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对芬太尼和吗啡辨别刺激特性的耐受性及交叉耐受性。

Tolerance and cross-tolerance to the discriminative stimulus properties of fentanyl and morphine.

作者信息

Emmett-Oglesby M W, Shippenberg T S, Herz A

机构信息

Department of Neuropharmacology, Max-Planck-Institute for Psychiatry, Martinsried, Federal Republic of Germany.

出版信息

J Pharmacol Exp Ther. 1988 Apr;245(1):17-23.

PMID:3361440
Abstract

The investigation tested the hypothesis that tolerance would develop to the discriminative stimulus properties of fentanyl upon discontinuation of discrimination training and injection of fentanyl in doses larger than the training dose. Rats were trained to discriminate an injection of fentanyl, 0.04 mg/kg, from saline using a two-lever choice procedure with food as a reinforcer. Given acutely, morphine substituted for fentanyl and was 100-times less potent. Subsequently, training was stopped, and fentanyl, 0.08 mg/kg, was injected every 12 hr for 1 week. This procedure did not produce tolerance nor did tolerance occur when fentanyl, 0.16 mg/kg every 24 hr, was continued for an additional week. In contrast, a dose of morphine (8.0 mg/kg) that was equated for efficacy to the 0.08-mg/kg dose of fentanyl produced both tolerance to the morphine stimulus and cross-tolerance to the fentanyl stimulus after 3 to 4 days of administration. In an additional experiment, the time course for detection of fentanyl was found to be significantly shorter than the time course for the detection of morphine. These results suggest that the present, as well as a previous, report of failure to find tolerance to the stimulus properties of fentanyl is perhaps attributable to fentanyl's brief duration of action. To test this hypothesis, 16 rats were trained to discriminate fentanyl, 0.04 mg/kg, and dose-effect data were obtained for the generalization of fentanyl and the substitution of morphine for this discriminative stimulus. Subsequently, training was stopped and fentanyl was injected for 4 days in a design that called for injection of 0.12 mg/kg every 6 hr.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

该研究检验了这样一个假设

在停止辨别训练并注射高于训练剂量的芬太尼后,对芬太尼的辨别刺激特性会产生耐受性。使用以食物为强化物的双杠杆选择程序,训练大鼠区分0.04mg/kg的芬太尼注射与生理盐水注射。急性给予时,吗啡可替代芬太尼,但其效力比芬太尼低100倍。随后,停止训练,每12小时注射0.08mg/kg的芬太尼,持续1周。此程序未产生耐受性,当每24小时注射0.16mg/kg的芬太尼再持续1周时,也未出现耐受性。相反,与0.08mg/kg芬太尼等效效力的吗啡剂量(8.0mg/kg),在给药3至4天后,既产生了对吗啡刺激的耐受性,也产生了对芬太尼刺激的交叉耐受性。在另一项实验中,发现检测芬太尼的时间进程明显短于检测吗啡的时间进程。这些结果表明,目前以及之前关于未发现对芬太尼刺激特性产生耐受性的报告,可能归因于芬太尼作用持续时间短暂。为检验这一假设,对16只大鼠进行训练以区分0.04mg/kg的芬太尼,并获得了芬太尼泛化和吗啡替代该辨别刺激的剂量效应数据。随后,停止训练,并按照每6小时注射0.12mg/kg的设计,对大鼠注射芬太尼4天。(摘要截短至250字)

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