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西格玛系统对阿片类镇痛的选择性拮抗作用。

Selective antagonism of opioid analgesia by a sigma system.

作者信息

Chien C C, Pasternak G W

机构信息

George Cotzias Laboratory of Neuro-Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York.

出版信息

J Pharmacol Exp Ther. 1994 Dec;271(3):1583-90.

PMID:7996472
Abstract

(+)Pentazocine antagonizes morphine analgesia as potently as its (-)-isomer, ruling out an opioid receptor mechanism of action and suggesting, which suggests a role for sigma 1 receptors. Systemic (+) pentazocine also reverses supraspinal or spinal morphine analgesia. 1,3-Di(2-tolyl)guanidine, a sigma ligand with no appreciable opioid receptor affinity, antagonizes morphine analgesia. The actions of both (+)pentazocine and 1,3-di(2-tolyl)guanidine are reversed by haloperidol, which has high affinity for both sigma and D2 receptors, but not by the D2-selective antagonist (-)sulpiride, which lacks activity at sigma sites. The antiopioid sigma system is tonically active. Haloperidol, but not (-)sulpiride, decreases morphine ED50 almost 2-fold. The antiopioid system modulates only mu analgesia. Unlike analgesia, (+)pentazocine does not influence morphine's inhibition of gastrointestinal transit or lethality. (+)Pentazocine also antagonizes kappa 1, kappa 3 and delta analgesia through sigma mechanisms in a haloperidol-sensitive manner. (-)Sulpiride is inactive. Alone, haloperidol enhances kappa 1, kappa 3 and delta analgesia more dramatically than morphine, which indicates that the sigma system is active against all opioid analgesic systems. Sigma systems are responsible for some strain differences in kappa receptor sensitivity. Unlike CD-1 mice, BALB-C mice are relatively insensitive toward the kappa 1 agent U50,488H and the kappa 3 analgesic naloxone benzoylhydrazone. Blockade of the sigma system with haloperidol eliminates these strain differences. In conclusion, sigma 1 systems functionally antagonize opioid analgesia without affecting morphine's effects on gastrointestinal transit or lethality. The antiopioid sigma system is tonically active and is more active against kappa analgesia than mu.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

(+)喷他佐辛拮抗吗啡镇痛的效力与其(-)-异构体一样强,排除了阿片受体作用机制,并提示σ1受体起作用。全身性(+)喷他佐辛也能逆转脊髓上或脊髓性吗啡镇痛。1,3-二(2-甲苯基)胍,一种对阿片受体无明显亲和力的σ配体,可拮抗吗啡镇痛。(+)喷他佐辛和1,3-二(2-甲苯基)胍的作用都可被对σ和D2受体均有高亲和力的氟哌啶醇逆转,但不能被对σ位点无活性的D2选择性拮抗剂(-)舒必利逆转。抗阿片类σ系统具有紧张性活性。氟哌啶醇而非(-)舒必利可使吗啡半数有效剂量(ED50)降低近2倍。抗阿片系统仅调节μ型镇痛。与镇痛不同,(+)喷他佐辛不影响吗啡对胃肠蠕动或致死性的抑制作用。(+)喷他佐辛还通过对氟哌啶醇敏感的σ机制拮抗κ1、κ3和δ型镇痛。(-)舒必利无活性。单独使用时,氟哌啶醇比吗啡更显著地增强κ1、κ3和δ型镇痛,这表明σ系统对所有阿片类镇痛系统均有活性。σ系统导致κ受体敏感性存在一些品系差异。与CD-1小鼠不同,BALB-C小鼠对κ1激动剂U50,488H和κ3镇痛药纳洛酮苯甲酰腙相对不敏感。用氟哌啶醇阻断σ系统可消除这些品系差异。总之,σ1系统在功能上拮抗阿片类镇痛,而不影响吗啡对胃肠蠕动或致死性的作用。抗阿片类σ系统具有紧张性活性,且对κ型镇痛的作用比对μ型更强。(摘要截短于250字)

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