Carter R B, Dykstra L A
J Pharmacol Exp Ther. 1985 Aug;234(2):299-306.
The mixed-action opioid picenadol (LY150720) is a racemic mixture whose resolution results in a stereoselective separation of agonist and antagonist activity. The effects of picenadol, its dextrorotatory isomer (LY136596) and morphine were studied alone and in combination with naloxone in squirrel monkeys responding under a schedule of electric shock titration. Shock intensity was scheduled to increase at 15-sec intervals in 30 steps from 0 to 5.5 mA. Completion of a fixed ratio 5-response requirement terminated the shock for a 15-sec time-out period after which shock resumed at the next lower intensity. Picenadol (0.1-17.5 mg/kg), the d-isomer (0.3-3.0 mg/kg) and morphine (0.3-5.6 mg/kg) produced dose-related increases in the intensity at which monkeys maintained the shock without decreasing responding in the presence of shock. Shock intensity increases produced by picenadol occurred over a broader dose range than with either the d-isomer or morphine. Increases in shock intensity produced by picenadol, the d-isomer and morphine were blocked by naloxone (0.001-1.0 mg/kg), although the effects of picenadol were less susceptible to antagonism. The effects of the levorotatory isomer of picenadol (LY136595) were also examined alone and in combination with morphine. The l-isomer (0.1-10.0 mg/kg) did not alter shock intensity when administered alone; however, in combination with morphine it produced a dose-dependent antagonism of the effects of morphine. The l-isomer was less potent than naloxone in this respect. These data support previous suggestions that the antinociceptive properties of picenadol arise from mu agonist actions of the dextrorotatory isomer and that the levorotatory isomer acts to limit the efficacy of the racemate.
混合作用的阿片类药物匹西那多(LY150720)是一种外消旋混合物,其拆分可实现激动剂和拮抗剂活性的立体选择性分离。在松鼠猴按电击滴定程序做出反应的过程中,对匹西那多、其右旋异构体(LY136596)和吗啡单独使用以及与纳洛酮联合使用的效果进行了研究。电击强度设定为每隔15秒以30个步骤从0增加到5.5毫安。完成固定比率5次反应要求可使电击终止15秒的暂停期,之后电击以次低强度恢复。匹西那多(0.1 - 17.5毫克/千克)、右旋异构体(0.3 - 3.0毫克/千克)和吗啡(0.3 - 5.6毫克/千克)使猴子维持电击的强度产生剂量相关的增加,且在有电击的情况下不降低反应。匹西那多引起的电击强度增加发生的剂量范围比右旋异构体或吗啡更广。匹西那多、右旋异构体和吗啡引起的电击强度增加被纳洛酮(0.001 - 1.0毫克/千克)阻断,尽管匹西那多的作用对抗性较小。还单独以及与吗啡联合研究了匹西那多左旋异构体(LY136595)的效果。左旋异构体(0.1 - 10.0毫克/千克)单独给药时不改变电击强度;然而,与吗啡联合使用时,它对吗啡的作用产生剂量依赖性拮抗。在这方面,左旋异构体的效力比纳洛酮弱。这些数据支持了之前的观点,即匹西那多的抗伤害感受特性源于右旋异构体的μ激动剂作用,且左旋异构体起到限制外消旋体效力的作用。