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恒河猴在递增比率时间表下反应时自我管理芬太尼-阿普唑仑组合。

Self-Administration of Fentanyl-Alprazolam Combinations by Rhesus Monkeys Responding under a Progressive-Ratio Schedule.

机构信息

Department of Psychiatry & Human Behavior, Center for Innovation & Discovery in Addictions, University of Mississippi Medical Center, 2500 N State Street, Jackson, Mississippi

Department of Psychiatry & Human Behavior, Center for Innovation & Discovery in Addictions, University of Mississippi Medical Center, 2500 N State Street, Jackson, Mississippi.

出版信息

J Pharmacol Exp Ther. 2022 Dec;383(3):199-207. doi: 10.1124/jpet.122.001191. Epub 2022 Sep 24.

Abstract

This study evaluated the reinforcing effects of fentanyl, alone or in combination with the benzodiazepine alprazolam, in rhesus monkeys (3 females, 3 males). Subjects were trained to self-administer the opioid remifentanil (0.3 g/kg/injection) under a progressive-ratio schedule of reinforcement. The reinforcing effects of fentanyl (0.1-10 g/kg/injection) or alprazolam (1.0-100 g/kg/injection) alone, or in combinations of fixed proportions (1:1, 1:3, and 3:1 fentanyl:alprazolam, with 1:1 based on the potencies of drugs alone) were evaluated in single-day test sessions (with double determinations). Dose-equivalence analysis was used to determine the extent to which fentanyl and alprazolam combinations differed from additivity. Fentanyl functioned as a positive reinforcer in all monkeys, while alprazolam was a reinforcer in 3 of 6 monkeys only. Therefore, drug combination data were grouped as "alprazolam-taking" and "non-alprazolam-taking" monkeys. For alprazolam-taking monkeys, we observed additive effects for the 3:1 and 1:3 combinations, and a significant supra-additive interaction for the 1:1 combination of fentanyl and alprazolam. For 2 of the 3 non-alprazolam-taking monkeys, the combination of fentanyl and alprazolam resulted in enhanced reinforcing effects relative to either drug alone. However, the one monkey showed primarily inhibitory, or suppressive effects, with the 3:1 dose combination resulting in a relatively modest rightward shift in the fentanyl dose-response function. In summary, our findings show that combining fentanyl and alprazolam generally result in proportion-dependent additive or supra-additive enhancements. These data raise the possibility that the prevalence of opioid-benzodiazepine polydrug abuse may reflect a unique enhancement of these drugs' reinforcing effects, although individual differences may exist. SIGNIFICANCE STATEMENT: Addressing the critical question of the degree to which benzodiazepines can modulate the abuse-related effects of opioids may provide improved pathways to treatment of this common form of polydrug addiction. In the present study, we show that combinations of the opioid fentanyl and the benzodiazepine alprazolam can be more reinforcing than either drug alone in a rhesus monkey model, suggesting that enhancement of reinforcement processes may underlie this prevalent form of polydrug use disorder.

摘要

这项研究评估了单独使用芬太尼或与苯二氮䓬类药物阿普唑仑联合使用对恒河猴(3 只雌性,3 只雄性)的强化作用。研究对象在递增比例强化方案下接受阿片类药物瑞芬太尼(0.3 g/kg/注射)的自我给药。在单日内测试(双次测定)中,评估了芬太尼(0.1-10 g/kg/注射)或阿普唑仑(1.0-100 g/kg/注射)单独使用,或固定比例(1:1、1:3 和 3:1 芬太尼:阿普唑仑,基于药物单独的效力,1:1 为基础)的组合的强化作用。剂量等效性分析用于确定芬太尼和阿普唑仑组合与加性的差异程度。芬太尼在所有猴子中均作为正强化物起作用,而阿普唑仑仅在 6 只猴子中的 3 只中起强化作用。因此,药物组合数据被分为“阿普唑仑使用”和“非阿普唑仑使用”猴子。对于阿普唑仑使用的猴子,我们观察到 3:1 和 1:3 组合的加性效应,以及芬太尼和阿普唑仑 1:1 组合的显著超加性相互作用。对于 3 只非阿普唑仑使用的猴子中的 2 只,芬太尼和阿普唑仑的组合相对于单独使用任何一种药物都具有增强的强化作用。然而,一只猴子表现出主要的抑制作用,或抑制作用,3:1 剂量组合导致芬太尼剂量反应函数的相对适度右移。总之,我们的研究结果表明,芬太尼和阿普唑仑的联合使用通常会导致与剂量成比例的加性或超加性增强。这些数据表明,阿片类药物-苯二氮䓬类药物混合滥用的普遍性可能反映了这些药物强化作用的独特增强,尽管可能存在个体差异。重要性声明:解决苯二氮䓬类药物在多大程度上可以调节阿片类药物与滥用相关的影响的关键问题,可能为治疗这种常见形式的多药成瘾提供更好的途径。在本研究中,我们表明,在恒河猴模型中,阿片类药物芬太尼和苯二氮䓬类药物阿普唑仑的联合使用比单独使用任何一种药物都更具强化作用,这表明强化过程的增强可能是这种普遍形式的多药使用障碍的基础。

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