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慢性吗啡治疗后中枢神经系统类神经肽FF物质、疼痛敏感性及阿片类药物依赖性的变化。

Changes in CNS neuropeptide FF-like material, pain sensitivity, and opiate dependence following chronic morphine treatment.

作者信息

Stinus L, Allard M, Gold L, Simonnet G

机构信息

Université de Bordeaux II, Laboratoire de Neuropsychobiologie des Désadaptations, INSERM U-378 and U-259, France.

出版信息

Peptides. 1995;16(7):1235-41. doi: 10.1016/0196-9781(95)02019-s.

Abstract

Tolerance and dependence to opiates may be an adaptive process that limits excessive effects of morphine on the CNS. Because no consistent opiate receptor reduction in chronically treated rats seems to underlie the hyposensitivity to morphine, an alternative hypothesis has postulated a role of "antiopioid" peptides. It is possible to speculate that the administration of morphine stimulates antiopioid systems such as neuropeptide FF (NPFF), as part of an homeostatic mechanism contributing to the development of tolerance. To test this hypothesis, pain sensitivity, opiate dependence, and CNS NPFF-IR levels were estimated at different times after implantation of morphine pellets (2 x 75 mg; NIDA). Three hours after morphine pellet treatment the analgesic effect was maximum and it decreased rapidly during the following 12 h. Naloxone-precipitated withdrawal syndrome was detected as soon as 3 h after morphine pellet implantation and was maximal after 24 h. NPFF-IR levels were measured in the spinal cord, brain stem, and hypothalamus. A significant decrease of NPFF-IR was observed 1 h after morphine pellet implantation (-25% to -45% depending on the structures) followed by a drastic increase of NPFF-IR levels (+60 to +140%) between 3 and 6 h. NPFF-IR levels rapidly returned to baseline after 24-36 h. It is suggested that the activity of these NPFF-IR neurones may increase gradually as a consequence of the continuous stimulation of opiate receptors and be part of an adaptive process that is able to counteract morphine effects and to induce dependence and tolerance to the analgesic effects of opiates.

摘要

对阿片类药物的耐受性和依赖性可能是一个适应性过程,可限制吗啡对中枢神经系统的过度作用。由于长期给药的大鼠中未发现一致的阿片受体减少是对吗啡低敏感性的基础,另一种假说是“抗阿片类”肽起了作用。可以推测,吗啡给药会刺激抗阿片类系统,如神经肽FF(NPFF),这是有助于耐受性发展的稳态机制的一部分。为了验证这一假说,在植入吗啡丸(2×75mg;美国国立药物滥用研究所)后的不同时间,评估了疼痛敏感性、阿片类药物依赖性和中枢神经系统NPFF免疫反应水平。吗啡丸治疗3小时后镇痛效果最大,在随后的12小时内迅速下降。吗啡丸植入后3小时即可检测到纳洛酮诱发的戒断综合征,24小时后达到最大程度。在脊髓、脑干和下丘脑测量NPFF免疫反应水平。吗啡丸植入1小时后,NPFF免疫反应显著下降(根据结构不同,下降25%至45%),随后在3至6小时内NPFF免疫反应水平急剧上升(上升60%至140%)。24至36小时后,NPFF免疫反应水平迅速恢复到基线。提示这些NPFF免疫反应神经元的活性可能因阿片受体的持续刺激而逐渐增加,并且是能够抵消吗啡作用并诱导对阿片类药物镇痛作用产生依赖性和耐受性的适应性过程的一部分。

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