Nock B, Cicero T J, Wich M
Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
J Pharmacol Exp Ther. 1998 Aug;286(2):875-82.
We previously reported that chronic exposure of male rats to morphine markedly increases the concentration of corticosteroid-binding globulin (CBG) in blood. This in turn appears to greatly reduce the amount of corticosterone available to intracellular receptors. In the study reported here, we found that in contrast to the effect in males, morphine has no apparent effect on CBG in females. This pronounced sex difference does not appear to be attributable to differences in morphine pharmacokinetics, short-term actions of gonadal hormones in adulthood or sex differences in CBG or corticosterone levels. In any case, it is evident that morphine does not decrease the level of physiologically active corticosterone through CBG in females as it appears to do in males. On the other hand, we also found a distinct sex difference with regard to the effects of morphine on corticosterone. Chronic exposure to morphine had no apparent effect on corticosterone levels in males but resulted in markedly lower levels in females. Thus, morphine appears to cause a deficit in physiologically active corticosterone in both sexes but by different mechanisms.
我们之前报道过,雄性大鼠长期接触吗啡会显著增加血液中皮质类固醇结合球蛋白(CBG)的浓度。这反过来似乎会大大减少可被细胞内受体利用的皮质酮量。在本文报道的研究中,我们发现与雄性大鼠不同,吗啡对雌性大鼠的CBG没有明显影响。这种明显的性别差异似乎并非归因于吗啡药代动力学的差异、成年期性腺激素的短期作用或CBG或皮质酮水平的性别差异。无论如何,很明显吗啡在雌性大鼠中不会像在雄性大鼠中那样通过CBG降低生理活性皮质酮的水平。另一方面,我们还发现吗啡对皮质酮的影响存在明显的性别差异。长期接触吗啡对雄性大鼠的皮质酮水平没有明显影响,但会导致雌性大鼠的皮质酮水平显著降低。因此,吗啡似乎会导致两性生理活性皮质酮缺乏,但机制不同。