Gårdmark M, Ekblom M, Bouw R, Hammarlund-Udenaes M
Department of Pharmacy, Uppsala University, Sweden.
J Pharmacol Exp Ther. 1993 Dec;267(3):1061-7.
In this study the effect delay and the development of acute tolerance to morphine's antinociceptive effect were investigated in the rat. The antinociceptive response induced after three different short infusions of morphine was measured by using the electrical stimulation vocalization method. Three treatment groups received morphine hydrochloride over 10, 60 and 180 min, targeting maximal plasma concentrations of 25 microM at the end of the infusion. The maximal concentrations of morphine obtained for the three groups were 29.4 +/- 3.7, 26.7 +/- 4.7 and 28.9 +/- 7.3 microM, respectively. Both an effect delay and acute tolerance were observed. For each group, the peak effects were 248 +/- 82, 337 +/- 116 and 303 +/- 49% above base line, at 35, 65 and 90 min after the start of the infusions. A pharmacokinetic-pharmacodynamic model with separate effect and tolerance compartments (the ET-model) well described the antinociceptive response over time. The antinociceptive effect was best described by using a linear model, whereas acute tolerance was best described by using an Emax model. The rates of drug equilibration between the plasma and the effect compartment (ke0) and the plasma and the tolerance compartment (kt0), expressed as half-lives, were 34 +/- 2 and 48 +/- 4 min, respectively. High concentrations were required for the acute tolerance to develop (TC50 of 17 microM).
在本研究中,对大鼠体内吗啡镇痛作用的效应延迟和急性耐受性发展进行了研究。采用电刺激发声法测量了三种不同的短时间吗啡输注后诱导的镇痛反应。三个治疗组分别在10、60和180分钟内给予盐酸吗啡,目标是输注结束时最大血浆浓度达到25微摩尔/升。三组获得的吗啡最大浓度分别为29.4±3.7、26.7±4.7和28.9±7.3微摩尔/升。观察到了效应延迟和急性耐受性。对于每组,在输注开始后35、65和90分钟时,峰值效应分别比基线高248±82%、337±116%和303±49%。一个具有独立效应和耐受性房室的药代动力学-药效学模型(ET模型)很好地描述了随时间变化的镇痛反应。镇痛效应最好用线性模型描述,而急性耐受性最好用Emax模型描述。血浆与效应房室(ke0)以及血浆与耐受性房室(kt0)之间的药物平衡速率,以半衰期表示,分别为34±2分钟和48±4分钟。急性耐受性的发展需要高浓度(半数效应浓度为17微摩尔/升)。