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μ-阿片类药物介导的芬太尼和赛拉嗪的辨别性刺激效应:剂量反应和时间进程研究。

Mu-opioid mediated discriminative stimulus effects of fentanyl and xylazine: Dose-response and time-course studies.

作者信息

Smith Mark A, Spera Anthony G, Thomas Emma M, Biancorosso Samantha L, Carlson Hannah N

机构信息

Department of Psychology and Program in Neuroscience, Davidson College, Davidson, NC, USA.

Department of Psychology and Program in Neuroscience, Davidson College, Davidson, NC, USA.

出版信息

Drug Alcohol Depend. 2025 Jul 19;275:112799. doi: 10.1016/j.drugalcdep.2025.112799.

DOI:10.1016/j.drugalcdep.2025.112799
PMID:40743692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12324071/
Abstract

Xylazine-adulterated fentanyl (i.e., "tranq-dope") has been identified as a national public health threat in the United States. Despite the increasing prevalence of this drug combination, little is known about the interactions between fentanyl and xylazine on measures directly relevant to their addiction liability. The primary objective of this study was to determine whether xylazine enhances or prolongs the mu-opioid mediated discriminative stimulus effects of fentanyl. To this end, male and female Long-Evans rats were trained to discriminate the prototypical mu-opioid agonist, morphine, from saline, and substitution tests were conducted with fentanyl, xylazine, and fentanyl-xylazine combinations. Fentanyl substituted fully for the morphine training stimulus, whereas xylazine failed to substitute fully for the morphine stimulus up to doses that significantly decreased responding. In drug combination tests, xylazine did not influence the acute effects of fentanyl; however, xylazine dose-dependently increased the duration of fentanyl's stimulus effects. These data indicate that xylazine does not produce discriminative stimulus effects like prototypical mu-opioid agonists but prolongs the mu-opioid mediated discriminative stimulus effects of fentanyl, which may partially explain its use in some populations who misuse opioids.

摘要

在美国,掺有赛拉嗪的芬太尼(即“tranq-dope”)已被认定为一种全国性公共卫生威胁。尽管这种药物组合的使用日益普遍,但对于芬太尼和赛拉嗪在与其成瘾性直接相关的指标上的相互作用,人们知之甚少。本研究的主要目的是确定赛拉嗪是否会增强或延长芬太尼介导的μ-阿片受体辨别刺激效应。为此,对雄性和雌性朗-埃文斯大鼠进行训练,使其能够区分典型的μ-阿片受体激动剂吗啡和生理盐水,并使用芬太尼、赛拉嗪以及芬太尼-赛拉嗪组合进行替代试验。芬太尼能完全替代吗啡训练刺激,而赛拉嗪在剂量显著降低反应之前,未能完全替代吗啡刺激。在药物联合试验中,赛拉嗪不影响芬太尼的急性效应;然而,赛拉嗪剂量依赖性地增加了芬太尼刺激效应的持续时间。这些数据表明,赛拉嗪不会产生像典型μ-阿片受体激动剂那样的辨别刺激效应,但会延长芬太尼介导的μ-阿片受体辨别刺激效应,这可能部分解释了它在一些滥用阿片类药物人群中的使用情况。

相似文献

1
Mu-opioid mediated discriminative stimulus effects of fentanyl and xylazine: Dose-response and time-course studies.μ-阿片类药物介导的芬太尼和赛拉嗪的辨别性刺激效应:剂量反应和时间进程研究。
Drug Alcohol Depend. 2025 Jul 19;275:112799. doi: 10.1016/j.drugalcdep.2025.112799.

本文引用的文献

1
Xylazine induces dopamine release and augments the effects of fentanyl.赛拉嗪可诱导多巴胺释放并增强芬太尼的作用。
J Clin Invest. 2024 Nov 15;134(22):e183354. doi: 10.1172/JCI183354.
2
Xylazine awareness and attitudes among people who use drugs in Ohio, 2023-2024.俄亥俄州吸毒者对苯环己哌啶(苯环己哌啶,俗称“听话水”)的认知和态度,2023-2024 年。
Harm Reduct J. 2024 Oct 14;21(1):182. doi: 10.1186/s12954-024-01097-5.
3
Syringe services program staff and participant perspectives on changing drug consumption behaviors in response to xylazine adulteration.注射器服务项目工作人员和参与者对因阿扎他啶掺假而改变药物使用行为的看法。
Harm Reduct J. 2024 Aug 30;21(1):162. doi: 10.1186/s12954-024-01082-y.
4
Xylazine is an agonist at kappa opioid receptors and exhibits sex-specific responses to opioid antagonism.赛拉嗪是一种κ阿片受体激动剂,对阿片类拮抗作用表现出性别特异性反应。
Addict Neurosci. 2024 Jun;11. doi: 10.1016/j.addicn.2024.100155. Epub 2024 May 3.
5
Xylazine: A Drug Adulterant of Clinical Concern.苯环己哌啶:一种具有临床关注的药物掺杂物。
Curr Pain Headache Rep. 2024 May;28(5):417-426. doi: 10.1007/s11916-024-01211-z. Epub 2024 Mar 20.
6
Self-reported Xylazine Experiences: A Mixed-methods Study of Reddit Subscribers.自我报告的苯佐卡因使用体验:对 Reddit 订阅者的混合方法研究。
J Addict Med. 2023;17(6):691-694. doi: 10.1097/ADM.0000000000001216. Epub 2023 Aug 10.
7
Xylazine in the drug supply: Emerging threats and lessons learned in areas with high levels of adulteration.药品供应中的赛拉嗪:掺假率高的地区出现的新威胁及经验教训
Int J Drug Policy. 2023 Oct;120:104154. doi: 10.1016/j.drugpo.2023.104154. Epub 2023 Aug 11.
8
Identification of the veterinary sedative medetomidine in combination with opioids and xylazine in Maryland.马里兰州兽医镇静剂咪达唑仑与阿片类药物和二甲噻嗪联合使用的鉴定。
J Forensic Sci. 2023 Sep;68(5):1708-1712. doi: 10.1111/1556-4029.15242. Epub 2023 Mar 26.
9
Effects of the cannabinoid CB-receptor neutral antagonist AM4113 and antagonist/inverse agonist rimonabant on fentanyl discrimination in male rats.大麻素 CB 受体中性拮抗剂 AM4113 和拮抗剂/反向激动剂利莫那班对雄性大鼠芬太尼辨别力的影响。
Drug Alcohol Depend. 2022 Nov 1;240:109646. doi: 10.1016/j.drugalcdep.2022.109646. Epub 2022 Sep 26.
10
Evaluation of morphine-like effects of the mixed mu/delta agonist morphine-6--sulfate in rats: Drug discrimination and physical dependence.评价混合μ/δ激动剂吗啡-6--硫酸盐在大鼠中的类似吗啡效应:药物辨别和身体依赖。
Pharmacol Res Perspect. 2018 Jun 19;6(4):e00403. doi: 10.1002/prp2.403. eCollection 2018 Jul.