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新型抗伤害感受剂丁丙诺啡的激动剂和拮抗剂特性

Agonist and antagonist properties of buprenorphine, a new antinociceptive agent.

作者信息

Cowan A, Lewis J W, Macfarlane I R

出版信息

Br J Pharmacol. 1977 Aug;60(4):537-45. doi: 10.1111/j.1476-5381.1977.tb07532.x.

Abstract
  1. Buprenorphine is a highly lipophilic derivative of oripavine. In rodent antinociceptive assays (writhing, tail pressure), buprenorphine had an action which was rapid in onset and of long duration; it was 25-40 times more potent than morphine after parenteral injection and 7-10 times more potent after oral administration. 2. The log dose-response relationship for buprenorphine was curvilinear in mouse and rat tail flick tests with the antinociceptive effect decreasing at higher, non-toxic doses. 3. Tolerance developed to the antinociceptive activity of buprenorphine in mice. 4. No signs of abstinence were observed on naloxone challenge or after abrupt withdrawal in monkeys receiving buprenorphine chronically for one month. 5. Buprenorphine antagonized the antinociceptive actions of morphine in mouse and rat tail flick tests but was an ineffective antagonist in the rat tail pressure test. 6. Buprenorphine precipitated signs of abstinence in morphine-dependent mice and monkeys but not in morphine-dependent rats. 7. Buprenorphine produced Straub tails in mice. This effect was not antagonized when the animals were pretreated with naloxone. However, in the rat tail pressure test high doses of diprenorphine antagonized established antinociceptive effects of buprenorphine. 8. It is concluded that buprenorphine represents a definite advance in the search for a narcotic antagonist analgesic of low physical dependence potential.
摘要
  1. 丁丙诺啡是羟吗啡酮的一种高度亲脂性衍生物。在啮齿动物的抗伤害感受试验(扭体、尾压)中,丁丙诺啡起效迅速且作用持久;经肠胃外注射后,其效力比吗啡强25至40倍,口服给药后则强7至10倍。2. 在小鼠和大鼠甩尾试验中,丁丙诺啡的对数剂量 - 反应关系呈曲线形,在较高的无毒剂量下抗伤害感受作用减弱。3. 小鼠对丁丙诺啡的抗伤害感受活性产生了耐受性。4. 对长期接受丁丙诺啡治疗一个月的猴子进行纳洛酮激发试验或突然停药后,未观察到戒断症状。5. 在小鼠和大鼠甩尾试验中,丁丙诺啡拮抗了吗啡的抗伤害感受作用,但在大鼠尾压试验中它是一种无效的拮抗剂。6. 丁丙诺啡在吗啡依赖的小鼠和猴子中引发了戒断症状,但在吗啡依赖的大鼠中未引发。7. 丁丙诺啡在小鼠中产生了Straub尾。当动物用纳洛酮预处理时,这种效应未被拮抗。然而,在大鼠尾压试验中,高剂量的二丙诺啡拮抗了丁丙诺啡已确立的抗伤害感受作用。8. 得出的结论是,在寻找低身体依赖性潜力的麻醉拮抗剂镇痛药方面,丁丙诺啡代表了一个明确的进展。

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