Nagasaka H, Yaksh T L
Department of Anesthesiology, University of California, San Diego, La Jolla 92093-0818.
Anesth Analg. 1995 Mar;80(3):437-43. doi: 10.1097/00000539-199503000-00001.
Despite significant opioid binding in the intermediolateral cell column, the effects of intrathecal injections of mu, delta, and kappa opioid agonists on the cardiovascular response to noxious stimulation have not been examined systematically. The pharmacology of intrathecally administered opioid agonists (mu, morphine, [D-Ala2,N-MePhe4,Gly5-ol]enkephalin (DAGO); delta, metkephamid, [D-Ala2-D-Leu5]enkephalin (DADL), [D-Pen2,D-Pen5]enkephalin (DPDPE); kappa, U50488H and PD117,302) or agonist-antagonist (nalbuphine) on somatomotor (tail-flick) and cardiovascular changes (blood pressure and heart rate) evoked by immersing the tail in 53 degrees C water were examined in rats anesthetized with halothane (0.75%) and in which intrathecal catheters had been chronically implanted. Intrathecal administration of mu and delta, but not kappa agonists or agonist-antagonist produced a dose-dependent block of tail-flick and evoked cardiovascular responses with the order of activity being as follows: DAGO > metkephamid DADL > morphine > DPDPE >> nalbuphine = PD117,302 = U50488H = 0. These effects were reversed readily by the opioid antagonist naloxone. In addition, intrathecal administration of mu and delta but not kappa or agonist-antagonist had little effect on resting heart rate and blood pressure. These data indicate that the agonist occupancy of spinal mu and delta, but not kappa agonists can profoundly modulate the autonomic and somatomotor response evoked by high threshold thermal stimuli.
尽管阿片类药物在中间外侧细胞柱中有显著结合,但鞘内注射μ、δ和κ阿片类激动剂对有害刺激引起的心血管反应的影响尚未得到系统研究。我们研究了鞘内注射阿片类激动剂(μ,吗啡,[D - Ala2,N - MePhe4,Gly5 - ol]脑啡肽(DAGO);δ,美普他明,[D - Ala2 - D - Leu5]脑啡肽(DADL),[D - Pen2,D - Pen5]脑啡肽(DPDPE);κ,U50488H和PD117,302)或激动剂 - 拮抗剂(纳布啡)对用氟烷(0.75%)麻醉且已长期植入鞘内导管的大鼠,因将尾巴浸入53摄氏度水中所诱发的躯体运动(甩尾)和心血管变化(血压和心率)的影响。鞘内注射μ和δ激动剂,但不是κ激动剂或激动剂 - 拮抗剂,会产生剂量依赖性的甩尾阻断,并诱发心血管反应,其活性顺序如下:DAGO>美普他明>DADL>吗啡>DPDPE>>纳布啡 = PD117,302 = U50488H = 0。这些作用很容易被阿片类拮抗剂纳洛酮逆转。此外,鞘内注射μ和δ激动剂,但不是κ激动剂或激动剂 - 拮抗剂对静息心率和血压几乎没有影响。这些数据表明,脊髓μ和δ激动剂的激动剂占据,而非κ激动剂,可以深刻调节高阈值热刺激诱发的自主和躯体运动反应。