Vasko M R, Domino E F
J Pharmacol Exp Ther. 1978 Dec;207(3):848-58.
The development of tolerance to the depressant and stimulant actions of morphine on locomotor activity and brain acetylcholine (ACh) utilization (indirect turnover) was investigated in the rat. When administered to nontolerant rats, 1.0 mg/ kg s.c. of morphine produced an increase in locomotor activity and a concomitant increase in ACh utilization. Larger doses produced biphasic effects on locomotor activity, but only 10 mg/kg s.c. resulted in both an initial decrease and subsequent increase in ACh utilization in whole rat brain. The depressant and stimulant actions of morphine on both endpoints were antagonized by 1.0 mg/kg i.p. of naloxone administered 30 min before the maximum effect. Tolerance to morphine was produced by t.i.d. injections of increasing doses. Rapid tolerance developed to the locomotor depressant actions of morphine and to the decrease in brain ACh utilization. Tolerance to the depressant effects resulted in an enhanced stimulant action. Tolerance also developed to the stimulant actions of morphine but only when large doses of drug were administered daily. Biphasic effects of 10 mg/kg of morphine on brain ACh utilization were also observed in the hippocampus, thalamus and hypothalamus. Only a decrease in ACh utilization was observed in the caudate nucleus. Tolerance developed to the decreases and increases in ACh utilization in these discrete brain regions. This study demonstrates that tolerance development to the depressant and stimulant actions of morphine is complex and involves different dose and time schedules. It is not possible therefore to study tolerance to the actions or morphine without specifying the precise endpoint studied and the tolerance schedule utilized.
在大鼠中研究了对吗啡对运动活性和脑乙酰胆碱(ACh)利用(间接周转率)的抑制和兴奋作用的耐受性发展情况。当给未耐受的大鼠皮下注射1.0mg/kg吗啡时,会使运动活性增加,并伴随ACh利用增加。更大剂量对运动活性产生双相作用,但只有皮下注射10mg/kg会导致全脑ACh利用先降低后升高。在最大效应前30分钟腹腔注射1.0mg/kg纳洛酮可拮抗吗啡对这两个终点的抑制和兴奋作用。通过每日三次注射递增剂量产生对吗啡的耐受性。对吗啡的运动抑制作用和脑ACh利用降低迅速产生耐受性。对抑制作用的耐受性导致兴奋作用增强。对吗啡的兴奋作用也产生耐受性,但仅在每日给予大剂量药物时出现。在海马、丘脑和下丘脑也观察到10mg/kg吗啡对脑ACh利用的双相作用。在尾状核仅观察到ACh利用降低。对这些离散脑区中ACh利用的降低和升高都产生了耐受性。本研究表明,对吗啡抑制和兴奋作用的耐受性发展是复杂的,涉及不同的剂量和时间安排。因此,如果不明确所研究的精确终点和所采用的耐受性方案,就不可能研究对吗啡作用的耐受性。