AM-251 and rimonabant act as direct antagonists at mu-opioid receptors: implications for opioid/cannabinoid interaction studies.

AM-251 and rimonabant act as direct antagonists at mu-opioid receptors: implications for opioid/cannabinoid interaction studies.
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AM-251和Rimonabant作为MU-Apioid受体的直接拮抗剂:对阿片类/大麻素相互作用研究的影响。

DOI:
10.1016/j.neuropharm.2012.06.046
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发表时间:
2012-10
期刊:
影响因子:
4.7
通讯作者:
Prather PL
Prather PL
中科院分区:
医学2区
文献类型:
--
作者:
Seely KA;Brents LK;Franks LN;Rajasekaran M;Zimmerman SM;Fantegrossi WE;Prather PL

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MU-阿片和CB1-大麻素激动剂产生镇痛作用;然而,副作用限制了这两类药物的使用。同时使用小剂量的MU和CB1激动剂所产生的相加或协同效应可能产生副作用较少的镇痛作用。Mu-阿片受体(MORs)和CB1受体(CB1Rs)之间的相互作用可能产生协同作用。AM-251和利莫那班是CB1R拮抗剂/反向激动剂,用于验证阿片-大麻素相互作用,被认为是选择性地作用于CB1R。因此,这些拮抗剂在MORS中直接作用的可能性很少被考虑。本研究确定AM-251和/或利莫那班是否直接结合和调节MORS的功能。令人惊讶的是,AM-251和利莫那班,但不是第三个CB1R反向激动剂AM-281,与人MORS具有中纳米分子亲和力,亲和力等级顺序为AM-251(251 NM)和利莫那班(652 NM)>AM281(2135 NM)。AM-251和利莫那班(而不是AM-281)也竞争性拮抗吗啡诱导的CHO-hMOR细胞匀浆中G蛋白的激活(Kb分别为719和1310 nM)。AM-251和利莫那班可阻断吗啡对cAMP生成的抑制作用,而只有AM-251能引起慢性吗啡暴露的CHO-hMOR细胞cAMP的反弹。AM-251和利莫那班(10 mg/kg)可减弱吗啡的镇痛作用,而相同剂量的AM-281作用不明显。因此,除了CB1R的高亲和力外,AM-251和利莫那班与MORS具有中纳摩尔亲和力,在较高剂量时可能通过直接拮抗MORS而影响吗啡的镇痛作用。当通过药理学方法在CB1基因敲除小鼠和野生型小鼠中检查CB1/MOR相互作用时,这些拮抗剂的这种CB1非依赖性作用可能导致报告的不一致。
Mu-opioid and CB1-cannabinoid agonists produce analgesia; however, adverse effects limit use of drugs in both classes. Additive or synergistic effects resulting from concurrent administration of low doses of mu- and CB1-agonists may produce analgesia with fewer side effects. Synergism potentially results from interaction between mu-opioid receptors (MORs) and CB1 receptors (CB1Rs). AM-251 and rimonabant are CB1R antagonist/inverse agonists employed to validate opioid-cannabinoid interactions, presumed to act selectively at CB1Rs. Therefore, the potential for direct action of these antagonists at MORs is rarely considered. This study determined if AM-251 and/or rimonabant directly bind and modulate the function of MORs. Surprisingly, AM-251 and rimonabant, but not a third CB1R inverse agonist AM-281, bind with mid-nanomolar affinity to human MORs with a rank order of affinity (Ki) of AM-251 (251 nM) > rimonabant (652 nM) > AM281 (2135 nM). AM-251 and rimonabant, but not AM-281, also competitively antagonize morphine induced G-protein activation in CHO-hMOR cell homogenates (Kb = 719 or 1310 nM, respectively). AM-251 and rimonabant block morphine inhibition of cAMP production, while only AM-251 elicits cAMP rebound in CHO-hMOR cells chronically exposed to morphine. AM-251 and rimonabant (10 mg/kg) attenuate morphine analgesia, whereas the same dose of AM-281 produces little effect. Therefore, in addition to high CB1R affinity, AM-251 and rimonabant bind to MORs with mid-nanomolar affinity and at higher doses may affect morphine analgesia via direct antagonism at MORs. Such CB1-independent actions of these antagonists may contribute to reported inconsistencies when CB1/MOR interactions are examined via pharmacological methods in CB1-knockout versus wild-type mice.
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