Moss I R, Scott S C, Inman J D
Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas.
Respir Physiol. 1993 Apr;92(1):115-25. doi: 10.1016/0034-5687(93)90124-s.
To test the role of mu and delta opioid systems in neonates during hypoxia, a total of sixteen, 4-11 (n = 7) and 26-33-day-old piglets (n = 9) were instrumented aseptically for assessment of sleep/wake states (S/W), electromyographic activities of the diaphragm and posterior cricoarytenoid muscles (EMGdi, EMG-pca, respectively), heart rate, and arterial pressures, pH and gas tensions. During daily sessions for 5 consecutive days, the piglets inhaled 10% O2/90% N2 for 10 min twice per session, first before any drug, then after either naltrexone (2 mg.kg-1 i.v.), a predominantly mu opioid antagonist, or naltrindole (4 mg.kg-1 i.v.), a specific delta opioid antagonist. During hypoxia, young, in contrast to older piglets, spent more time asleep, and increased sleep during the second half of the hypoxic exposure before, but not after each antagonist. They also exhibited, overall, higher breathing frequency, and lower slope, amplitude, area and initial area of EMGdi and EMGpca activity than older piglets. Naltrindole stimulated EMGpca activity in both age groups, and naltrexone increased the breathing frequency and slope of EMGdi in the older group. We conclude that hypoxia enhances the activation of central mu and delta opioid systems which influence S/W and respiration.
为了测试μ和δ阿片样物质系统在新生儿缺氧期间的作用,总共16只4 - 11日龄(n = 7)和26 - 33日龄的仔猪(n = 9)接受了无菌插管,用于评估睡眠/觉醒状态(S/W)、膈肌和环杓后肌的肌电图活动(分别为EMGdi、EMG - pca)、心率、动脉压、pH值和气体张力。在连续5天的每日实验过程中,仔猪每次吸入10% O₂/90% N₂ 10分钟,每天两次,第一次在使用任何药物之前,然后在使用纳曲酮(2 mg·kg⁻¹静脉注射)或纳曲吲哚(4 mg·kg⁻¹静脉注射)后,纳曲酮是一种主要的μ阿片样物质拮抗剂,纳曲吲哚是一种特异性δ阿片样物质拮抗剂。在缺氧期间,与年长仔猪相比,年幼仔猪睡眠时间更长,并且在每次拮抗剂给药前但不是给药后的缺氧暴露后半段睡眠时间增加。总体而言,它们的呼吸频率也比年长仔猪更高,并且EMGdi和EMGpca活动的斜率、幅度、面积和初始面积更低。纳曲吲哚刺激了两个年龄组的EMGpca活动,纳曲酮增加了年长组的呼吸频率和EMGdi的斜率。我们得出结论,缺氧增强了影响睡眠/觉醒和呼吸的中枢μ和δ阿片样物质系统的激活。