Ward S J, Takemori A E
Eur J Pharmacol. 1983 Jan 28;87(1):1-6. doi: 10.1016/0014-2999(83)90043-2.
Using a simple method to measure respiratory rate, it was clearly shown that the depression of respiratory rate caused by morphine, ethylketazocine or [D-Ala2,D-Leu5]enkephalin was not altered by the highly selective, irreversible mu-antagonists, beta-funaltrexamine (beta-FNA) at a dose which produced marked antagonism of morphine antinociception. These results indicated that antinociception and depression of respiratory rate are mediated by different receptor interactions. However using a different method to measure respiratory rate (body plythesmograph), beta-FNA caused substantial antagonism of morphine-induced respiratory depression indicating that the degree to which mu-receptor interactions contribute to the depression of respiratory rate depends on the methodology. Possible explanations for this difference are discussed. It is concluded that careful consideration of the methodology must be given when one measures respiratory rate and caution must be exercised if measurement of rate alone is used to assess opioid-induced respiratory depression.
采用一种简单的方法测量呼吸频率,结果清楚地表明,吗啡、依托唑啉或[D-丙氨酸2,D-亮氨酸5]脑啡肽引起的呼吸频率降低,在产生明显吗啡镇痛拮抗作用的剂量下,不会被高选择性、不可逆的μ-拮抗剂β-氟纳曲胺(β-FNA)改变。这些结果表明,镇痛和呼吸频率降低是由不同的受体相互作用介导的。然而,使用不同的方法测量呼吸频率(体容积描记器)时,β-FNA对吗啡诱导的呼吸抑制有显著拮抗作用,表明μ-受体相互作用对呼吸频率降低的影响程度取决于方法。讨论了这种差异的可能解释。得出的结论是,在测量呼吸频率时必须仔细考虑方法,如果仅使用呼吸频率测量来评估阿片类药物引起的呼吸抑制,必须谨慎行事。