Feigenbaum J, Yanai J
Neuropsychobiology. 1984;11(2):98-105. doi: 10.1159/000118061.
Morphine has been universally assumed to act solely on opiate receptors, and predominantly on mu receptors. In consonance with this, several studies have demonstrated that opiate mu agonists and dopaminergic agonists and antagonists are incapable of binding each other's receptors, except at extremely high concentrations (nor, for that matter, are acetylcholine, serotonin, gamma-hydroxybutyrate, norepinephrine or histamine able to bind opiate receptors). Yet, while other neurotransmitter antagonists (e.g. alpha- and beta-adrenoceptor-blocking agents) are for the most part limited in their effect on opiate-induced responses, many of the central effects elicited by morphine and other opioids have been found to be markedly potentiated by dopamine (DA) antagonists and reversed by direct and indirect DA agonists. Even more significantly, DA antagonists (especially those appreciably inhibiting DA release selectively) can also mimic many of these effects in low to moderate doses. Since DA antagonists do not act by binding opiate receptors, it is quite likely that morphine and other opiate mu receptor agonists may at least partially induce many of their acute central effects by means of an inhibition of postsynaptic DA receptor arousal. This appears to be a consequence of morphine binding its own (mu) receptors localized on central DA nerve terminals, resulting in an alteration of presynaptic DA release. This review does not exclude the important role of other neurotransmitter substances in the action of morphine, but rather emphasizes, and limits itself to considering, the importance of the role of dopamine in morphine-induced behaviors.
人们普遍认为吗啡仅作用于阿片受体,且主要作用于μ受体。与此一致的是,多项研究表明,阿片μ激动剂与多巴胺能激动剂及拮抗剂无法相互结合对方的受体,除非在极高浓度下(同样,乙酰胆碱、5-羟色胺、γ-羟基丁酸、去甲肾上腺素或组胺也无法结合阿片受体)。然而,尽管其他神经递质拮抗剂(如α和β肾上腺素能阻滞剂)大多对阿片诱导的反应影响有限,但已发现吗啡和其他阿片类药物引发的许多中枢效应会被多巴胺(DA)拮抗剂显著增强,并被直接和间接DA激动剂逆转。更值得注意的是,DA拮抗剂(尤其是那些能显著选择性抑制DA释放的拮抗剂)在低至中等剂量时也能模拟其中许多效应。由于DA拮抗剂并非通过结合阿片受体起作用,吗啡和其他阿片μ受体激动剂很可能至少部分地通过抑制突触后DA受体激活来诱导其许多急性中枢效应。这似乎是由于吗啡与其自身位于中枢DA神经末梢的(μ)受体结合,导致突触前DA释放发生改变。本综述并不排除其他神经递质物质在吗啡作用中的重要作用,而是强调并仅考虑多巴胺在吗啡诱导行为中的作用的重要性。