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阿片类和非阿片类应激镇痛:对吗啡耐受性和交叉耐受性的评估。

Opioid and non-opioid stress analgesia: assessment of tolerance and cross-tolerance with morphine.

作者信息

Lewis J W, Sherman J E, Liebeskind J C

出版信息

J Neurosci. 1981 Apr;1(4):358-63. doi: 10.1523/JNEUROSCI.01-04-00358.1981.

Abstract

Opioid and non-opioid mechanisms of analgesia elicited by two kinds of footshock stress that differ only in temporal characteristics previously have been inferred on the basis of susceptibility to naloxone blockade. The present study sought further evidence on this point by comparing these two kinds of footshock analgesia for possible tolerance development and cross-tolerance with morphine. It was found that, with repeated exposure to stress, tolerance developed to naloxone-sensitive, but not naloxone-insensitive, stress analgesia. Furthermore, morphine-tolerant rats displayed cross-tolerance to only the naloxone-sensitive form of footshock analgesia. Although prior exposure to both footshock paradigms potentiated morphine analgesia, less potentiation occurred in rats tolerant to the naloxone-sensitive footshock stress. Thus, cross-tolerance between morphine and this type of stress analgesia appears to occur in both directions. These findings are consistent with those using naloxone antagonism as a criterion for opioid mediation and support the conclusion that separate opioid and non-opioid mechanisms of stress analgesia exist.

摘要

先前已根据对纳洛酮阻断的敏感性推断出,仅在时间特征上有所不同的两种足部电击应激所引发的阿片类和非阿片类镇痛机制。本研究通过比较这两种足部电击镇痛对可能的耐受性发展以及与吗啡的交叉耐受性,来寻求关于这一点的进一步证据。研究发现,随着反复暴露于应激,对纳洛酮敏感而非纳洛酮不敏感的应激镇痛产生了耐受性。此外,吗啡耐受的大鼠仅对纳洛酮敏感形式的足部电击镇痛表现出交叉耐受性。尽管事先暴露于两种足部电击范式均增强了吗啡镇痛作用,但在对纳洛酮敏感的足部电击应激耐受的大鼠中,增强作用较小。因此,吗啡与这种类型的应激镇痛之间的交叉耐受性似乎在两个方向上都存在。这些发现与使用纳洛酮拮抗作用作为阿片类药物介导标准的研究结果一致,并支持存在单独的阿片类和非阿片类应激镇痛机制这一结论。

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