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血清素激动剂R-8-OH-DPAT对白面牛羚(Damaliscus pygargus philipsi)和黑斑羚(Aepyceros melampus)阿片类药物诱导的呼吸抑制的剂量效应研究。

Dose-effect study of the serotonin agonist R-8-OH-DPAT on opioid-induced respiratory depression in blesbok (Damaliscus pygargus philipsi) and impala (Aepyceros melampus).

作者信息

Pfitzer Silke, Laubscher Liesel, Meyer Leith, Warren Kristin, Vaughan-Higgins Rebecca, Raath Jacobus P, Laurence Michael

机构信息

Murdoch University, School of Veterinary and Life Sciences, Murdoch University, Murdoch, Australia.

Wildlife Pharmaceuticals South Africa (Pty) Ltd., Mpumalanga, South Africa; Department of Animal Science, University of Stellenbosch, Stellenbosch, South Africa.

出版信息

Vet Anaesth Analg. 2019 Nov;46(6):796-806. doi: 10.1016/j.vaa.2019.06.006. Epub 2019 Jul 6.

Abstract

OBJECTIVE

To determine whether the R-enantiomer of 8-hydroxy-2-(di-n-propylamino) tetralin (R-8-OH-DPAT) alleviates respiratory depression in antelope species immobilized with etorphine. The experiment also aimed to establish the most clinically effective dose of this serotonin 5- HT receptor agonist.

ANIMALS

A group of six female blesbok and six female impala.

STUDY DESIGN

Each animal was subjected to four immobilization treatments in a prospective four-way crossover design-control treatment consisting of only etorphine at 0.09 mg kg and three treatments consisting of etorphine at 0.09 mg kg combined with 0.005, 0.02 and 0.07 mg kg of R-8-OH-DPAT, respectively. Induction, quality of immobilization and recovery were monitored in each treatment. Physiological variables including heart rate, respiratory rate, arterial blood pressure and blood gases were measured for 35 minutes during immobilization. A linear mixed model was used to assess the effects of treatments over the recumbency period.

RESULTS

R-8-OH-DPAT did not influence induction, immobilization or recovery scores. Respiratory rate in blesbok was increased in the medium- and high-dosage R-8-OH-DPAT treatment group. However, this increased respiratory rate did not translate into improvements of arterial partial pressure of oxygen (PaO) values in the blesbok. The medium and higher dosages of R-8-OH-DPAT in impala led to an improved PaO as well as to decreased opioid-induced tachycardia during the first 10 minutes of immobilization.

CONCLUSIONS AND CLINICAL RELEVANCE

Previous reports indicated that the racemic mixture of 8-OH-DPAT injected intravenously had a positive effect on blood-gas values in etorphine-treated hypoxemic goats. In this experiment, similar effects could be seen in impala at the higher dosage rates of R-8-OH-DPAT. However, failure to achieve an improvement of blood-gas values in blesbok was an unexpected result. It could be speculated that the dosage, species-specific differences of serotonin receptors or the use of the R-enantiomer of 8-OH-DPAT might play a role.

摘要

目的

确定8-羟基-2-(二正丙基氨基)四氢萘(R-8-OH-DPAT)的R-对映体是否能缓解用埃托啡固定的羚羊物种的呼吸抑制。该实验还旨在确定这种5-羟色胺(5-HT)受体激动剂的最临床有效剂量。

动物

一组6只雌性白纹牛羚和6只雌性黑斑羚。

研究设计

在一项前瞻性四向交叉设计中,每只动物接受四种固定处理——对照处理仅为0.09 mg/kg的埃托啡,以及三种分别为0.09 mg/kg的埃托啡与0.005、0.02和0.07 mg/kg的R-8-OH-DPAT联合使用的处理。在每种处理中监测诱导、固定质量和恢复情况。在固定期间测量35分钟的生理变量,包括心率、呼吸频率、动脉血压和血气。使用线性混合模型评估处理在卧倒期的效果。

结果

R-8-OH-DPAT不影响诱导、固定或恢复评分。在中高剂量R-8-OH-DPAT处理组中,白纹牛羚的呼吸频率增加。然而,这种增加的呼吸频率并未转化为白纹牛羚动脉血氧分压(PaO)值的改善。黑斑羚中高剂量的R-8-OH-DPAT导致在固定的前10分钟内PaO改善以及阿片类药物诱导的心动过速降低。

结论及临床意义

先前的报告表明,静脉注射8-OH-DPAT的消旋混合物对用埃托啡处理的低氧血症山羊的血气值有积极影响。在本实验中,在较高剂量率的R-8-OH-DPAT下,黑斑羚中可见类似效果。然而,未能使白纹牛羚的血气值得到改善是一个意外结果。可以推测,剂量、5-羟色胺受体的物种特异性差异或8-OH-DPAT的R-对映体可能起作用。

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