Hurwitz A, Fischer H R
J Pharmacol Exp Ther. 1983 Oct;227(1):68-72.
Ascending morphine doses above 5 mg/kg s.c. progressively reduced plasma clearance of sulfobromophthalein (BSP) and raised hepatic levels of this dye in rats. The narcotic reduced the elimination constant of BSP without affecting its volume of distribution. Because abdominal surgery markedly reduced plasma clearance of BSP, no further effect of morphine could be shown in rats with bile cannulas. In duct-cannulated animals morphine had no effect on BSP concentration in bile, but did raise hepatic BSP levels while reducing bile flow and biliary BSP content. The narcotic also lowered the biliary transport maximum of BSP. The effects on BSP disposition were demonstrated acutely after morphine administration but had subsided completely by 1 and 2 days after giving narcotic. The present findings suggest that morphine impaired the secretion of BSP into bile by a mechanism not involving biliary occlusion and thereby enhanced retention of this dye in liver and plasma.
皮下注射剂量超过5mg/kg的吗啡会使大鼠体内磺溴酞钠(BSP)的血浆清除率逐渐降低,并使肝脏中该染料的水平升高。这种麻醉剂降低了BSP的消除常数,但不影响其分布容积。由于腹部手术会显著降低BSP的血浆清除率,因此在有胆管插管的大鼠中未显示出吗啡的进一步作用。在胆管插管的动物中,吗啡对胆汁中BSP浓度没有影响,但会提高肝脏中BSP的水平,同时减少胆汁流量和胆汁中BSP的含量。这种麻醉剂还降低了BSP的胆汁转运最大值。吗啡给药后急性显示出对BSP处置的影响,但在给予麻醉剂1天和2天后这些影响已完全消退。目前的研究结果表明,吗啡通过一种不涉及胆管阻塞的机制损害了BSP向胆汁中的分泌,从而增强了这种染料在肝脏和血浆中的潴留。