Schulz R
Institut für Pharmakologie, Toxikologie und Pharmazie, Universität München, Federal Republic of Germany.
Naunyn Schmiedebergs Arch Pharmacol. 1988 Jun;337(6):644-8. doi: 10.1007/BF00175790.
Chronic activation of opioid receptors results in the development of tolerance and dependence. Tolerance may be confined to a single receptor type and thus has been termed "selective tolerance". The present investigation reveals that prolonged activation of an inhibitory acting receptor type not only results in dependence associated with this receptor but also brings about cross-dependence. Cross-dependence involves both opioid receptors as well as nonopioid receptors, e.g. adrenoceptors. The experimental design employed did not permit conclusions to be drawn about whether those receptors exhibiting cross-dependence also developed tolerance. Regardless of the receptors and their specific subsequent transduction systems, all the receptors which showed dependence and cross-dependence proved sensitive to pertussis toxin, suggesting a critical function of GTP-binding proteins for the development of not only opioid dependence but also for drug dependence in general. Since multiple transmitter receptors may converge on the same ion channel, the concept of "convergent dependences" may be linked to GTP-binding proteins. However, no conclusions can be drawn with regard to the precise biochemical mechanisms underlying dependence.
阿片受体的慢性激活会导致耐受性和依赖性的产生。耐受性可能局限于单一受体类型,因此被称为“选择性耐受性”。目前的研究表明,一种抑制性作用受体类型的长期激活不仅会导致与该受体相关的依赖性,还会引发交叉依赖性。交叉依赖性涉及阿片受体以及非阿片受体,例如肾上腺素能受体。所采用的实验设计无法得出关于那些表现出交叉依赖性的受体是否也产生耐受性的结论。无论受体及其特定的后续转导系统如何,所有表现出依赖性和交叉依赖性的受体都被证明对百日咳毒素敏感,这表明GTP结合蛋白不仅对阿片类药物依赖性的发展至关重要,而且对一般药物依赖性的发展也至关重要。由于多种递质受体可能汇聚于同一离子通道,“汇聚依赖性”的概念可能与GTP结合蛋白有关。然而,关于依赖性背后的确切生化机制尚无法得出结论。