Wong C L, Bentley G A
Eur J Pharmacol. 1980 Jan 25;61(2):99-109. doi: 10.1016/0014-2999(80)90153-3.
The effects of chronic treatment with morphine and cholinergic compounds on the development of morphine tolerance, physical dependence and increased naloxone potency were studied. Using the abdominal constriction method, it was shown that morphine tolerance was apparent after s.c. administration of morphine 20.0 mg/kg three times a day for four days. It was found that, in animals which showed a low degree of morphine tolerance, the naloxone potency was similar to that determined in mice which had been pretreated with only a single dose of morphine which causes no measurable tolerance. Thus, the development of increased naloxone potency and tolerance to morphine do not parallel each other. In addition, while atropine inhibited, and anti-cholinesterase drugs enhanced, the development of increased naloxone potency caused by morphine treatment they had no or little effect on the development of morphine tolerance. Furthermore, chronic treatment with cholinergic agonists reduced, while muscarinic antagonist enhanced, the development of physical dependence on morphine as assessed by withdrawal jumping and body weight loss. It is concluded that the increased potency of naloxone in antagonising the antinociceptive effect of morphine can be dissociated from the development of tolerance to, and physical dependence on, morphine in mice.
研究了吗啡和胆碱能化合物长期治疗对吗啡耐受性、身体依赖性及纳洛酮效能增强的影响。采用腹部收缩法,结果显示,每天皮下注射20.0mg/kg吗啡,连续四天,吗啡耐受性明显。研究发现,在吗啡耐受性较低的动物中,纳洛酮效能与仅用一剂不产生可测量耐受性的吗啡预处理的小鼠中所测定的效能相似。因此,纳洛酮效能增强与吗啡耐受性的发展并不平行。此外,虽然阿托品抑制吗啡治疗引起的纳洛酮效能增强,抗胆碱酯酶药物则增强该效应,但它们对吗啡耐受性的发展没有或几乎没有影响。此外,通过戒断跳跃和体重减轻评估,胆碱能激动剂的长期治疗降低了对吗啡身体依赖性的发展,而毒蕈碱拮抗剂则增强了这种依赖性。得出的结论是,在小鼠中,纳洛酮拮抗吗啡镇痛作用的效能增强与对吗啡的耐受性及身体依赖性的发展是可以分离的。