論文

査読有り
2015年4月

Blockade of phosphodiesterase 4 reverses morphine-induced ventilatory disturbance without loss of analgesia

Life Sciences
  • Satoko Kimura
  • ,
  • Yoshiaki Ohi
  • ,
  • Akira Haji

127
開始ページ
32
終了ページ
38
記述言語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.lfs.2015.02.006

© 2015 Elsevier Inc. All rights reserved. Aims Ventilatory disturbance is a fatal side-effect of opioid analgesics. Separation of analgesia from ventilatory depression is important for therapeutic use of opioids. It has been suggested that opioid-induced ventilatory depression results from a decrease in adenosine 3′,5′-cyclic monophosphate content in the respiratory-related neurons. Therefore, we examined the effects of caffeine, a methylxanthine non-selective phosphodiesterase (PDE) inhibitor with adenosine antagonistic activity, and rolipram, a racetam selective PDE4 inhibitor, on ventilatory depression induced by morphine. Main methods Spontaneous ventilation and paw withdrawal responses to nociceptive thermal stimulation were measured in anesthetized rats simultaneously. The efferent discharge of the phrenic nerve was recorded in anesthetized, vagotomized, paralyzed and artificially ventilated rats. Key findings Rolipram (0.1 and 0.3 mg/kg, i.v.) and caffeine (3.0 and 10.0 mg/kg, i.v.) relieved morphine (1.0 mg/kg, i.v.)-induced ventilatory depression but had no discernible effect on its analgesic action. Rolipram (0.3 and 1.0 mg/kg, i.v.) and caffeine (10.0 and 20.0 mg/kg, i.v.) recovered morphine (3.0 mg/kg, i.v.)-induced prolongation and flattening of inspiratory discharge in the phrenic nerve. Significance Inhibition of PDE4 may be a possible approach for overcoming morphine-induced ventilatory depression without loss of analgesia.

リンク情報
DOI
https://doi.org/10.1016/j.lfs.2015.02.006
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/25744400
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84924706637&origin=inward
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=84924706637&origin=inward
ID情報
  • DOI : 10.1016/j.lfs.2015.02.006
  • ISSN : 0024-3205
  • eISSN : 1879-0631
  • PubMed ID : 25744400
  • SCOPUS ID : 84924706637

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