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阿片类药物与咖啡因的相互作用:通过小鼠的动态活动进行评估。

Interactions of opioids with caffeine: evaluation by ambulatory activity in mice.

作者信息

Kuribara H, Uchihashi Y

机构信息

Division for Behavior Analysis, Gunma University School of Medicine, Maebashi, Japan.

出版信息

J Pharm Pharmacol. 1994 Feb;46(2):141-4. doi: 10.1111/j.2042-7158.1994.tb03758.x.

Abstract

Morphine (up to 10 mg kg-1), buprenorphine (up to 0.1 mg kg-1), pentazocine (30 mg kg-1) and caffeine (up to 10 mg kg-1), significantly increased mouse ambulation. The combination of morphine, buprenorphine and pentazocine with caffeine generally enhanced the effect. Dopamine D1- and D2-receptor bockade, depletion of stored dopamine, and inhibition of dopamine synthesis could reduce the ambulation increased by single administration of morphine, buprenorphine and caffeine, and by combined administration of morphine and buprenorphine with caffeine. Although naloxone (0.1-3 mg kg-1) itself did not change mouse ambulation, at 3 mg kg-1, it reduced the effect of caffeine. The repeated administration of morphine (10 mg kg-1) induced a sensitization to the ambulation-increasing effect, and was inhibited by the combination of caffeine (10 mg kg-1) in the repeated administration schedule. The repeated administration of caffeine (10 mg kg-1) with buprenorphine (0.3 mg kg-1) resulted in a decrease in the effect to the level of caffeine alone. The development of cross-sensitization to morphine (10 mg kg-1) by the repeated treatment with buprenorphine (0.3 mg kg-1) was inhibited by caffeine (10 mg kg-1). Our results suggest that the dopaminergic systems are involved in the enhanced interaction of opioids having agonistic action on mu- or sigma-receptors with caffeine. However, it is also considered that, following the repeated administration, caffeine acts to reduce the sensitivity to the ambulation-increasing effect of opioids, probably inducing up-regulation of adenosinergic systems.

摘要

吗啡(高达10毫克/千克)、丁丙诺啡(高达0.1毫克/千克)、喷他佐辛(30毫克/千克)和咖啡因(高达10毫克/千克)可显著增加小鼠的活动。吗啡、丁丙诺啡和喷他佐辛与咖啡因联合使用通常会增强这种效果。多巴胺D1和D2受体阻断、储存多巴胺的耗竭以及多巴胺合成的抑制可降低单次给予吗啡、丁丙诺啡和咖啡因以及吗啡与丁丙诺啡联合咖啡因给药所增加的活动。虽然纳洛酮(0.1 - 3毫克/千克)本身不会改变小鼠的活动,但在3毫克/千克时,它会降低咖啡因的作用。重复给予吗啡(10毫克/千克)会诱导对活动增加作用的敏感性,并且在重复给药方案中会被咖啡因(10毫克/千克)联合给药所抑制。咖啡因(10毫克/千克)与丁丙诺啡(0.3毫克/千克)重复给药导致效果降低至仅咖啡因的水平。丁丙诺啡(0.3毫克/千克)重复治疗对吗啡(10毫克/千克)产生的交叉敏感性发展会被咖啡因(10毫克/千克)抑制。我们的结果表明,多巴胺能系统参与了对μ或σ受体具有激动作用的阿片类药物与咖啡因之间增强的相互作用。然而,也有人认为,重复给药后,咖啡因的作用是降低对阿片类药物活动增加作用的敏感性,可能诱导腺苷能系统的上调。

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