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吗啡的镇痛作用在实验性糖尿病和遗传性糖尿病之间存在差异。

Antinociceptive effects of morphine were different between experimental and genetic diabetes.

作者信息

Takeshita N, Yamaguchi I

机构信息

Basic Research Group, Tsukuba Research Laboratories, Fujisawa Pharmaceutical Co. Ltd., Ibaraki, Japan.

出版信息

Pharmacol Biochem Behav. 1998 Aug;60(4):889-97. doi: 10.1016/s0091-3057(98)00061-6.

Abstract

This study was designed to investigate the effect of morphine on formalin-induced nociceptive responses in streptozotocin (STZ) induced-diabetic mice, noninsulin-dependent genetically diabetic db/db mice and their respective controls (ddY and (+/+)). In nondiabetic (ddY and (+/+)) mice, morphine (1-10 mg/kg, PO) dose dependently attenuated the biphasic nociceptive responses induced by s.c. injection of formalin to the hindpaw, demonstrating equipotency on both the first and second phases. Para-chlorophenylalanine (800 mg/kg x 2, PO) and pindolol (1 mg/kg, i.p.) reduced the effect of morphine on the first phase, sulpiride (10 mg/kg, i.p.) abolished the effect on both phases, while ketanserin (1 mg/kg, i.p.) had no effect. In STZ (200 mg/kg, i.p.)-diabetic mice, morphine weakly attenuated the nociception in comparison to control ddY mice, whereas it had comparable effects in both the first and second phases of control (+/+) mice and db/db mice. The serotonergic agonist, meta-chlorophenylpiperazine (0.32-3.2 mg/kg, PO), dose dependently attenuated the biphasic nociceptive responses to formalin in both phases of diabetic mice; however, FR64822, a dopaminergic compound (0.1-10 mg/kg, PO), had little effect. We speculate that activation of both dopaminergic (DA)- and serotonergic-mediated mechanisms are potentially responsible for the effect of morphine on the first phase, while the DA-mediated effect is involved in the second phase. The DA-mediated mechanism, but not the serotonin-mediated one, appears to be altered in both STZ-diabetic and db/db mice. These results suggest that the attenuated effects of morphine might be due to a dopaminergic dysfunction in STZ mice, and that there might be other mechanisms compensating for this attenuation of dopaminergic function in db/db mice.

摘要

本研究旨在调查吗啡对链脲佐菌素(STZ)诱导的糖尿病小鼠、非胰岛素依赖型遗传性糖尿病db/db小鼠及其各自对照(ddY和(+/+))中福尔马林诱导的伤害性反应的影响。在非糖尿病(ddY和(+/+))小鼠中,吗啡(1 - 10毫克/千克,口服)剂量依赖性地减弱了通过后爪皮下注射福尔马林诱导的双相伤害性反应,在第一和第二阶段均显示出等效性。对氯苯丙氨酸(800毫克/千克×2,口服)和吲哚洛尔(1毫克/千克,腹腔注射)降低了吗啡对第一阶段的作用,舒必利(10毫克/千克,腹腔注射)消除了对两个阶段的作用,而酮色林(1毫克/千克,腹腔注射)则无作用。在STZ(200毫克/千克,腹腔注射)诱导的糖尿病小鼠中,与对照ddY小鼠相比,吗啡对伤害感受的减弱作用较弱,而在对照(+/+)小鼠和db/db小鼠的第一和第二阶段中,其作用相当。5-羟色胺能激动剂间氯苯哌嗪(0.32 - 3.2毫克/千克,口服)剂量依赖性地减弱了糖尿病小鼠两个阶段对福尔马林的双相伤害性反应;然而,多巴胺能化合物FR64822(0.1 - 10毫克/千克,口服)作用甚微。我们推测,多巴胺能(DA)和5-羟色胺能介导的机制的激活可能共同导致了吗啡对第一阶段的作用,而DA介导的作用则参与了第二阶段。DA介导的机制而非5-羟色胺介导的机制在STZ糖尿病小鼠和db/db小鼠中似乎均发生了改变。这些结果表明,吗啡作用减弱可能是由于STZ小鼠中多巴胺能功能障碍所致,并且在db/db小鼠中可能存在其他机制来补偿这种多巴胺能功能的减弱。

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