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吗啡样和烯丙吗啡样药物在非依赖性和吗啡依赖性慢性脊髓犬中的作用

The effects of morphine- and nalorphine- like drugs in the nondependent and morphine-dependent chronic spinal dog.

作者信息

Martin W R, Eades C G, Thompson J A, Huppler R E, Gilbert P E

出版信息

J Pharmacol Exp Ther. 1976 Jun;197(3):517-32.

PMID:945347
Abstract

Three different syndromes produced by congeners of morphine have been identified in the nondependent chronic spinal dog. These syndromes have been attributed to interaction of agonists with three distinguishable receptors (mu, kappa and sigma). Morphine is the prototype agonist for the mu receptor, ketocyclazocine for the kappa receptor and SKF-10,047 for the sigma receptor. The morphine syndrome (mu) in the dog is characterized by miosis, bradycardia, hypothermia, a general depression of the nociceptive responses and indifference to environmental stimuli. Ketocyclazocine (kappa) constricts pupils, depresses the flexor reflex and produces sedation but does not markedly alter pulse rate or the skin twitch reflex. SKF-10,047 (sigma), in contrast to morphine and ketocyclazocine, causes mydriasis, tachypnea, tachycardia and mania. The effects of these three drugs can be antagonized by the pure antagonist naltrexone, indicating that they are agonists. Further, chronic administration of morphine, ketocyclazocine and SKF-10,047 induces tolerance to their agonistic effects. Morphine suppresses abstinence in morphine-dependent dogs while ketocyclazocine does not. Ketocyclazocine at best precipitated only a liminal abstinence syndrome in the morphine-dependent dog, indicating that it had little affinity for the morphine receptor. Ketocyclazocine thus appears to be a selective agonist at the kappa receptor. Further, it has been shown that buprenorphine is a partial agonist of the mu type which both suppressed and precipitated abstinence in the morphine-dependent dog while morphine and propoxyphene are stronger agonists. Apomorphine and SKF-10,047 produce similar pharmacologic effects suggesting that sigma activity may involve a dopaminergic mechanism.

摘要

在非依赖的慢性脊髓犬中已鉴定出由吗啡同系物产生的三种不同综合征。这些综合征被归因于激动剂与三种可区分的受体(μ、κ和σ)的相互作用。吗啡是μ受体的原型激动剂,环唑辛是κ受体的激动剂,SKF - 10,047是σ受体的激动剂。犬体内的吗啡综合征(μ)的特征为瞳孔缩小、心动过缓、体温过低、伤害性反应普遍抑制以及对环境刺激无动于衷。环唑辛(κ)使瞳孔收缩,抑制屈肌反射并产生镇静作用,但对脉搏率或皮肤抽搐反射无明显改变。与吗啡和环唑辛相反,SKF - 10,047(σ)导致瞳孔散大、呼吸急促、心动过速和躁狂。这三种药物的作用可被纯拮抗剂纳曲酮拮抗,表明它们是激动剂。此外,长期给予吗啡、环唑辛和SKF - 10,047会诱导对其激动作用产生耐受性。吗啡可抑制吗啡依赖犬的戒断反应,而环唑辛则不能。环唑辛充其量仅在吗啡依赖犬中引发轻度的戒断综合征,表明它对吗啡受体的亲和力很小。因此,环唑辛似乎是κ受体的选择性激动剂。此外,已表明丁丙诺啡是μ型部分激动剂,它在吗啡依赖犬中既能抑制又能引发戒断反应,而吗啡和丙氧芬是更强的激动剂。阿扑吗啡和SKF - 10,047产生相似的药理作用,提示σ活性可能涉及多巴胺能机制。

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