Zhang C, Moss I R
Department of Pediatrics, McGill University, Montreal, Que., Canada.
Brain Res Dev Brain Res. 1995 Jul 14;87(2):188-93. doi: 10.1016/0165-3806(95)00075-o.
Neonates, as compared to older subjects, exhibit increased signs of relative respiratory suppression such as apnea, periodic breathing and only transient hyperventilatory response to hypoxia. Prenatal cocaine exposure exaggerates the respiratory pattern disturbances observed in infants. As endogenous opioids cause central suppression of breathing, we tested their possible involvement in these effects by assessing opioid content in respiratory-related brainstem regions of 2 to 5 (young) and 18 to 22 (older) day-old piglets, unexposed or preexposed to cocaine during 0.66 to 1.0 gestation. The selected ages represent distinct stages in the postnatal development of respiration. beta-Endorphin, methionine-enkephalin, dynorphin A and dynorphin B from the tractus solitarii, ambigualis, gigantoreticularis and parabrachialis medialis nuclei were separated by high performance liquid chromatography, then quantified by radioimmunoassays. Opioid content was higher in the brain regions of the young than of the older piglets, and increased after cocaine exposure in both age groups, but more in the young. These findings support the possible contribution of high opioid content to the relative suppression of respiratory function in early life, and to the exaggerated respiratory dysrhythmia observed in cocaine preexposed neonates.
与年长个体相比,新生儿表现出更多相对呼吸抑制的迹象,如呼吸暂停、周期性呼吸以及对缺氧仅产生短暂的过度通气反应。产前可卡因暴露会加剧婴儿所观察到的呼吸模式紊乱。由于内源性阿片类物质会引起呼吸的中枢抑制,我们通过评估在妊娠0.66至1.0期间未暴露或预先暴露于可卡因的2至5日龄(年幼)和18至22日龄(年长)仔猪与呼吸相关的脑干区域中的阿片类物质含量,来测试它们在这些影响中可能的作用。所选择的年龄代表了出生后呼吸发育的不同阶段。通过高效液相色谱法分离来自孤束核、疑核、巨网状核和臂旁内侧核的β-内啡肽、甲硫氨酸脑啡肽、强啡肽A和强啡肽B,然后通过放射免疫测定法进行定量。年幼仔猪脑区中的阿片类物质含量高于年长仔猪,并且在两个年龄组中,可卡因暴露后阿片类物质含量均增加,但年幼组增加得更多。这些发现支持了高阿片类物质含量可能对生命早期呼吸功能的相对抑制以及在产前暴露于可卡因的新生儿中所观察到的过度呼吸节律不齐有影响。