Chang A, Emmel D W, Rossi G C, Pasternak G W
The Cotzias Laboratory of Neuro-Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA.
Eur J Pharmacol. 1998 Jun 19;351(2):189-91. doi: 10.1016/s0014-2999(98)00366-5.
Methadone, a potent opioid analgesic, has long been considered a mu-opioid, based upon the similarities between its actions and those of morphine. This classification is supported by the sensitivity of methadone analgesia to the highly mu-opioid receptor-selective antagonist beta-funaltrexamine. Yet, CXBK mice respond normally to methadone despite their insensitivity to systemic morphine, distinguishing between the receptor mechanisms of the two drugs. Beta-funaltrexamine antagonizes methadone analgesia in CXBK mice, implying that the opioid is still acting through a mu-opioid receptor. These results reveal distinct analgesic mechanisms for morphine and methadone and provide further support for multiple subtypes of mu-opioid receptors.
美沙酮是一种强效阿片类镇痛药,长期以来,基于其作用与吗啡作用的相似性,一直被认为是一种μ阿片类药物。美沙酮镇痛作用对高度选择性的μ阿片受体拮抗剂β-氟纳曲胺敏感,这支持了这种分类。然而,CXBK小鼠对美沙酮反应正常,尽管它们对全身给予的吗啡不敏感,这区分了两种药物的受体机制。β-氟纳曲胺可拮抗CXBK小鼠的美沙酮镇痛作用,这意味着该阿片类药物仍通过μ阿片受体发挥作用。这些结果揭示了吗啡和美沙酮不同的镇痛机制,并为μ阿片受体的多种亚型提供了进一步支持。