Bailey C C, Kitchen I
Br J Pharmacol. 1987 May;91(1):119-25. doi: 10.1111/j.1476-5381.1987.tb08990.x.
The neonate has an unusual capacity for survival and the possibility exists that mechanisms for controlling stress responses may differ in the developing animal. In adults both endogenous and exogenous opioids can modulate the corticosterone responses to stress. We have studied this effect in neonatal rats and found that opioid modulation is absent in early postnatal development. Neonatal rats of either sex were injected with morphine (5-50 mg kg-1), fentanyl (10-100 micrograms kg-1), buprenorphine (0.1-30 mg kg-1) or naloxone (0.1-10 mg kg-1) and plasma corticosterone measured fluorimetrically 15 or 20 min later. In addition naloxone reversibility studies (1 mg kg-1, co-administered) were carried out for the opioid agonists. In adult rats, elevations in plasma corticosterone caused by injection stress were potentiated by morphine, fentanyl and buprenorphine. In neonates, though injection stress-induced rises in plasma corticosterone were absent at 10 days, elevations were observed at 21 days and later. However, significant potentiation of this corticosterone response by fentanyl was absent at 21 days and at later ages (30 and 40 days) for morphine and buprenorphine. The potentiating effect of all three agonists did not become fully effective until day 45. In addition, in animals acclimatized to injection stress by 7 day injection pretreatment, fentanyl did not significantly alter corticosterone levels in 30 day old neonates. High doses of naloxone (10 mg kg-1) significantly increased the corticosterone response to injection stress in adult rats but this effect was absent in 30 day old animals. A dose of naloxone (I mg kg-') which had no significant effect on the corticosterone response inhibited the effects of morphine, fentanyl and buprenorphine in 45 day old and adult rats. 5 This late development of opioid action is unusual in comparison with the maturation of endogenous peptides, receptors and antinociceptive responses and suggests that alternative mechanisms may be involved in stress-control in the neonate.
新生儿具有非凡的生存能力,而且在发育中的动物体内,控制应激反应的机制可能有所不同。在成年动物中,内源性和外源性阿片类物质均可调节对应激的皮质酮反应。我们对新生大鼠进行了此项研究,发现阿片类物质调节作用在出生后早期发育阶段并不存在。给新生大鼠(无论雌雄)注射吗啡(5 - 50毫克/千克)、芬太尼(10 - 100微克/千克)、丁丙诺啡(0.1 - 30毫克/千克)或纳洛酮(0.1 - 10毫克/千克),15或20分钟后通过荧光法测定血浆皮质酮水平。此外,对阿片类激动剂进行了纳洛酮可逆性研究(共同给予1毫克/千克)。在成年大鼠中,注射应激引起的血浆皮质酮升高可被吗啡、芬太尼和丁丙诺啡增强。在新生大鼠中,虽然10日龄时注射应激诱导的血浆皮质酮升高并不存在,但在21日龄及之后可观察到升高。然而,在21日龄以及之后的年龄(30和40日龄),芬太尼对这种皮质酮反应并无显著增强作用,吗啡和丁丙诺啡也如此。这三种激动剂的增强作用直到45日龄才完全生效。此外,在通过7天注射预处理适应注射应激的动物中,芬太尼对30日龄新生大鼠的皮质酮水平并无显著影响。高剂量的纳洛酮(10毫克/千克)可显著增加成年大鼠对应激注射的皮质酮反应,但这种作用在30日龄动物中并不存在。剂量为1毫克/千克的纳洛酮对皮质酮反应无显著影响,但可抑制45日龄和成年大鼠中吗啡、芬太尼和丁丙诺啡的作用。与内源性肽、受体和抗伤害感受反应的成熟相比,阿片类作用的这种后期发育并不寻常,这表明新生儿应激控制可能涉及其他机制。