Department of Physiology and Pharmacology, Wake Forest School of Medicine, Winston-Salem, North Carolina, 27157, USA.
Department of Physiological Sciences, School of Pharmaceutical Sciences, Wakayama Medical University, Wakayama, 640-8156, Japan.
Neuropharmacology. 2023 Feb 1;223:109328. doi: 10.1016/j.neuropharm.2022.109328. Epub 2022 Nov 8.
Opioids provide pain relief but are associated with several adverse effects. Researchers are exploring cannabis-based medicine as an alternative. However, little is known about the tendency for physical dependence on cannabinoids in comparison with that on opioids in primates. The aim of this study was to compare the potency of heroin and delta-9-tetrahydrocannabinol (THC) in eliciting analgesic effects and the development of physical dependence between opioids and cannabinoids in both male and female rhesus monkeys. Systemic administration of either heroin (0.03-0.18 mg/kg) or THC (0.3-1.8 mg/kg) in a dose-dependent manner produced antinociceptive effects against an acute thermal nociceptive stimulus. The μ-opioid receptor antagonist naltrexone (0.01 mg/kg) and the cannabinoid receptor antagonist SR141716A (0.3 mg/kg) produced the same degree of rightward shift in the dose-response curves for heroin- and THC-induced antinociception, respectively. Monkeys implanted with telemetry devices were subjected to short-term repeated administrations (two injections per day for 1-3 days) of either heroin (0.18 mg/kg), morphine (1.8 mg/kg), THC (1.8 mg/kg), or CP 55,940 (0.032 mg/kg). Administration of naltrexone (0.01 mg/kg) increased respiration, heart rate, and blood pressure in heroin- or morphine-treated monkeys. In contrast, administration of SR141716A (0.3 mg/kg) did not cause a significant change in these physiological parameters in THC- or CP 55,940-treated monkeys. Additionally, morphine, but not CP 55,940, enhanced the monkeys' hypersensitivity to the algogen capsaicin. Collectively, these results demonstrate that in nonhuman primates, both opioids and cannabinoids exert comparable antinociception; however, physical dependence on opioids, but not cannabinoids, at their antinociceptive doses, occurs following short-term exposures.
阿片类药物具有止痛作用,但也会引起多种不良反应。研究人员正在探索大麻类药物作为替代品。然而,与阿片类药物相比,人们对类大麻素在灵长类动物中引起身体依赖的倾向知之甚少。本研究旨在比较海洛因和大麻二酚(THC)在雄性和雌性恒河猴体内诱发镇痛作用和产生身体依赖的效力,以及阿片类药物和大麻类药物之间的差异。系统给予海洛因(0.03-0.18mg/kg)或 THC(0.3-1.8mg/kg),剂量依赖性地产生对抗急性热痛觉刺激的镇痛作用。μ-阿片受体拮抗剂纳曲酮(0.01mg/kg)和大麻素受体拮抗剂 SR141716A(0.3mg/kg)分别使海洛因和 THC 诱导的镇痛作用的量效曲线产生相同程度的右移。植入遥测装置的猴子接受短期重复给药(每天两次,持续 1-3 天),给予海洛因(0.18mg/kg)、吗啡(1.8mg/kg)、THC(1.8mg/kg)或 CP 55,940(0.032mg/kg)。纳曲酮(0.01mg/kg)的给予增加了海洛因或吗啡处理的猴子的呼吸、心率和血压。相比之下,SR141716A(0.3mg/kg)的给予并未使 THC 或 CP 55,940 处理的猴子的这些生理参数发生显著变化。此外,吗啡而不是 CP 55,940 增强了猴子对致痛剂辣椒素的敏感性。综上所述,这些结果表明,在非人类灵长类动物中,阿片类药物和大麻类药物都具有相似的镇痛作用;然而,在短期暴露于镇痛剂量下,阿片类药物而不是大麻类药物会引起身体依赖。