Mello N K, Mendelson J H, Bree M P, Skupny A
Alcohol and Drug Abuse Research Center, Harvard Medical School-McLean Hospital, Belmont, Massachusetts.
J Pharmacol Exp Ther. 1988 Jun;245(3):895-904.
Alcohol's effects on hypothalamic function were examined under conditions of opioid antagonist stimulation. The effects of naloxone (0.5 mg/kg i.v.) on anterior pituitary hormone plasma levels after alcohol (2.5 and 3.5 g/kg) or sucrose control administration were studied in 10 normal female monkeys (Macaca mulatta) during the luteal phase of the menstrual cycle. Naloxone was administered 60 or 90 min after nasogastric alcohol administration when blood alcohol levels were above 120 and 140 mg/dl. The rate of naloxone infusion (i.v. bolus or slowly over 10 min) and basal levels of progesterone were critical determinants of the anterior pituitary response to opioid antagonist stimulation. Bolus administration of naloxone did not stimulate luteinizing hormone (LH) or follicle-stimulating hormone (FSH) under control or alcohol conditions. Slow naloxone infusion significantly stimulated LH (P less than .01-.05), but not FSH, in monkeys with high basal progesterone levels (14.1-15.8 ng/ml) under both control and alcohol conditions. Naloxone stimulation of LH was equivalent under control and 2.5 g/kg alcohol conditions (60 and 53% above base line). The LH response to naloxone was enhanced after administration of 3.5 g/kg alcohol and increased to 151% above base line (P less than .01) in monkeys with high progesterone levels. In monkeys with low progesterone levels (3.6-4.6 ng/ml), slow naloxone infusion did not stimulate LH or FSH after sucrose control or 3.5 g/kg alcohol administration, but LH increased (P less than .05) after 2.5 g/kg alcohol administration. A slow infusion of naloxone suppressed PRL levels significantly below base line after sucrose and alcohol administration in monkeys with high (P less than .01-.0002) and low progesterone levels (P less than .0001). Naloxone suppression of PRL was equivalent after alcohol and sucrose control administration. Alcohol alone did not suppress PRL levels significantly. We conclude that acute alcohol administration, with peak blood alcohol levels above 240 and 300 mg/dl, does not attenuate hypothalamic and pituitary responsivity to naloxone stimulation.
在阿片类拮抗剂刺激的条件下,研究了酒精对下丘脑功能的影响。在月经周期的黄体期,对10只正常雌性猕猴(恒河猴)进行研究,观察纳洛酮(0.5毫克/千克静脉注射)对给予酒精(2.5克/千克和3.5克/千克)或蔗糖对照后垂体前叶激素血浆水平的影响。在经鼻给予酒精60或90分钟后,当血液酒精水平高于120和140毫克/分升时,给予纳洛酮。纳洛酮的输注速率(静脉推注或在10分钟内缓慢输注)和孕酮的基础水平是垂体前叶对阿片类拮抗剂刺激反应的关键决定因素。在对照或酒精条件下,静脉推注纳洛酮均未刺激促黄体生成素(LH)或促卵泡生成素(FSH)。在对照和酒精条件下,对于基础孕酮水平较高(14.1 - 15.8纳克/毫升)的猕猴,缓慢输注纳洛酮显著刺激LH(P小于0.01 - 0.05),但不刺激FSH。在对照和2.5克/千克酒精条件下,纳洛酮对LH的刺激作用相当(比基线高60%和53%)。在给予3.5克/千克酒精后,孕酮水平较高的猕猴对纳洛酮的LH反应增强,增加到比基线高151%(P小于0.01)。在孕酮水平较低(3.6 - 4.6纳克/毫升)的猕猴中,在给予蔗糖对照或3.5克/千克酒精后,缓慢输注纳洛酮未刺激LH或FSH,但在给予2.5克/千克酒精后LH升高(P小于0.05)。在孕酮水平较高(P小于0.01 - 0.0002)和较低(P小于0.0001)的猕猴中,在给予蔗糖和酒精后,缓慢输注纳洛酮显著抑制PRL水平至基线以下。酒精和蔗糖对照后,纳洛酮对PRL的抑制作用相当。单独给予酒精未显著抑制PRL水平。我们得出结论,急性酒精给药,当血液酒精峰值水平高于240和300毫克/分升时,不会减弱下丘脑和垂体对纳洛酮刺激的反应性。