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吗啡镇痛特性的性别相关差异。

Gender-related differences in the antinociceptive properties of morphine.

作者信息

Cicero T J, Nock B, Meyer E R

机构信息

Washington University School of Medicine, Department of Psychiatry, St. Louis, Missouri, USA.

出版信息

J Pharmacol Exp Ther. 1996 Nov;279(2):767-73.

PMID:8930182
Abstract

As part of an effort to examine gender-related differences in the abuse liability of morphine, the present parametric study was undertaken to systematically establish whether there are gender-related differences in the antinociceptive activity of morphine in rats. Our results showed that male rats were uniformly more sensitive to the antinociceptive properties of morphine than were females in three different assays, i.e., the hot-plate, tail-flick and abdominal-constriction tests. This enhanced sensitivity to morphine was reflected in the peak antinociceptive effect, the magnitude of antinociception (i.e., area under the time-action curve), the duration of the antinociceptive response and the 50% effective dose. These differences appear to reflect markedly enhanced central nervous system sensitivity to morphine in males, compared with females, because we observed no gender-linked differences in serum levels of morphine after its injection, at the time when peak antinociceptive effects were observed. Furthermore, these gender-related differences appear to be reflected in antinociception thought to be mediated by both spinal and supraspinal mechanisms. Finally, our results suggest that the acute effects of steroids play little role in the gender-related differences observed, because short-term castration did not alter the gender-related differences we observed. Rather, it appears more probable that the organizational effects of steroids during critical periods in development, which determine gender-related distinctions, may be significant in the male-female differences we have observed. In view of a great deal of largely anecdotal data for humans that suggest that there may be gender-related differences in the abuse liability of psychoactive substances, the model described in this paper may provide a means to examine this important issue.

摘要

作为研究吗啡滥用易感性中性别相关差异工作的一部分,本参数研究旨在系统确定大鼠体内吗啡的镇痛活性是否存在性别相关差异。我们的研究结果表明,在三种不同的试验中,即热板试验、甩尾试验和腹部收缩试验,雄性大鼠对吗啡的镇痛特性始终比雌性大鼠更为敏感。对吗啡这种增强的敏感性体现在镇痛峰值效应、镇痛幅度(即时间-效应曲线下面积)、镇痛反应持续时间以及半数有效剂量上。这些差异似乎反映出雄性大鼠中枢神经系统对吗啡的敏感性明显高于雌性大鼠,因为在观察到镇痛峰值效应时,我们并未发现注射吗啡后其血清水平存在性别相关差异。此外,这些性别相关差异似乎体现在被认为由脊髓和脊髓上机制介导的镇痛作用中。最后,我们的研究结果表明,类固醇的急性作用在观察到的性别相关差异中作用不大,因为短期去势并未改变我们观察到的性别相关差异。相反,在发育关键期类固醇的组织效应决定了性别相关差异,这在我们观察到的雌雄差异中可能具有重要意义。鉴于大量关于人类的传闻数据表明精神活性物质的滥用易感性可能存在性别相关差异,本文所述模型可能为研究这一重要问题提供一种方法。

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