Zhu Y, Qiu X C, Wang C, Peng S Q
Department of Physiology, Beijing Medical University.
Yao Xue Xue Bao. 1993;28(3):166-71.
Kyotorphin (KTP) is an endogenous analgesic dipeptide which does not act on opiate receptors but may induce the release of endogenous opioid met-enkephalin. In order to investigate whether or not glucocorticoids have "permissive action" on KTP, hydrocortisone has been used to examine its action on the analgesic activities of KTP and its retro-isomer (riKTP) by employing thermal irradiation-tail flick method after intracerebroventricular injection. KTP and riKTP showed dose-dependent analgesic activity. Dose of KTP in the range of 6-24 mmol/L were effective, while the dose of riKTP at 6 mmol/L was shown to be ineffective. The analgesia of KTP was higher than that of riKTP. Hydrocortisone alone showed no significant analgesic effect. Linkers by connecting hydrocortisone with KTP or riKTP showed significantly higher analgesic effect compared with the corresponding dipeptides, not only in the duration of analgesia but also in potency. Solutions containing hydrocortisone and any one of the dipeptides exhibited the same effect as the linker. Pretreatment with sc naloxone (10 mg/kg) 15 min before icv of KTP or riKTP (24 mmol/L) could not block the analgesia. These findings implicate that: (1) Glucocorticoids have a permissive action on the analgesia of KTP and its retro-isomer. The glucocorticoids may exert its effects by acting on receptors in the membrane, and thus cause fast membrane effect. (2) KTP may also induce release of substances other than met-enkephalin to participate in the analgesia.
京都啡肽(KTP)是一种内源性镇痛二肽,它不作用于阿片受体,但可能诱导内源性阿片肽甲硫氨酸脑啡肽的释放。为了研究糖皮质激素对KTP是否具有“允许作用”,已使用氢化可的松通过脑室内注射后采用热辐射甩尾法来检测其对KTP及其反向异构体(riKTP)镇痛活性的作用。KTP和riKTP表现出剂量依赖性镇痛活性。KTP在6 - 24 mmol/L范围内的剂量是有效的,而riKTP在6 mmol/L时显示无效。KTP的镇痛效果高于riKTP。单独的氢化可的松未显示出明显的镇痛作用。将氢化可的松与KTP或riKTP连接的连接体与相应的二肽相比,不仅在镇痛持续时间上,而且在效力上均显示出显著更高的镇痛效果。含有氢化可的松和任何一种二肽的溶液表现出与连接体相同的效果。在脑室内注射KTP或riKTP(24 mmol/L)前15分钟皮下注射纳洛酮(10 mg/kg)预处理不能阻断镇痛作用。这些发现表明:(1)糖皮质激素对KTP及其反向异构体的镇痛具有允许作用。糖皮质激素可能通过作用于膜上的受体发挥其作用,从而引起快速的膜效应。(2)KTP也可能诱导除甲硫氨酸脑啡肽以外的物质释放以参与镇痛。