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阿片类药物自发戒断的连续定量监测:运动活动与睡眠障碍。

Continuous quantitative monitoring of spontaneous opiate withdrawal: locomotor activity and sleep disorders.

作者信息

Stinus L, Robert C, Karasinski P, Limoge A

机构信息

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

出版信息

Pharmacol Biochem Behav. 1998 Jan;59(1):83-9. doi: 10.1016/s0091-3057(97)00319-5.

Abstract

The time course of drug abstinence is not readily amenable to examination using intermittent observations, because abstinence is known to interfere with circadian rhythms of general activity. Accordingly, we propose a model for continuous assessment of spontaneous withdrawal without any intervention by the investigator. This model is based on the automatic recording of locomotor activity. Experiments were performed in rectangular activity cages equipped with two infrared photoelectric cells. In a parallel experiment, to confirm the locomotor activity effects, continuous monitoring of EEG activities was achieved from two cortical and one reference electrodes. Morphine dependence was induced by intraperitoneal injections of increasing doses of morphine twice daily for 10 days (from 5 up to 90 mg/kg). Behavioral and EEG activities were recorded for 8 to 10 days following the last injection of morphine. Although control rats displayed a typical locomotor activity pattern characterized by nocturnal hyperactivity that was markedly reduced during the light phase, opiate abstinent rats developed a constant motor activity during the first 3 or 4 postinjection days and that was associated with a drastic reduction of overall rapid eye movement sleep (REM) and non-REM sleep and with an increase of waking (W). Although morphine-abstinent rats slowly resumed a normal circadian cycle after the fourth day in terms of horizontal activity, REMS, NREMS and W, long-term effects were revealed by the permanent motor instability recorded during both the light and the dark phases when the total amount of photocell counts was considered, and by the perturbation of the circadian rhythm of the ratio of REM sleep to total sleep time. Automatic continuous recording of total motor behavior appears to be a useful index with which to follow, over an extended period of time, the acute and long-term consequences of opiate abstinence. Therefore, long-term withdrawal-induced changes in activity could be a suitable model for the validation of antiabstinence therapies.

摘要

药物戒断的时间进程不易通过间歇性观察进行检测,因为已知戒断会干扰一般活动的昼夜节律。因此,我们提出了一种无需研究者干预即可连续评估自发戒断的模型。该模型基于对运动活动的自动记录。实验在配备两个红外光电管的矩形活动笼中进行。在一项平行实验中,为了确认运动活动的影响,通过两个皮质电极和一个参考电极实现了对脑电图活动的连续监测。通过每天两次腹腔注射递增剂量的吗啡(从5毫克/千克增至90毫克/千克),持续10天来诱导吗啡依赖。在最后一次注射吗啡后的8至10天记录行为和脑电图活动。尽管对照大鼠表现出典型的运动活动模式,其特征为夜间活动亢进,在光照阶段明显减少,但阿片类药物戒断大鼠在注射后的前3或4天出现持续的运动活动,这与快速眼动睡眠(REM)和非快速眼动睡眠总量的急剧减少以及清醒(W)时间的增加有关。尽管吗啡戒断大鼠在第四天之后,就水平活动、快速眼动睡眠、非快速眼动睡眠和清醒状态而言,逐渐恢复了正常的昼夜节律,但当考虑光电管计数总量时,在光照和黑暗阶段记录到的永久性运动不稳定性揭示了长期影响,以及快速眼动睡眠与总睡眠时间之比的昼夜节律紊乱。自动连续记录总的运动行为似乎是一个有用的指标,可用于长时间跟踪阿片类药物戒断的急性和长期后果。因此,长期戒断引起的活动变化可能是验证抗戒断疗法的合适模型。

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