Miyamoto Y, Ozaki M, Yamamoto H
Department of Pharmacology, Wakayama Medical College, Japan.
Jpn J Pharmacol. 1988 Apr;46(4):379-86. doi: 10.1254/jjp.46.379.
The effects of adrenalectomy on the pharmacokinetics and antinociceptive activity of morphine were investigated to elucidate the mechanism of adrenalectomy-induced potentiation of morphine antinociception in rats. Plasma concentrations of morphine were estimated specifically and serially in each rat by high performance liquid chromatography with an electrochemical detector. After the intravenous administration of 10 mg/kg morphine, the plasma half-life of morphine was significantly prolonged by adrenalectomy without any effect on the volume of morphine distribution. After the subcutaneous administration of 7 mg/kg morphine, pharmacokinetic parameters were changed by adrenalectomy in the same manner as after intravenous administration. In contrast, after the subcutaneous injection of 3.5 mg/kg morphine, adrenalectomy failed to change the pharmacokinetic parameters. The antinociceptive potency of subcutaneously administered morphine was enhanced by adrenalectomy for both doses of morphine (3.5 and 7 mg/kg). Morphine antinociception at the dose of 3.5 mg/kg, s.c., in the adrenalectomized group was equipotent with that of 7 mg/kg, s.c., in the sham-operated group, but plasma morphine concentrations for 3.5 mg/kg, s.c., in the adrenalectomized group were significantly lower than those for 7 mg/kg morphine, s.c., in the sham-operated group. These results suggest that the enhancement of morphine antinociception by adrenelectomy can not be explained by the increased morphine level alone.
为阐明肾上腺切除术诱导大鼠吗啡镇痛作用增强的机制,研究了肾上腺切除术对吗啡药代动力学和镇痛活性的影响。采用高效液相色谱-电化学检测法,对每只大鼠的血浆吗啡浓度进行特异性和连续测定。静脉注射10mg/kg吗啡后,肾上腺切除术使吗啡的血浆半衰期显著延长,而对吗啡分布容积无任何影响。皮下注射7mg/kg吗啡后,肾上腺切除术对药代动力学参数的改变与静脉注射后相同。相比之下,皮下注射3.5mg/kg吗啡后,肾上腺切除术未能改变药代动力学参数。肾上腺切除术增强了两种剂量(3.5mg/kg和7mg/kg)皮下注射吗啡的镇痛效力。肾上腺切除组皮下注射3.5mg/kg吗啡的镇痛效果与假手术组皮下注射7mg/kg吗啡的镇痛效果相当,但肾上腺切除组皮下注射3.5mg/kg吗啡的血浆吗啡浓度显著低于假手术组皮下注射7mg/kg吗啡的血浆吗啡浓度。这些结果表明,肾上腺切除术增强吗啡镇痛作用不能仅用吗啡水平升高来解释。