Huidobro-Toro J P, Way E L
Br J Pharmacol. 1981 Nov;74(3):681-94. doi: 10.1111/j.1476-5381.1981.tb10479.x.
1 Morphine and related synthetic surrogates as well as beta-endorphin and methionine enkephalin caused a contractile response of the longitudinal musculature of the terminal colon of Long Evans rats.2 The muscular contraction caused by the narcotic analgesics exhibited stereospecificity, with levorphanol being about 50 times more potent than dextrorphan and (-)-methadone 4 times more potent than (+)-methadone. In addition, the rank order in potency of a homologous series of N-alkyl substituted norketobemidones demonstrated that the activity of these compounds in eliciting contractile responses corresponded to that for analgesic efficacy in the rat and also correlated to the ability of these derivatives to inhibit the muscular twitch evoked by electrical stimulation of the guinea-pig ileum.3 Naloxone blocked the contractile response of the opiates following competitive kinetics; the naloxone pA(2) values for morphine, etorphine, levorphanol and methadone were very close, in spite of the marked differences in potency of these agents.4 The contractile effect of morphine on the rat colon was abolished by incubation of the tissues with tetrodotoxin 2.0 x 10(-7) M or by decreasing the external Ca(2+) level 100 fold. Increasing the external Ca(2+) concentration caused an apparent non-competitive antagonism of the response to morphine.5 Pretreatment of the tissues with hexamethonium 8.3 x 10(-5) M caused a modest antagonism of the morphine effect while atropine 5.8 x 10(-7) M did not significantly modify the morphine contractile effect. In contrast, methysergide 10(-5) M caused a 10 fold increase in the morphine EC(50).6 Colons from rats rendered tolerant-dependent on morphine were markedly less sensitive to the contractile effects of morphine than those from placebo-treated controls. Tolerance to morphine was also accompanied by an increased sensitivity to the contractile effects of 5-hydroxytryptamine (5-HT).7 A marked increase in the spontaneous muscular activity of segments of the terminal colon of rats chronically treated with morphine was found to occur upon removal of the residual morphine in the tissues by repetitive washings. The spontaneous activity was arrested by applications of morphine, suggesting that physical dependence can be demonstrated in vitro in this particular preparation.8 It is concluded that the opiate-induced contractile response is mediated via stereospecific, naloxone-sensitive, opiate receptors and that the muscular response involves the activation of a 5-HT neurone in the nerve terminals of the colon.
吗啡及相关合成代用品,以及β-内啡肽和甲硫氨酸脑啡肽可引起长 Evans 大鼠终末结肠纵行肌组织的收缩反应。
麻醉性镇痛药引起的肌肉收缩表现出立体特异性,左啡诺的效力比右啡烷强约 50 倍,(-)-美沙酮的效力比(+)-美沙酮强 4 倍。此外,一系列 N-烷基取代去甲酮基苯乙酰胺同系物的效力顺序表明,这些化合物引发收缩反应的活性与大鼠的镇痛效力相对应,也与这些衍生物抑制豚鼠回肠电刺激诱发的肌肉抽搐的能力相关。
纳洛酮按照竞争性动力学阻断阿片类药物的收缩反应;尽管这些药物的效力有显著差异,但吗啡、埃托啡、左啡诺和美沙酮的纳洛酮 pA(2)值非常接近。
用 2.0×10(-7)M 的河豚毒素孵育组织或使细胞外 Ca(2+)水平降低 100 倍,可消除吗啡对大鼠结肠的收缩作用。增加细胞外 Ca(2+)浓度会对吗啡反应产生明显的非竞争性拮抗作用。
用 8.3×10(-5)M 的六甲铵预处理组织会对吗啡效应产生适度拮抗作用,而 5.8×10(-7)M 的阿托品不会显著改变吗啡的收缩作用。相比之下,10(-5)M 的麦角新碱会使吗啡的 EC(50)增加 10 倍。
对吗啡产生耐受依赖性的大鼠的结肠对吗啡收缩作用的敏感性明显低于安慰剂处理的对照组。对吗啡的耐受性还伴随着对 5-羟色胺(5-HT)收缩作用的敏感性增加。
发现通过反复冲洗去除长期用吗啡处理的大鼠终末结肠段组织中的残留吗啡后,其自发肌肉活动会显著增加。吗啡的应用可使自发活动停止,这表明在这种特定制剂中可在体外证明身体依赖性。
得出结论,阿片类药物诱导的收缩反应是通过立体特异性、对纳洛酮敏感的阿片受体介导的,并且肌肉反应涉及结肠神经末梢中 5-HT 神经元的激活。