Monroe P J, Hawranko A A, Smith D L, Smith D J
Department of Anesthesiology, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, USA.
J Pharmacol Exp Ther. 1996 Jan;276(1):65-73.
Based on the differential abilities of the opioid antagonists naltrexone and D-Phe-Cys-Tyr-D-Trp-Lys-Thr-Pen-Thr-NH2 (CTP) to antagonize the antinociceptive action of beta-endorphin and morphine in the rat periaqueducatal gray (PAG), three pharmacologically distinct mechanisms were determined to mediate the antinociceptive effect of beta-endorphin. Two of these mechanisms are unique to beta-endorphin, possess a high affinity for CTP and can be discriminated based on their differential sensitivity to naltrexone. The third mechanism displays characteristics common to that activated by morphine. The results of radioligand binding studies were consistent with these observations. [125I]-beta-Endorphin labeled a population of sites in the PAG which (compared to those labeled by [3H]morphine) displayed a significantly higher affinity for CTP. In addition, a naltrexone-insensitive binding component was identified in the [125I]-beta-endorphin, but not [3H]morphine assays. Furthermore, comparable competitor affinities were determined across assays, suggesting an interaction of the radioligands with common PAG sites. A naltrexone-insensitive component to beta-endorphin antinociception also was identified in studies which evaluated the ability of the antagonist to shift the beta-endorphin dose-response curve. Interestingly, the ability of low doses of CTP and naltrexone to inhibit increasing doses of beta-endorphin was described by a U-shaped dose effect curve. The response to low and high, but not intermediate, doses of beta-endorphin were antagonized by picomole doses of both antagonists. As there was no evidence for allosteric interactions between [125I]-beta-endorphin binding sites in the PAG, it appears that beta-endorphin also may activate pain facilitory mechanisms which counterbalance its overall antinociceptive effect.
基于阿片类拮抗剂纳曲酮和D-苯丙氨酸-半胱氨酸-酪氨酸-D-色氨酸-赖氨酸-苏氨酸-青霉胺-苏氨酸-酰胺(CTP)拮抗大鼠中脑导水管周围灰质(PAG)中β-内啡肽和吗啡镇痛作用的不同能力,确定了三种药理学上不同的机制介导β-内啡肽的镇痛作用。其中两种机制是β-内啡肽特有的,对CTP具有高亲和力,并且可以根据它们对纳曲酮的不同敏感性来区分。第三种机制表现出与吗啡激活的机制共同的特征。放射性配体结合研究的结果与这些观察结果一致。[125I]-β-内啡肽标记了PAG中的一群位点,与[3H]吗啡标记的位点相比,这些位点对CTP的亲和力显著更高。此外,在[125I]-β-内啡肽测定中鉴定出一个对纳曲酮不敏感的结合成分,但在[3H]吗啡测定中未鉴定出。此外,在各测定中确定了相当的竞争剂亲和力,表明放射性配体与PAG中的共同位点相互作用。在评估拮抗剂使β-内啡肽剂量反应曲线移动能力的研究中,也鉴定出β-内啡肽镇痛作用的一个对纳曲酮不敏感的成分。有趣的是,低剂量的CTP和纳曲酮抑制递增剂量β-内啡肽的能力由一条U形剂量效应曲线描述。皮摩尔剂量的两种拮抗剂均可拮抗低剂量和高剂量而非中等剂量β-内啡肽的反应。由于没有证据表明PAG中[125I]-β-内啡肽结合位点之间存在变构相互作用,因此似乎β-内啡肽也可能激活疼痛促进机制,从而抵消其整体镇痛作用。