Gillan M G, Pollock D
Br J Pharmacol. 1980 Mar;68(3):381-92. doi: 10.1111/j.1476-5381.1980.tb14551.x.
1 Morphine and leucine- and methionine-enkephalins inhibited the contractile response of the pithed rat colon to electrical stimulation of the spinal motor outflows and inhibited motor responses of the isolated colon to field stimulation. 2 Morphine and the opioid peptides also had an excitatory action in the colon. In the pithed rat, opiates caused regular fluctuations in intracolonic pressure and in the isolated colon, caused regular waves of contraction. This excitatory response was produced by low concentrations of the enkephalins (2 X 10(-8) M, 2 X 10(-9) M), was stereospecific and was antagonized by naloxone. 3 Opiate-induced contractions in the isolated colon were inhibited by catecholamines, adenine nucleotides and by phosphodiesterase inhibitors. These contractions were unaffected by ergotamine and tolazoline, or by propranolol. 4 The excitatory action of opiates in the isolated colon was not antagonized and usually was potentiated by atropine, (+)-tubocurarine and hexamethonium. In the absence of opiates, these drugs also produced similar waves of contraction, which were unaffected by naloxone. 5 Opiate-induced contractions occurred in colon rendered unresponsive to 5-hydroxytryptamine (5-HT) and these contractions were potentiated by the 5-HT antagonist, lysergic acid diethylamide, which, when administered alone, caused similar contractions. The 5-HT antagonist, cyproheptadine, inhibited opiate-induced contractions but was non-specific, since it also inhibited responses of the colon to carbachol and KC1. 6 Opiate-induced contractions were unaffected by procaine and were potentiated by tetrodotoxin. Both of these drugs, when administered alone, produced waves of contractions, which were similar to those produced by opiates but were unaffected by naloxone. 7 Contractions produced in the isolated colon either by opiates, atropine or (+)-tubocurarine, or any combination of these drugs, were inhibited by field stimulation applied at the peak of a wave of contraction. This inhibitory response to field stimulation occurred at low frequencies of stimulation (less than 10 Hz), and persisted in colon from rats pretreated with reserpine to deplete, or 6-hydroxydopamine to destroy, adrenergic nerve endings. It was unaffected by guanethidine but abolished by tetrodotoxin. 8 The implications of these results are considered and it is concluded that the excitatory action of opiates in the rat colon is probably not mediated by the release of acetylcholine or 5-HT but instead, may be due either to a direct action on smooth muscle or to a presynaptic inhibitory action at a ganglionic site in a non-adrenergic inhibitory mechanism, which normally suppresses myogenic activity.
吗啡以及亮氨酸脑啡肽和甲硫氨酸脑啡肽可抑制脊髓运动传出神经电刺激对脊髓麻醉大鼠结肠的收缩反应,并抑制离体结肠对场刺激的运动反应。
吗啡和阿片肽在结肠中也具有兴奋作用。在脊髓麻醉大鼠中,阿片类药物可引起结肠内压有规律的波动,在离体结肠中则引起有规律的收缩波。这种兴奋反应由低浓度的脑啡肽(2×10⁻⁸ M,2×10⁻⁹ M)产生,具有立体特异性,且可被纳洛酮拮抗。
儿茶酚胺、腺嘌呤核苷酸和磷酸二酯酶抑制剂可抑制阿片类药物在离体结肠中诱导的收缩。这些收缩不受麦角胺、妥拉唑啉或普萘洛尔的影响。
阿片类药物在离体结肠中的兴奋作用未被阿托品、(+)-筒箭毒碱和六甲铵拮抗,反而通常会增强。在没有阿片类药物的情况下,这些药物也会产生类似的收缩波,且不受纳洛酮的影响。
阿片类药物诱导的收缩发生在对5-羟色胺(5-HT)无反应的结肠中,这些收缩可被5-HT拮抗剂麦角酸二乙胺增强,麦角酸二乙胺单独给药时也会引起类似的收缩。5-HT拮抗剂赛庚啶可抑制阿片类药物诱导的收缩,但具有非特异性,因为它也会抑制结肠对卡巴胆碱和氯化钾的反应。
阿片类药物诱导的收缩不受普鲁卡因的影响,而被河豚毒素增强。这两种药物单独给药时都会产生收缩波,与阿片类药物产生的收缩波相似,但不受纳洛酮的影响。
在收缩波峰值施加场刺激可抑制阿片类药物、阿托品或(+)-筒箭毒碱或这些药物的任何组合在离体结肠中产生的收缩。这种对场刺激的抑制反应发生在低刺激频率(小于10 Hz)时,并且在用利血平预处理以耗尽或用6-羟基多巴胺破坏肾上腺素能神经末梢的大鼠结肠中持续存在。它不受胍乙啶的影响,但被河豚毒素消除。
对这些结果的意义进行了探讨,得出的结论是,阿片类药物在大鼠结肠中的兴奋作用可能不是由乙酰胆碱或5-HT的释放介导的,而是可能由于对平滑肌的直接作用或在非肾上腺素能抑制机制的神经节部位的突触前抑制作用,该机制通常抑制肌源性活动。