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阿片类药物的惊厥和抗惊厥作用:与γ-氨基丁酸介导的传递的关系。

Convulsant and anticonvulsant effects of opioids: relationship to GABA-mediated transmission.

作者信息

Sagratella S, Massotti M

出版信息

Neuropharmacology. 1982 Oct;21(10):991-1000. doi: 10.1016/0028-3908(82)90112-5.

Abstract

The convulsant benzodiazepine Ro 5-3663, bicuculline and picrotoxin induced electroencephalographic (EEG) and behavioural convulsions. In rabbits, the EEG modifications consisted, with increasing doses, of three different patterns: slow waves in the optic lead, spike- and wave-complexes in the sensorimotor cortex, and grand-mal generalized seizures. These EEG effects were terminated by administration of diazepam (1 mg/kg) and morphine (0.25-1.0 mg/kg). Naloxone, in doses of 5-10 mg/kg, potentiated the effects of the three convulsant drugs. This potentiating phenomenon was also antagonized by the administration of diazepam and morphine. In membrane preparations, obtained from rat cortex, deprived of endogenous modulators of [3H]GABA binding, naloxone but not morphine, was able to inhibit [3H]GABA binding to its specific recognition sites. These data agree with previous findings indicating a GABA-antagonistic effect of naloxone, and support the hypothesis that the anticonvulsant effect of morphine might be, at least in part, due to an increase in GABAergic activity at the synaptic level.

摘要

惊厥性苯二氮䓬Ro 5-3663、荷包牡丹碱和印防己毒素可诱发脑电图(EEG)和行为性惊厥。在兔中,随着剂量增加,EEG改变呈现三种不同模式:视导联慢波、感觉运动皮层棘波和复合波,以及大发作全身性惊厥。这些EEG效应可通过给予地西泮(1mg/kg)和吗啡(0.25-1.0mg/kg)而终止。剂量为5-10mg/kg的纳洛酮可增强这三种惊厥药物的效应。这种增强现象也可被地西泮和吗啡的给药所拮抗。在从大鼠皮层获得的、去除了[3H]GABA结合内源性调节剂的膜制剂中,纳洛酮而非吗啡能够抑制[3H]GABA与其特异性识别位点的结合。这些数据与先前表明纳洛酮具有GABA拮抗作用的研究结果一致,并支持这样的假说,即吗啡的抗惊厥作用可能至少部分归因于突触水平GABA能活性的增加。

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