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长期促肾上腺皮质激素治疗导致对吗啡敏感性丧失。

Loss of sensitivity to morphine induced by prolonged ACTH treatment.

作者信息

Fekete M I, Kanyicska B, Szentendrei T, Stark E

出版信息

Pharmacol Biochem Behav. 1984 Jun;20(6):879-82. doi: 10.1016/0091-3057(84)90011-x.

Abstract

The effect of long term ACTH treatment on some actions of morphine were studied. The effect of ACTH administration was compared to that induced by acute dexamethasone injection. ACTH caused a delayed inhibition of the morphine induced increase in growth hormone secretion demonstrable 24 hr after the last hormone injection. The morphine induced increase of striatal DOPAC (3,4-dihydroxyphenylacetic acid) content was also inhibited by ACTH treatment, however, neither the analgesia, nor the hypermotility caused by morphine were affected. Dexamethasone did not alter significantly the responsiveness to morphine. It is concluded that the prolonged exposure to ACTH presumably causes a corticosterone-mediated loss of responsiveness of functionally restricted opiate sensitive mechanisms in the central nervous system.

摘要

研究了长期促肾上腺皮质激素(ACTH)治疗对吗啡某些作用的影响。将ACTH给药的效果与急性地塞米松注射所诱导的效果进行了比较。ACTH导致吗啡诱导的生长激素分泌增加出现延迟抑制,在最后一次激素注射后24小时可显现。ACTH治疗也抑制了吗啡诱导的纹状体3,4 - 二羟基苯乙酸(DOPAC)含量增加,然而,吗啡引起的镇痛和运动亢进均未受影响。地塞米松并未显著改变对吗啡的反应性。得出的结论是,长期暴露于ACTH可能导致皮质酮介导的中枢神经系统中功能受限的阿片敏感机制反应性丧失。

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