New glycosylpeptides with high antinociceptive activity.

The antinociceptive activity of two new synthetic glucoside and galactoside enkephalinamide analogues was studied. The effects produced by the new analogues were compared with those obtained with [D-Met2,Hyp5]enkephalinamide and with morphine. The analogues were injected into the fourth ventricle and intrathecally. Tail immersion and paw pressure behavioural tests were used to assess antinociception. One of the analogues studied, O1,5-[beta-D-galactopyranosyl] [D-Met2,Hyp5]enkephalinamide appears to be 57,000 times more potent than morphine.

Electrophysiological interactions of isomers of cyclazocine with the phencyclidine antagonist metaphit in rat cerebellar Purkinje neurons.

Metaphit, 1-(1-(3-isothiocyanatophenyl) cyclohexyl) piperidine, an analog of phencyclidine (PCP) has been shown previously to selectively block PCP receptors and to irreversibly antagonize the depressant effect of PCP in cerebellum. In this study, we examined the electrophysiological interactions of metaphit and naloxone with stereoisomers of cyclazocine, an agent known to have analgesic and psychotomimetic activity in behavioral studies, effects that have been ascribed to opiate and PCP receptor activity. A dose-dependent and reversible slowing of Purkinje neuron discharge was seen with local application of (+)- or (-)-cyclazocine. We found that the blockade of (-)-cyclazocine effects required both high doses of naloxone and the presence of metaphit, whereas the responses to (+)-cyclazocine were blocked by metaphit alone on most cerebellar Purkinje neurons. These findings suggest that the depressant reaction of (+)-cyclazocine in cerebellar Purkinje neurons is primarily mediated through PCP receptors. (-)-Cyclazocine responses, on the other hand, appear to be due to activity at both PCP and kappa opioid receptors.

The nature of opioid involvement in the hemodynamic respiratory and humoral responses to exercise.

After 30 min rest in the lying position, 12 healthy male volunteers (average age 22 years) received, in a randomized double-blind cross-over protocol, either saline or naloxone (10 mg iv followed by a continuous infusion of 10 mg/hr). Thereafter they rested for a further 30 min in the recumbent position and for 15 min sitting on a bicycle ergometer; they then exercised to exhaustion. At rest plasma levels of adrenocorticotropin (ACTH), cortisol, and aldosterone increased during infusion of naloxone, while body temperature decreased. During exercise the difference in plasma ACTH between naloxone and saline periods was abolished, while the differences in plasma cortisol and aldosterone lost statistical significance. Intra-arterial pressure, heart rate, ventilation, O2 uptake, and CO2 output were continuously monitored throughout the experiment and were not affected by naloxone. This was also the case for several hormonal and biochemical measurements, including those of plasma renin, angiotensin II, norepinephrine, 13,14-dihydro-15-keto-prostaglandin F2 alpha, glucose and lactate, and serum insulin and growth hormone. Exercise performance was not changed by naloxone. In conclusion (1) during exhaustive graded exercise of short duration opioidergic inhibition of the pituitary-adrenocortical axis is probably not sustained, (2) apart from the latter mechanism, the present study does not support the hypothesis that endogenous opioids are involved in various hemodynamic, respiratory, and hormonal responses to this type of exercise.

Respiratory reflexes in an isolated brainstem-lung preparation of the newborn rat: possible involvement of gamma-aminobutyric acid and glycine.

An isolated brainstem-lung preparation of the newborn rat was developed for a pharmacological study on the respiratory reflexes in vitro. Spontaneous periodic depolarizations of the ventral roots (C4-C5) were observed at a frequency of 5-15/min and regarded as the respiratory activity. This activity was transiently inhibited when the lungs were inflated by gas pressure applied to the trachea. The inhibitory response of the respiratory rhythm was markedly depressed by the application of bicuculline or strychnine to the brainstem. These results suggest that gamma-aminobutyric acid and/or glycine may be neurotransmitters in the brainstem which cause the inhibitory respiratory reflex.

Impairment of opioid control of luteinizing hormone secretion in menstrual disorders.

With the aim of examining central opioid influences on the control of luteinizing hormone (LH) secretion, we evaluated the LH response to naloxone, an opioid receptor antagonist, in patients affected by normo-, hyper-, and hypogonadotropic amenorrhea, polycystic ovarian disease and hyperprolactinemia. The results indicate that opioid influences are altered in well-defined pathologic conditions (hyperprolactinemia, obesity), in addition to being modified by gonadal steroids.

Stress induced analgesia in frogs: a naloxone insensitive system.

Repeated algesiometric testing of frogs with acetic acid can, under certain circumstances, lead to a pronounced elevation of their nociceptive threshold. Analgesia is reliably induced if algesiometric testing is begun shortly after the animals are placed in the testing cages, but not if the animals are allowed 3 days in which to recover from the stress of transfer and to acclimate to the test environment. Naloxone at doses up to 10 mg/kg neither blocks nor reverses this form of stress-induced analgesia. These data indicate that frogs, like some mammals, can use non-opiate mechanisms to modulate either their perception of or response to noxious stimuli.

Differential effects of chronic morphine and naloxone on opiate receptors, monoamines, and morphine-induced behaviors in preweanling rats.

Rats were administered either chronic morphine, naloxone or saline from 1 to 21 days of age. At 22 days of age, animals were sacrificed and various CNS areas were assayed for specific binding of [3H]naloxone and steady-state levels of norepinephrine, dopamine and serotonin, as well as turnover of norepinephrine and dopamine. In addition, some animals at 22 days of age were assessed for morphine-induced changes in activity, hot-plate paw-lick latency, and rectal body temperature. Chronic naloxone treatment produced an increase in the number of ligand binding sites in hypothalamus, striatum and cortex, but did not alter monoamine systems or the efficacy of morphine. In contrast, chronic morphine treatment produced tolerance to the hypoactive and antinociceptive effects of morphine, but did not alter ligand binding or monoamine systems. These results demonstrate that developing opiate receptor systems in brain are more responsive to chronic receptor blockade than to chronic receptor activation and that an alteration in the development of opiate receptor systems does not necessarily produce a concomitant alteration in either monoamine systems or the behavioral efficacy of morphine.

Endogenous pain control mechanisms: review and hypothesis.

The anatomy, physiology, and pharmacology of an intrinsic neural network that monitors and modulates the activity of pain-transmitting neurons is reviewed. This system can be activated by opiate administration or by electrical stimulation of discrete brainstem sites. Evidence is presented that its pain-suppressing action is mediated in part by endogenous opiatelike compounds (endorphins). This pain suppression system is organized at three levels of the neuraxis: midbrain, medulla, and spinal cord. Activation of neurons in the midbrain periaqueductal gray matter (by electrical stimulation, opiates, and possibly psychological factors) excites neurons of the rostral medulla, some of which contain serotonin. The medullary neurons, in turn, project to and specifically inhibit the firing of trigeminal and spinal pain-transmission neurons. As part of a negative feedback loop, the output of the pain transmission neurons, i.e., pain itself, is an important factor in activating the pain-suppression system. A neural model which incorporates the experimental findings is proposed, and the clinical implications of the model are discussed.