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N-甲基-D-天冬氨酸(NMDA)受体通道阻滞剂地佐环平与美金刚对小鼠反复注射吗啡或遭受社会挫败诱导的阿片类镇痛耐受性形成的影响。

Effects of NMDA receptor channel blockers, dizocilpine and memantine, on the development of opiate analgesic tolerance induced by repeated morphine exposures or social defeats in mice.

作者信息

Belozertseva I V

机构信息

Laboratory of Behavioral Pharmacology, Institute of Pharmacology, I.P. Pavlov State Medical University, St. Petersburg, Russia.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 1998 Aug;358(2):270-4. doi: 10.1007/pl00005252.

Abstract

Development of tolerance to opiates involves various neurochemically and pharmacologically distinct processes. For instance, the diversity of opiate tolerance has been suggested by experiments comparing the establishment of diminished response to different effects of opiate agonists. Antagonists acting at N-methyl-D-aspartate (NMDA) receptors has become a very useful tool for studying opiate tolerance mechanisms since these drugs have been shown to retard the development of tolerance to analgesic properties of opiates. The present study compared the ability of two NMDA receptor channel blockers, dizocilpine and memantine, to affect the development of tolerance to morphine analgesia induced by repeated social defeat or by repeated morphine administrations. Male BALB/c mice were assessed for the tail-flick response before and after the defeat in five social confrontations, or before and after repeated morphine injections (20 mg/kg, s.c., once daily for 8 days). Repeated morphine injections were explicitly paired with environmental cues. Socially-defeated as well as morphine-treated mice developed significant tolerance to morphine analgesia. Separate groups of mice were exposed to repeated social confrontations or injections of morphine with each defeat or morphine injection followed by administration of either dizocilpine (0.03-0.3 mg/kg, i.p.) or low-affinity channel blocker memantine (3-30 mg/kg, i.p.). Both dizocilpine and memantine were effective in preventing the development of repeated morphine-induced tolerance to acute morphine analgesia. Treatments with NMDA receptor antagonists that retarded development of non-associative tolerance also suppressed the establishment of associative tolerance significantly. Social defeat-induced tolerance was prevented by dizocilpine but not by memantine. Our results suggest some degree of similarity in the mechanisms of morphine analgesic tolerance induced by pharmacological, contextual and social stimuli.

摘要

对阿片类药物耐受性的形成涉及多种神经化学和药理学上不同的过程。例如,通过比较对阿片类激动剂不同效应反应减弱的建立的实验,提示了阿片类耐受性的多样性。作用于N-甲基-D-天冬氨酸(NMDA)受体的拮抗剂已成为研究阿片类耐受性机制的一种非常有用的工具,因为这些药物已被证明可延缓对阿片类镇痛特性耐受性的形成。本研究比较了两种NMDA受体通道阻滞剂——地卓西平与美金刚——对由重复社会挫败或重复给予吗啡诱导的吗啡镇痛耐受性形成的影响。在五次社会对抗中的挫败前后,或在重复吗啡注射(20mg/kg,皮下注射,每日一次,共8天)前后,对雄性BALB/c小鼠进行甩尾反应评估。重复吗啡注射与环境线索明确配对。遭受社会挫败的小鼠以及经吗啡处理的小鼠对吗啡镇痛均产生了显著耐受性。将单独的几组小鼠暴露于重复的社会对抗或注射吗啡中,每次挫败或吗啡注射后给予地卓西平(0.03 - 0.3mg/kg,腹腔注射)或低亲和力通道阻滞剂美金刚(3 - 30mg/kg,腹腔注射)。地卓西平与美金刚均能有效预防重复吗啡诱导的对急性吗啡镇痛耐受性的形成。用NMDA受体拮抗剂进行的处理,若延缓了非关联性耐受性的形成,也会显著抑制关联性耐受性的建立。地卓西平可预防社会挫败诱导的耐受性,而美金刚则不能。我们的结果提示,药理学、情境和社会刺激诱导的吗啡镇痛耐受性机制在一定程度上具有相似性。

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