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γ-氨基丁酸-阿片类药物在镇痛药活性中的相互作用。

GABA-opiates interactions in the activity of analgesics.

作者信息

Zakusov V V, Ostrovskaya R U, Bulayev V M

出版信息

Arch Int Pharmacodyn Ther. 1983 Sep;265(1):61-75.

PMID:6139983
Abstract

The influence of compounds which reduce or potentiate GABA-ergic inhibition on the effect of analgesics of various structures was studied. The effect was estimated according to the analgesic activity (experiments in rats) and the suppression of the impulse summation in the central nervous system (experiments in rabbits). It was shown that GABA-negative agents (bicucullin, thiosemicarbazide) markedly decreased the effect of morphine, hydrocodone and the enkephaline analogs: Tyr-D-Ala-Gly-Phe-NH2 and Tyr-D-Ala-Gly-Phe(NO2)NH2. The action of bicuculline was close to that of naloxone, an opiate receptor blocker. GABA-positive agents (muscimol, GABA cetyl ether, valproate) potentiated the activity of the mentioned narcotic analgesics. The effect of GABA-positive agents was blocked not only by GABA-negative compounds, but also by naloxone. The obtained data are interpreted in terms of the assumed mutual complementary of GABA-ergic and opioidergic systems. It was shown that the effects of the analgesics of a different structure: phenylpiperidine derivatives (trimeperidine, fentanyl), diphenylacetic acid derivative (dimenoxadol) and 3-benzazocine tricyclic derivative (pentazocine) were unchanged by the studied GABA-ergic analyzers. The reasons for those dissimilarities between analgesics of different structures are discussed.

摘要

研究了降低或增强γ-氨基丁酸(GABA)能抑制作用的化合物对各种结构镇痛药效果的影响。根据镇痛活性(大鼠实验)和中枢神经系统中冲动总和的抑制情况(家兔实验)来评估其效果。结果表明,GABA阴性剂(荷包牡丹碱、氨基硫脲)显著降低了吗啡、氢可酮和脑啡肽类似物:酪氨酰-D-丙氨酰-甘氨酰-苯丙氨酰胺和酪氨酰-D-丙氨酰-甘氨酰-对硝基苯丙氨酰胺的效果。荷包牡丹碱的作用与阿片受体阻滞剂纳洛酮相近。GABA阳性剂(蝇蕈醇、GABA十六烷基醚、丙戊酸盐)增强了上述麻醉性镇痛药的活性。GABA阳性剂的作用不仅被GABA阴性化合物阻断,也被纳洛酮阻断。所得数据根据假定的GABA能系统和阿片样物质能系统的相互互补性进行解释。结果表明,不同结构的镇痛药:苯基哌啶衍生物(三甲利定、芬太尼)、二苯乙酸衍生物(二甲氧苯adol)和3-苯并氮杂环庚三烯三环衍生物(喷他佐辛)的效果不受所研究的GABA能分析物的影响。讨论了不同结构镇痛药之间这些差异的原因。

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