Department of Pharmacodynamics, College of Pharmacy, University of Florida, P.O. Box 100487, Gainesville, FL, USA.
Department of Medicinal Chemistry, College of Pharmacy, University of Florida, Gainesville, FL, USA.
Psychopharmacology (Berl). 2019 Sep;236(9):2725-2734. doi: 10.1007/s00213-019-05247-7. Epub 2019 May 17.
Mitragyna speciosa (kratom) may hold promise as both an analgesic and treatment for opioid use disorder. Mitragynine, its primary alkaloid constituent, is an opioid receptor ligand. However, the extent to which the in vivo effects of mitragynine are mediated by opioid receptors, or whether mitragynine interacts with other opioid agonists, is not fully established.
The effects of mitragynine and the prototypical opioid agonist morphine were compared for their capacity to decrease operant responding for food delivery, and to increase response latency to a thermal stimulus.
Male and female Sprague-Dawley rats responded under a multiple cycle fixed ratio 10 schedule of food delivery and were tested on a hot plate (52 °C) immediately after each cycle. Morphine and mitragynine were administered alone, in combination with each other, and in combination with the opioid antagonist naltrexone.
Morphine and mitragynine dose-dependently decreased schedule-controlled responding; the ED values were 7.3 and 31.5 mg/kg, respectively. Both drugs increased thermal antinociception; the ED value for morphine was 18.3. Further, doses of naltrexone that antagonized morphine did not antagonize mitragynine. Mitragynine (17.8 mg/kg) did not alter the rate-decreasing or antinociceptive effects of morphine.
The antinociceptive effects of mitragynine and morphine occur at doses larger than those that disrupt learned behavior. Opioid receptors do not appear to mediate the disruptive effects of mitragynine on learned behavior. Mitragynine had lesser antinociceptive effects than morphine, and these did not appear to be mediated by opioid receptors. The pharmacology of mitragynine includes a substantial non-opioid mechanism.
(泰国)咔哇胡椒(Kratom)可能有希望成为一种阿片类药物的镇痛剂和治疗药物使用障碍的药物。其主要生物碱成分——帽柱木碱,是一种阿片受体配体。然而,帽柱木碱在体内的作用有多大程度上是通过阿片受体介导的,或者它是否与其他阿片类激动剂相互作用,目前还不完全清楚。
比较帽柱木碱和典型的阿片类激动剂吗啡减少食物传递操作性反应的能力,以及增加对热刺激的反应潜伏期。
雄性和雌性 Sprague-Dawley 大鼠在食物传递的多个周期固定比率 10 方案下进行反应,并在每个周期后立即在热板(52°C)上进行测试。单独给予吗啡和帽柱木碱,以及将它们与阿片受体拮抗剂纳曲酮联合使用。
吗啡和帽柱木碱剂量依赖性地降低了操作性反应;ED 值分别为 7.3 和 31.5mg/kg。这两种药物都增加了热镇痛作用;吗啡的 ED 值为 18.3。此外,拮抗吗啡的纳曲酮剂量没有拮抗帽柱木碱。帽柱木碱(17.8mg/kg)没有改变吗啡的剂量减少或镇痛作用。
帽柱木碱和吗啡的镇痛作用发生在破坏学习行为的剂量之上。阿片受体似乎不介导帽柱木碱对学习行为的破坏作用。帽柱木碱的镇痛作用小于吗啡,而且这些作用似乎不是由阿片受体介导的。帽柱木碱的药理学包括一个实质性的非阿片类机制。