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耐受性/依赖性肠神经节中甲硫氨酸脑啡肽的诱发释放:对吗啡的反常依赖性。

Evoked release of methionine enkephalin from tolerant/dependent enteric ganglia: paradoxical dependence on morphine.

作者信息

Gintzler A R, Chan W C, Glass J

出版信息

Proc Natl Acad Sci U S A. 1987 Apr;84(8):2537-9. doi: 10.1073/pnas.84.8.2537.

Abstract

Experiments were performed in order to determine whether the state of tolerance to and dependence upon opiates is associated with changes in one or more of the characteristics of the electrically induced release of methionine enkephalin from enteric ganglia. Acute morphine pretreatment substantially reduces the magnitude of the evoked release of this peptide from opiate-naive ilea. However, the rate of the evoked release of enkephalin from morphine-pretreated, tolerant/dependent preparations is indistinguishable from that observed for untreated, naive ilea. Paradoxically, 15 min after acute in vitro withdrawal of morphine form such preparations, the presence of morphine appears to be prerequisite for the manifestation of electrically evoked release of methionine enkephalin. The evoked release of this peptide from ilea 60 min after withdrawal is no longer dependent upon morphine. Moreover, the magnitude of the increase in the rate of enkephalin release from these preparations is almost double that observed for opiate-naive ilea. These data indicate that the manifestation of opiate tolerance/dependence for the release of methionine enkephalin from enteric ganglia comprises several adaptive processes, the consequences of which can be observed at different stages of withdrawal.

摘要

进行实验以确定对阿片类药物的耐受性和依赖性状态是否与肠神经节中电诱导的甲硫氨酸脑啡肽释放的一个或多个特征的变化相关。急性吗啡预处理可显著降低来自未接触过阿片类药物的回肠中该肽的诱发释放量。然而,从经吗啡预处理、耐受/依赖的制剂中诱发的脑啡肽释放速率与未处理的、未接触过阿片类药物的回肠中观察到的速率没有区别。矛盾的是,从这些制剂中急性体外撤去吗啡15分钟后,吗啡的存在似乎是甲硫氨酸脑啡肽电诱发释放表现的先决条件。撤药60分钟后从回肠中诱发的该肽释放不再依赖于吗啡。此外,这些制剂中脑啡肽释放速率增加的幅度几乎是未接触过阿片类药物的回肠中观察到的两倍。这些数据表明,阿片类药物对肠神经节中甲硫氨酸脑啡肽释放的耐受性/依赖性表现包括几个适应性过程,其后果可在撤药的不同阶段观察到。

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