Kunko P M, French D, Izenwasser S
Psychobiology Section, National Institute on Drug Abuse, Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.
J Pharmacol Exp Ther. 1998 Apr;285(1):277-84.
Chronic cocaine administration can produce tolerance or sensitization to locomotor activating effects, depending on the treatment paradigm. The effects of chronic, continuous cocaine were measured on locomotor activity for 1 hr daily for 7 days. Cocaine produced significant increases in locomotor activity 4 hr after osmotic minipumps were implanted, and an even higher level of activity after 24 hr. This was likely a rapid sensitization to the locomotor activating effects of cocaine, because neither brain nor plasma levels of cocaine were significantly altered over the treatment period. By day 4, activity levels diminished, but remained significantly higher than in saline-treated animals. Twenty-four hr after pump removal, there were no changes in dopamine D1 or D2 receptor binding, or in dopamine-stimulation of adenylyl cyclase activity in either caudate putamen or nucleus accumbens of cocaine-treated animals. Chronic naltrexone produced a slight, nonsignificant decrease in locomotor activity and when combined with cocaine, produced the same pattern of activity as cocaine alone, but with slightly less stimulation on all days. Morphine produced a smaller increase in activity than cocaine that remained constant throughout the treatment week. Cocaine with morphine was additive, producing greater activity and less tolerance than cocaine alone. Thus, continuous cocaine administration produces a rapid sensitization that is lost over the course of the treatment period, yet does not produce any immediate alterations in dopamine receptors or regulation of adenylyl cyclase. The pattern of behavior is not altered by an opioid antagonist, while the sensitization period appears to be prolonged in the presence of an opioid agonist.
长期给予可卡因会产生对运动激活作用的耐受性或敏感性,这取决于治疗模式。测量了连续7天每天给予慢性可卡因1小时对运动活动的影响。在植入渗透微型泵4小时后,可卡因使运动活动显著增加,24小时后活动水平更高。这可能是对可卡因运动激活作用的快速敏感化,因为在治疗期间,大脑和血浆中的可卡因水平均未显著改变。到第4天,活动水平下降,但仍显著高于生理盐水处理的动物。在取出泵24小时后,可卡因处理动物的尾状核壳或伏隔核中的多巴胺D1或D2受体结合以及多巴胺对腺苷酸环化酶活性的刺激均无变化。长期给予纳曲酮使运动活动略有下降,但不显著,与可卡因联合使用时,产生的活动模式与单独使用可卡因时相同,但在所有天数的刺激作用略小。吗啡产生的活动增加幅度小于可卡因,且在整个治疗周内保持不变。可卡因与吗啡具有相加作用,比单独使用可卡因产生更大的活动且耐受性更小。因此,连续给予可卡因会产生快速敏感化,在治疗期间会逐渐消失,但不会立即改变多巴胺受体或腺苷酸环化酶的调节。阿片类拮抗剂不会改变行为模式,而在阿片类激动剂存在的情况下,敏感化期似乎会延长。