Collier H O, Cuthbert N J, Francis D L
Br J Pharmacol. 1981 Aug;73(4):921-32. doi: 10.1111/j.1476-5381.1981.tb08747.x.
1 Segments of ileum, incubated for 2-24 h at 22 degrees C with normorphine (0.01 - 1.0 muM), in the presence of hexamethonium, contracted when challenged with naloxone (0.03 muM). No response to this dose of naloxone was induced either by incubation in control solution without opiate for 2-24 h or by exposure of the preparation to opiate for 30 min at 37 degrees C.2 When segments were incubated for 24 h, the size of the response to naloxone was directly related both to the normorphine concentration in the incubation fluid (0.01 to 0.1 muM), and to the concentration of naloxone applied (0.03 to 0.1 muM).3 A spontaneous withdrawal contracture was elicited in ilea that had been incubated with normorphine (1.0 muM), when the normorphine-containing bathing fluid was exchanged for one without opiate.4 Normorphine restored to resting level the tension of the withdrawal contracture, whether it had been elicited spontaneously or by naloxone challenge.5 Addition of naloxone (1.0 muM) to normorphine (1.0 muM) in the incubation fluid abolished the withdrawal contracture to subsequent challenge with naloxone.6 Naloxone elicited a contracture from segments incubated for 24 h at 22 degrees C with levorphanol (0.1 muM) but not from those incubated with dextrorphan.7 Application of (+)-naloxone (0.03 muM) to segments previously incubated with normorphine (0.1 muM) did not elicit a contracture.8 The contracture elicited by naloxone in preparations incubated with morphine (10 muM) was associated with a reduction in sensitivity to the acute inhibitory effect of morphine on the electrically-evoked response.9 Addition of hyoscine (0.5 muM) immediately after challenge with naloxone restored the tension of the withdrawal contracture to resting level.10 Tetrodotoxin (3.0 muM) given before challenge, prevented naloxone from eliciting a withdrawal contracture.11 The inclusion of 5-hydroxytryptamine (10 muM) with morphine (10 muM) inhibited the induction of tolerance to morphine.12 These experiments, together with those described earlier, indicate that incubation with opiate induces a dependence in the final cholinergic motor neurones of the myenteric plexus, manifested as a contracture of the longitudinal muscle on removal of opiate or administration of an antagonist. This dependence is associated with tolerance, expressed as a decrease in sensitivity to inhibition by morphine of the electrically-evoked contracture. Tolerance and dependence are induced and withdrawal precipitated through specific and stereospecific opiate receptors.
将回肠段在22℃下与去甲吗啡(0.01 - 1.0μM)一起孵育2 - 24小时,在六甲铵存在的情况下,当用纳洛酮(0.03μM)刺激时会收缩。在无阿片类药物的对照溶液中孵育2 - 24小时,或在37℃下将标本暴露于阿片类药物30分钟,均不会对该剂量的纳洛酮产生反应。
当回肠段孵育24小时时,对纳洛酮的反应大小与孵育液中的去甲吗啡浓度(0.01至0.1μM)以及所用纳洛酮的浓度(0.03至0.1μM)直接相关。
当将含有去甲吗啡(1.0μM)孵育过的回肠段中含去甲吗啡的浴液换成无阿片类药物的浴液时,会引发自发的戒断挛缩。
无论戒断挛缩是自发引发还是由纳洛酮激发,去甲吗啡都能使戒断挛缩的张力恢复到静息水平。
在孵育液中向去甲吗啡(1.0μM)中加入纳洛酮(1.0μM),可消除随后用纳洛酮激发时的戒断挛缩。
纳洛酮能使在22℃下用左啡诺(0.1μM)孵育24小时的回肠段产生挛缩,但不能使用右啡烷孵育的回肠段产生挛缩。
将(+)-纳洛酮(0.03μM)应用于先前用去甲吗啡(0.1μM)孵育过的回肠段,不会引发挛缩。
纳洛酮在与吗啡(10μM)孵育的标本中引发的挛缩与对吗啡对电诱发反应的急性抑制作用的敏感性降低有关。
在纳洛酮激发后立即加入东莨菪碱(0.5μM),可使戒断挛缩的张力恢复到静息水平。
在激发前给予河豚毒素(3.0μM),可防止纳洛酮引发戒断挛缩。
将5-羟色胺(10μM)与吗啡(10μM)一起使用可抑制对吗啡耐受性的诱导。
这些实验以及先前描述的实验表明,与阿片类药物孵育会在肌间神经丛的最终胆碱能运动神经元中诱导出依赖性,表现为去除阿片类药物或给予拮抗剂时纵肌的挛缩。这种依赖性与耐受性相关,表现为对吗啡对电诱发挛缩的抑制作用的敏感性降低。耐受性和依赖性是通过特定的和立体特异性的阿片受体诱导产生的,并且戒断是由其引发的。