Rauhala P, Männistö P T, Tuominen R K
Department of Pharmacology and Toxicology, University of Helsinki, Finland.
J Pharmacol Exp Ther. 1988 Aug;246(2):649-54.
The effects of three chronic morphine regimens on basal and cold-stimulated thyrotropin (TSH) and on prolactin levels were studied in male rats with and without acute morphine challenge. All the chronic regimens decreased basal and cold-stimulated TSH levels, but only one regimen (10 mg/kg b.i.d.) significantly enhanced the prolactin levels. The altered cold-stimulated TSH and prolactin levels were recovered within about 96 and 48 hr, respectively, after the last morphine injection on the 7-day pretreatment period. After the chronic administration (14 days), acute morphine challenges were performed either when cold-stimulated TSH secretion was suppressed (12- and 24-hr lag time) or when the response to cold was normalized (96-hr lag time). When the TSH levels were still low, the small challenge doses of morphine (10 and 15 mg/kg) no longer suppressed the TSH secretion. This was due neither to the real tolerance nor to the persistent effect of chronic morphine but to the withdrawal stress, which was also reflected as elevated corticosterone levels. However, after a 96-hr lag time, the challenge doses of morphine decreased TSH secretion after each morphine regimen as effectively as in the naive rats. Thus, the regimens did not induce the development of tolerance to the effect of morphine on cold-stimulated TSH secretion. Most regimens seemed to cause some tolerance to the stimulatory effect of morphine on prolactin secretion irrespective of the duration of the lag time. Even after the mildest regimen (10 mg/kg once a day), a tolerance developed to the antinociceptive effect of morphine, and it lasted well up to 96 hr.(ABSTRACT TRUNCATED AT 250 WORDS)
在有或没有急性吗啡激发的雄性大鼠中,研究了三种慢性吗啡给药方案对基础和冷刺激促甲状腺激素(TSH)以及催乳素水平的影响。所有慢性给药方案均降低了基础和冷刺激的TSH水平,但只有一种方案(10mg/kg,每日两次)显著提高了催乳素水平。在7天预处理期最后一次注射吗啡后,冷刺激TSH和催乳素水平的改变分别在约96小时和48小时内恢复。慢性给药(14天)后,在冷刺激TSH分泌受到抑制时(滞后12小时和24小时)或对冷刺激的反应恢复正常时(滞后96小时)进行急性吗啡激发。当TSH水平仍然较低时,小剂量的吗啡激发(10mg/kg和15mg/kg)不再抑制TSH分泌。这既不是由于真正的耐受性,也不是由于慢性吗啡的持续作用,而是由于戒断应激,这也表现为皮质酮水平升高。然而,在96小时的滞后时间后,每种吗啡给药方案的激发剂量降低TSH分泌的效果与未处理的大鼠一样有效。因此,这些给药方案并未诱导对吗啡冷刺激TSH分泌作用的耐受性产生。大多数给药方案似乎对吗啡刺激催乳素分泌的作用产生了一定的耐受性,与滞后时间的长短无关。即使是最温和的给药方案(10mg/kg,每日一次)后,也产生了对吗啡镇痛作用的耐受性,并且这种耐受性可持续长达96小时。(摘要截断于250字)