芬太尼类似物在非法毒品市场中的强化作用。

Reinforcing effects of fentanyl analogs found in illicit drug markets.

机构信息

Designer Drug Research Unit (DDRU), National Institute on Drug Abuse (NIDA), Intramural Research Program (IRP), 333 Cassell Drive, Suite 4400, Baltimore, MD, 21224, USA.

出版信息

Psychopharmacology (Berl). 2024 Nov;241(11):2375-2383. doi: 10.1007/s00213-024-06641-6. Epub 2024 Jul 5.

Abstract

RATIONALE

The potent synthetic opioid fentanyl, and its analogs, continue to drive opioid-related overdoses. Although the pharmacology of fentanyl is well characterized, there is little information about the reinforcing effects of clandestine fentanyl analogs (FAs).

OBJECTIVES

Here, we compared the effects of fentanyl and the FAs acetylfentanyl, butyrylfentanyl, and cyclopropylfentanyl on drug self-administration in male and female rats. These FAs feature chemical modifications at the carbonyl moiety of the fentanyl scaffold.

METHODS

Sprague-Dawley rats fitted with intravenous jugular catheters were placed in chambers containing two nose poke holes. Active nose poke responses resulted in drug delivery (0.2 mL) over 2 s on a fixed-ratio 1 schedule, followed by a 20 s timeout. Acquisition doses were 0.01 mg/kg/inj for fentanyl and cyclopropylfentanyl, and 0.03 mg/kg/inj for acetylfentanyl and butyrylfentanyl. After 10 days of acquisition, dose-effect testing was carried out, followed by 10 days of saline extinction.

RESULTS

Self-administration of fentanyl and FAs was acquired by both male and female rats, with no sex differences in acquisition rate. Fentanyl and FAs showed partial inverted-U dose-effect functions; cyclopropylfentanyl and fentanyl had similar potency, while acetylfentanyl and butyrylfentanyl were less potent. Maximal response rates were similar across drugs, with fentanyl and cyclopropylfentanyl showing maximum responding at 0.001 mg/kg/inj, acetylfentanyl at 0.01 mg/kg/inj, and butyrylfentanyl at 0.003 mg/kg/inj. No sex differences were detected for drug potency, efficacy, or rates of extinction.

CONCLUSIONS

Our work provides new evidence that FAs display significant abuse liability in male and female rats, which suggests the potential for compulsive use in humans.

摘要

理由

强效合成阿片类药物芬太尼及其类似物继续导致阿片类药物相关的过量用药。尽管芬太尼的药理学特征已经得到很好的描述,但关于秘密芬太尼类似物(FA)的强化作用的信息却很少。

目的

在这里,我们比较了芬太尼和 FA 乙酰芬太尼、丁酰芬太尼和环丙基芬太尼对雄性和雌性大鼠药物自我给药的影响。这些 FA 在芬太尼支架的羰基部分进行了化学修饰。

方法

接受过颈静脉导管插管的 Sprague-Dawley 大鼠被放置在含有两个鼻戳孔的腔室中。主动鼻戳反应导致药物输送(0.2 mL)在固定比例 1 时间表上持续 2 s,然后是 20 s 的超时。芬太尼和环丙基芬太尼的获得剂量为 0.01 mg/kg/inj,乙酰芬太尼和丁酰芬太尼的获得剂量为 0.03 mg/kg/inj。获得 10 天后进行剂量-效应测试,然后进行 10 天的盐水消退。

结果

芬太尼和 FA 的自我给药被雄性和雌性大鼠获得,获得速度没有性别差异。芬太尼和 FA 显示出部分倒 U 型剂量-效应关系;环丙基芬太尼和芬太尼具有相似的效力,而乙酰芬太尼和丁酰芬太尼的效力较低。在所有药物中,最大反应率相似,芬太尼和环丙基芬太尼在 0.001 mg/kg/inj 时显示最大反应,乙酰芬太尼在 0.01 mg/kg/inj 时显示最大反应,丁酰芬太尼在 0.003 mg/kg/inj 时显示最大反应。在药物效力、功效或消退率方面没有发现性别差异。

结论

我们的工作提供了新的证据,表明 FA 在雄性和雌性大鼠中具有显著的滥用倾向,这表明它们在人类中可能存在强迫使用的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f42/11513704/44085bb66bd5/213_2024_6641_Fig1_HTML.jpg

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