国际麻醉学与复苏杂志   2011, Issue (6): 12-12
    
NR2B反义寡核苷酸对吗啡依赖大鼠脊髓和脑干µ受体与κ受体mRNA表达的影响
张双银, 石翊飒, 卫毅1()
1.兰州大学第二医院
Effects of NR2B antisense oligonucleotide on expression of μand κopiate receptor in spinal and brainstem during morphine dependence and withdrawal in rats
 全文:
摘要:

目的: 观察NR2B反义寡核苷酸对吗啡依赖大鼠脊髓和脑干μ受体与κ受体表达的影响,探讨 NMDA受体的NR2B亚基与阿片μ受体与κ受体在介导吗啡依赖和耐受过程中的相互作用。方法:鞘内埋管成功大鼠40只随机分为5组,每组8只。吗啡皮下注射首日10 mg/kg, 每日2次,隔日每次增加10mg/kg,至第6天末次注射50mg/kg,建立吗啡依赖模型,为吗啡依赖组(A组);相应时间点皮下注射等量生理盐水为空白对照组( B组);末次注射吗啡后4h腹腔注射盐酸纳洛酮4mg/kg激发戒断症状为吗啡戒断组(C 组);在皮下注射吗啡的同时鞘内注射15nmol ANR2B为吗啡+ ANR2B组(D组);在纳洛酮激发前30min 鞘内注射15nmol ANR2B为戒断+ ANR2B组( E组)。应用RT-PCR检测吗啡依赖与戒断大鼠脊髓和脑干μ受体与κ受体mRNA表达。结果:1、吗啡依赖大鼠脊髓和脑干中µ受体mRNA表达较对照组升高有统计学意义,鞘内注射ANR2B则明显降低脊髓和脑干中µ受体mRNA的表达。纳洛酮激发戒断症状后1h, 脊髓和脑干中µ受体mRNA的表达明显下降,激发前30min鞘内注射ANR2B,脑干µ受体mRNA表达较戒断组升高有统计学意义,而脊髓中µ受体mRNA表达变化无统计学意义。2、吗啡依赖大鼠脊髓和脑干中κ受体mRNA表达较对照组降低有统计学意义,鞘内注射ANR2B组脑干中κ受体mRNA的表达较吗啡依赖组增高有统计学意义,脊髓κ受体mRNA的表达变化无统计学意义。纳洛酮激发戒断症状后1h, 脊髓和脑干中κ受体mRNA的表达明显增高,激发前30min鞘内注射ANR2B,脑干κ受体mRNA表达较戒断组增高有统计学意义,而脊髓中κ受体mRNA表达变化无统计学意义。各组中β-actin表达量无差异。结论:脊髓和脑干中µ受体与κ受体表达的动态变化调节了吗啡依赖的形成与戒断症状的表达。NR2B反义寡核苷酸调节µ受体与κ受体的表达是其发挥抑制吗啡依赖形成与减轻戒断症状作用的机制之一。

关键词: 吗啡依赖; NR2B反义寡核苷酸;µ受体;κ受体
Abstract:

Objective: To observe the effects of NR2B antisense oligonucleotide (ANR2B) on gene expression of μ and κ opiate receptor in spinal and brainstem during morphine dependence and withdrawal in rats. Methods: Animal models of morphine dependence were established by repeated subcutaneous injection of morphine with progressive doses. The mRNA levels of μ and κ opiate receptor in spinal and brainstem were assayed by reverse transcription polymerase chain reaction with the beta-actin mRNA as an internal control. Results: The μ opiate receptor mRNA levels increased significantly in spinal and brainstem during morphine dependence, and decreased after injection of naloxone during morphine withdrawal in rats. The κ opiate receptor mRNA levels changed conversely compared with the μ opiate receptor mRNA levels during morphine dependence and withdrawal. Spinal administration of NR2B antisense oligonucleotide reversed the change tendency of μ and κ opiate receptor in brainstem during morphine dependence and withdrawal in rats. Conclusions: The expression of μ and κ opiate receptor in spinal and brainstem plays an important role in mediating the development of morphine dependence and withdrawal. NR2B antisense oligonucleotide reversed the expression of μ and κ opiate receptor in spinal and brainstem during morphine dependence and withdrawal in rats. It suggests that NR2B antisense oligonucleotide can inhibit the development of morphine dependence and attenuate morphine-withdrawal symptoms by mediating the expression of μ and κ opiate receptor.

Key words: morphine dependence; NR2B antisense oligonucleotide; μ opiate receptor; κ opiate receptor