Tejedor-Real P, Micó J A, Smadja C, Maldonado R, Roques B P, Gilbert-Rahola J
Department of Neurosciences, School of Medicine, University of Cádiz, Spain.
Eur J Pharmacol. 1998 Jul 31;354(1):1-7. doi: 10.1016/s0014-2999(98)00423-3.
Pharmacological, neurochemical and behavioural findings support a possible role of endogenous opioids in clinical depression. There is evidence from animal studies that delta-opioid receptors are involved in several behavioural responses to opioids, including motivational activities. In the present study, the mixed enkephalin catabolism inhibitor, RB 101 (N(R,S)-2-benzyl-3[(S)-(2-amino-4-methylthiobutyldithio]-1-oxoprop yl)-L-phenylalanine benzyl ester) (1.25, 2.5 and 5 mg/kg), induced a dose-dependent antidepressant-like effect in a learned helplessness model. Thus, RB 101 reversed escape deficits in rats previously subjected to inescapable shocks, suggesting the involvement of endogenous enkephalins in depression. Similar effects were observed after administration of the selective delta-opioid receptor agonist, BUBU (Tyr-D.Ser-(O-tert-butyl)-Gly-Phe-Leu-Thr(O-Tet-butyl-OH) (1 and 2 mg/kg). Moreover, RB 101 effects were antagonized by administration of naltrindole (NTI) (0.1 mg/kg), which points to a preferential involvement of delta-opioid receptors in this enkephalin-controlled behaviour. As RB 101 has been reported to be almost devoid of opiate-related side-effects, it could represent a promising alternative in the treatment of depressive patients who are unresponsive to, or intolerant of, classical antidepressants.
药理学、神经化学和行为学研究结果支持内源性阿片类物质在临床抑郁症中可能发挥的作用。动物研究证据表明,δ-阿片受体参与了对阿片类物质的多种行为反应,包括动机活动。在本研究中,混合脑啡肽分解代谢抑制剂RB 101(N(R,S)-2-苄基-3[(S)-(2-氨基-4-甲基硫代丁基二硫代)]-1-氧代丙基)-L-苯丙氨酸苄酯)(1.25、2.5和5毫克/千克)在习得性无助模型中诱导出剂量依赖性的抗抑郁样效应。因此,RB 101逆转了先前遭受不可逃避电击的大鼠的逃避缺陷,提示内源性脑啡肽参与了抑郁症的发生。给予选择性δ-阿片受体激动剂BUBU(酪氨酰-D-丝氨酸-(O-叔丁基)甘氨酰-苯丙氨酰-亮氨酰-苏氨酸(O-四丁基-OH))(1和2毫克/千克)后也观察到了类似的效果。此外,给予纳曲吲哚(NTI)(0.1毫克/千克)可拮抗RB 101的作用,这表明δ-阿片受体在这种脑啡肽控制的行为中起优先作用。由于据报道RB 101几乎没有与阿片类药物相关的副作用,它可能是治疗对经典抗抑郁药无反应或不耐受的抑郁症患者的一种有前途的替代药物。