Cicero T J, Aleem A, Meyer E R, Schmoeker P F, Miller B T
J Pharmacol Exp Ther. 1986 Sep;238(3):1063-70.
In previous studies, it was demonstrated that morphine pellet implantation markedly sensitized adult male rats to the subsequent elevations in serum luteinizing hormone (LH) levels produced by the opiate antagonist, naloxone. The present studies were carried out to examine the persistence of this phenomenon upon pellet removal and to characterize the relationship between naloxone-induced alterations in serum LH and the development and dissipation of precipitated withdrawal behavior. We found an excellent correlation between both the development and dissipation of naloxone-precipitated withdrawal behavior and hypersensitivity to naloxone's effects on serum LH. However, although there was no evidence of protracted effects of chronic morphine administration upon pellet removal as assessed by withdrawal behavior, the effects of naloxone on serum LH levels did not return to normal for nearly a week postwithdrawal. The markedly enhanced sensitivity to naloxone normally observed in the pellet-implanted animal dissipated immediately after pellet removal (6-24 hr), but, rather than exhibiting normal levels of responding, morphine-withdrawn animals were markedly hypo-sensitive to naloxone. The antagonist did not increase LH at all in pellet-withdrawn animals and, in fact, appeared to depress them at many doses in the acutely withdrawn animal; normal responses did not return until 4 to 7 days after pellet removal. The mechanisms underlying the striking withdrawal-induced reversal of naloxone's effects on serum LH levels are presently unclear, but our data are consistent with the hypothesis that chronic morphine administration induces a fundamental change in the sensitivity of the endogenous opioid-mediated control of LH, which takes some time to revert to normal upon abrupt termination of opiate administration.
在先前的研究中,已证明吗啡微丸植入可使成年雄性大鼠对阿片类拮抗剂纳洛酮引起的血清促黄体生成素(LH)水平的后续升高显著敏感。本研究旨在检查去除微丸后这种现象的持续性,并描述纳洛酮诱导的血清LH变化与戒断行为的出现和消退之间的关系。我们发现纳洛酮诱发的戒断行为的出现和消退与对纳洛酮对血清LH作用的超敏反应之间存在极好的相关性。然而,尽管通过戒断行为评估,没有证据表明慢性吗啡给药对去除微丸有长期影响,但纳洛酮对血清LH水平的影响在戒断后近一周内并未恢复正常。在植入微丸的动物中通常观察到的对纳洛酮的显著增强的敏感性在去除微丸后立即消失(6 - 24小时),但是,吗啡戒断的动物没有表现出正常的反应水平,而是对纳洛酮明显低敏。拮抗剂在去除微丸的动物中根本不会增加LH,事实上,在急性戒断的动物中,在许多剂量下似乎会使其降低;直到去除微丸后4至7天,正常反应才恢复。目前尚不清楚纳洛酮对血清LH水平的作用因戒断而产生的显著逆转背后的机制,但我们的数据与以下假设一致,即慢性吗啡给药会导致内源性阿片类物质介导的LH控制敏感性发生根本变化,在突然停止阿片类药物给药后,这种变化需要一些时间才能恢复正常。