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吗啡镇痛作用的年龄相关衰减:一项参数分析。

Age-related decrements in morphine analgesia: a parametric analysis.

作者信息

Kramer E, Bodnar R J

出版信息

Neurobiol Aging. 1986 May-Jun;7(3):185-91. doi: 10.1016/0197-4580(86)90041-2.

DOI:10.1016/0197-4580(86)90041-2
PMID:3724952
Abstract

Although age-related reductions in levels of opiate receptors and endogenous opioid peptides have been observed in rats, effects of aging upon basal pain thresholds and morphine analgesia have not indicated clear results. The present study evaluated the dose-dependent (1,2.5, 5 and 10 mg/kg, SC) and time-dependent (30, 60, 90, 180 min) properties of morphine analgesia on two nociceptive measures (tail-flick latencies and jump thresholds) across five age cohorts of rats (4, 9, 14, 19 and 24-months of age). To ascertain whether any changes were the result of specific alterations in pain inhibition or an overall shift in opiate responses, effects upon morphine-induced hyperthermia were also evaluated. Age-related effects upon morphine analgesia on the tail-flick test exhibited a biphasic pattern with the three older age groups displaying significant decreases in morphine analgesia 30 min after injection and significant increases in morphine analgesia 180 min after injection. Age-related effects upon morphine analgesia on the jump test revealed equivilent reductions in analgesic magnitude across doses for the three older cohorts. In contrast, morphine hyperthermia displayed small inconsistent changes across cohorts. The reductions in morphine analgesia in older animals could not be attributed to changes in either baseline pain thresholds or delayed peripheral absorption and/or clearance of the drug. Rather, the reductions in morphine analgesia in older animals complement the recent findings of similar age-related reductions in the analgesic responses induced by exposure to several environmental stressors.

摘要

尽管在大鼠中已观察到与年龄相关的阿片受体和内源性阿片肽水平降低,但衰老对基础痛阈和吗啡镇痛的影响尚未得出明确结果。本研究评估了吗啡镇痛在五个年龄组(4、9、14、19和24月龄)大鼠的两种伤害性测量指标(甩尾潜伏期和跳跃阈值)上的剂量依赖性(1、2.5、5和10mg/kg,皮下注射)和时间依赖性(30、60、90、180分钟)特性。为了确定任何变化是否是疼痛抑制的特定改变或阿片反应的整体转变的结果,还评估了对吗啡诱导的体温过高的影响。在甩尾试验中,与年龄相关的对吗啡镇痛的影响呈现双相模式,三个年龄较大的组在注射后30分钟显示吗啡镇痛显著降低,在注射后180分钟显示吗啡镇痛显著增加。在跳跃试验中,与年龄相关的对吗啡镇痛的影响显示,三个年龄较大的组在各剂量下的镇痛幅度均有同等程度的降低。相比之下,吗啡诱导的体温过高在各年龄组中变化较小且不一致。老年动物中吗啡镇痛作用的降低不能归因于基线痛阈的变化或药物外周吸收和/或清除的延迟。相反,老年动物中吗啡镇痛作用的降低与最近关于暴露于几种环境应激源所诱导的镇痛反应中类似的与年龄相关的降低的研究结果相补充。

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引用本文的文献

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Aging reduces the sensitivity to the reinforcing efficacy of morphine.衰老降低了对吗啡增强效能的敏感性。
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