.
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Life Sci. 1986 Jan 6;38(1):21-6. doi: 10.1016/0024-3205(86)90270-5.
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Dextroamphetamine with morphine for the treatment of postoperative pain.右旋苯丙胺与吗啡联合用于治疗术后疼痛。
N Engl J Med. 1977 Mar 31;296(13):712-5. doi: 10.1056/NEJM197703312961303.