Iwasaki Y, Gaskill M B, Fu R, Saper C B, Robertson G L
Department of Medicine, University of Chicago, Illinois 60637.
J Clin Invest. 1993 Nov;92(5):2230-9. doi: 10.1172/JCI116826.
Subcutaneous injection of the potent, nonselective opioid antagonist diprenorphine inhibits the vasopressin response to acute hypovolemia. To determine if this inhibition is due to antagonism of opioid receptors in brain pathways that mediate volume control, we determined the vasopressin response to different stimuli when diprenorphine or other opiates were injected into the cerebral ventricles, the nucleus tractus solitarius (NTS), or the lateral parabrachial nucleus (PBN) of rats. We found that the vasopressin response to hypovolemia was inhibited by injection of diprenorphine into the cerebral ventricles at a dose too low to be effective when given subcutaneously. This response also was inhibited when a 20-fold lower dose of diprenorphine was injected into the PBN but not when it was injected into the NTS. The inhibitory effect of diprenorphine in the PBN was not attributable to a decrease in osmotic or hypovolemic stimulation and did not occur with osmotic or hypotensive stimuli. Injecting the PBN with equimolar doses of the mu antagonist naloxone, the delta antagonist ICI-154,129 or the kappa-1 agonist U-50,488H had no effect on basal or volume-stimulated vasopressin. We conclude that the inhibition of vasopressin by diprenorphine is due partially to action at a novel class of opioid receptors that transmit volume stimuli through the PBN.
皮下注射强效、非选择性阿片受体拮抗剂二丙诺啡可抑制血管加压素对急性血容量减少的反应。为了确定这种抑制作用是否是由于介导容量控制的脑内途径中的阿片受体拮抗作用所致,我们在向大鼠的脑室、孤束核(NTS)或臂旁外侧核(PBN)注射二丙诺啡或其他阿片类药物时,测定了血管加压素对不同刺激的反应。我们发现,向脑室注射二丙诺啡可抑制血管加压素对血容量减少的反应,而皮下注射时该剂量无效。当向PBN注射低20倍剂量的二丙诺啡时,该反应也受到抑制,但向NTS注射时则无此现象。二丙诺啡在PBN中的抑制作用并非归因于渗透压或血容量刺激的降低,且渗透压或低血压刺激时不会出现这种作用。向PBN注射等摩尔剂量的μ受体拮抗剂纳洛酮、δ受体拮抗剂ICI-154,129或κ-1激动剂U-50,488H对基础或容量刺激引起的血管加压素无影响。我们得出结论,二丙诺啡对血管加压素的抑制作用部分是由于其作用于一类新型阿片受体,该受体通过PBN传递容量刺激。