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糖皮质激素对阿片类药物诱导的镇痛作用的长期抑制。

Long-lasting glucocorticoid suppression of opioid-induced antinociception.

作者信息

Ratka A, Sutanto W, De Kloet E R

机构信息

Rudolf Magnus Institute for Pharmacology, Faculty of Medicine, University of Utrecht, The Netherlands.

出版信息

Neuroendocrinology. 1988 Oct;48(4):439-44. doi: 10.1159/000125046.

Abstract

The antinociceptive effect of morphine (5 mg/kg body weight i.p.) in rats subjected to various experimental manipulations of the pituitary-adrenocortical system was studied. The absence of adrenal steroids increased the sensitivity to morphine. The following findings suggest that glucocorticosteroids have a long-lasting influence on opioid-induced antinociception, even when the steroids have been removed by adrenalectomy. First, when rats were adrenalectomized in the morning under basal conditions of pituitary-adrenocortical activity (plasma corticosterone level less than 1 microgram %), the subsequent hypersensitivity to morphine-induced antinociception following adrenalectomy either in the morning or in the evening persisted for at least 2 weeks. Second, exposure to a novel environmental (stress of a new cage) or administration of corticosterone (10 mg/kg body weight s.c.) prior to morning adrenalectomy decreased the sensitivity to morphine measured 1 week later. Third, RU 38486, a glucocorticoid antagonist, injected in the lateral cerebral ventricle prior to the evening adrenalectomy increased subsequent morphine antinociception. In attempts to understand the long-term effect on morphine antinociception, the opioid receptor sites were quantified by an in vivo procedure. Quantitative autoradiography of binding sites labeled after intravenous administration of a tracer dose of [3H]-diprenorphine showed a decrease in retention of the labeled opioid in cortical and midbrain regions of rats adrenalectomized in the evening when compared with rats operated in the morning.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

研究了吗啡(5毫克/千克体重,腹腔注射)对接受垂体-肾上腺皮质系统各种实验操作的大鼠的抗伤害感受作用。肾上腺类固醇的缺失增加了对吗啡的敏感性。以下发现表明,即使通过肾上腺切除术去除了类固醇,糖皮质激素对阿片类药物诱导的抗伤害感受仍有持久影响。首先,当大鼠在垂体-肾上腺皮质活动的基础条件下(血浆皮质酮水平低于1微克%)于早晨进行肾上腺切除术后,无论在早晨还是晚上进行肾上腺切除术后,随后对吗啡诱导的抗伤害感受的超敏反应至少持续2周。其次,在早晨肾上腺切除术之前暴露于新环境(新笼子的应激)或给予皮质酮(10毫克/千克体重,皮下注射)会降低1周后测得的对吗啡的敏感性。第三,在晚上肾上腺切除术之前向侧脑室注射糖皮质激素拮抗剂RU 38486会增加随后的吗啡抗伤害感受。为了理解对吗啡抗伤害感受的长期影响,通过体内程序对阿片受体位点进行了定量。静脉注射示踪剂量的[3H]-二丙诺啡后标记的结合位点的定量放射自显影显示,与早晨手术的大鼠相比,晚上进行肾上腺切除术的大鼠皮质和中脑区域中标记阿片类药物的保留量减少。(摘要截取自250字)

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