Windh R T, Little P J, Kuhn C M
Department of Pharmacology, Duke University Medical Center, Durham, North Carolina, USA.
J Pharmacol Exp Ther. 1995 Jun;273(3):1361-74.
The ontogeny of tolerance to mu opiate antinociception and the behavioral and endocrine profiles of the opiate withdrawal syndrome were studied in rats. Animals were treated with saline or an increasing dose regimen of morphine for 5 days (5-25 mg/kg b.i.d. s.c.) and were tested 36 hr later for morphine or sufentanil antinociception in the hot-plate paw-lift test, or withdrawal was precipitated with 5 mg/kg of naloxone 12 hr after the last chronic morphine dose. Twenty-seven-, 20- and 15-day-old rats all developed tolerance as indicated by a rightward shift of the dose-response curve after chronic morphine. Animals treated on days 4 to 8 and tested on day 10 did not develop tolerance to the same chronic dose regimen used in older animals. In contrast to the observed developmental difference in tolerance, both neonatal and weanling rats developed physical dependence after morphine treatment, as evidenced by the presence of withdrawal symptoms after naloxone administration. Withdrawal in weanling rats was characterized by ptosis, piloerection, abnormal posture, forepaw treading, vocalization on touch and mastication. In addition, both serum corticosterone and adrenocorticotropic hormone secretion were increased during passive withdrawal. The behaviors constituting the withdrawal syndrome precipitated in neonates were distinct from those in weanling rats. Spontaneous vocalization, wall climbing, tremor, mouthing and increased locomotion were all observed. As in the older animals, both serum corticosterone and adrenocorticotropic hormone secretion were elevated during passive withdrawal. Tremor also was induced in opiate naive neonates when naloxone (5 mg/kg) was administered 2 hr after a single 25-mg/kg morphine injection. Brain and serum morphine levels and the time course of antinociception were not altered by chronic morphine treatment at any age. Saturation binding assays in brain homogenates indicated that chronic morphine did not produce changes in receptor number or affinity for the antagonist. The shift induced by the guanine nucleotide Gpp(NH)p (10 microM) from high to low affinity on days 27 and 10, respectively, was not altered by chronic morphine treatment. These data indicate that 10-day-old rats are refractory to developing tolerance relative to older animals, and that changes in receptor number or coupling to guanine nucleotide proteins do not accompany tolerance to this regimen.
研究了大鼠对μ阿片类药物抗伤害感受的耐受性个体发育以及阿片类药物戒断综合征的行为和内分泌特征。动物用生理盐水或递增剂量的吗啡处理5天(5 - 25毫克/千克,皮下注射,每日两次),36小时后在热板抬爪试验中测试对吗啡或舒芬太尼的抗伤害感受,或者在最后一次慢性吗啡给药12小时后用5毫克/千克纳洛酮诱发戒断。27日龄、20日龄和15日龄的大鼠在慢性吗啡处理后,剂量 - 反应曲线右移,均产生了耐受性。在第4至8天处理并在第10天测试的动物,对年长动物使用的相同慢性剂量方案未产生耐受性。与观察到的耐受性发育差异相反,新生大鼠和断奶大鼠在吗啡处理后均产生了身体依赖性,纳洛酮给药后出现戒断症状证明了这一点。断奶大鼠的戒断表现为眼睑下垂、竖毛、姿势异常、前爪踩踏、触摸时发声和咀嚼。此外,在被动戒断期间,血清皮质酮和促肾上腺皮质激素分泌均增加。新生大鼠诱发的戒断综合征所构成的行为与断奶大鼠不同。观察到自发发声、爬壁、震颤、咬嘴和运动增加。与年长动物一样,在被动戒断期间,血清皮质酮和促肾上腺皮质激素分泌均升高。在单次注射25毫克/千克吗啡2小时后给予纳洛酮(5毫克/千克)时,未用过阿片类药物的新生大鼠也会诱发震颤。在任何年龄,慢性吗啡处理均未改变脑和血清中的吗啡水平以及抗伤害感受的时间进程。脑匀浆中的饱和结合试验表明,慢性吗啡处理未引起受体数量或对拮抗剂亲和力的变化。分别在第27天和第10天,鸟嘌呤核苷酸Gpp(NH)p(10微摩尔)诱导的从高亲和力到低亲和力的转变,未因慢性吗啡处理而改变。这些数据表明,相对于年长动物,10日龄大鼠对产生耐受性具有抗性,并且对该方案的耐受性不伴随受体数量或与鸟嘌呤核苷酸蛋白偶联的变化。