Nonopioid placebo analgesia is mediated by CB1 cannabinoid receptors

Nonopioid placebo analgesia is mediated by CB1 cannabinoid receptors
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DOI:
10.1038/nm.2435
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发表时间:
2011-10-01
期刊:
影响因子:
82.9
通讯作者:
Blanchard, Catherine
Blanchard, Catherine
中科院分区:
医学1区
文献类型:
--
作者:
Benedetti, Fabrizio;Amanzio, Martina;Blanchard, Catherine

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安慰剂镇痛是由阿片类和非阿片类机制介导的,但到目前为止,对非阿片类成分一无所知。在这里,我们发现特异性CB 1大麻素受体拮抗剂5-(4-氯苯基)-1-(2,4-二氯-苯基)-4-甲基-N-(哌啶-1-基)-1H-1-吡唑-3-甲酰胺(利莫那班或SR 141716)阻断非阿片类安慰剂镇痛反应,但对阿片类安慰剂反应没有影响。这些研究结果表明,内源性大麻素系统在安慰剂镇痛在某些情况下,当阿片系统不参与的关键作用。
Placebo analgesia is mediated by both opioid and nonopioid mechanisms, but so far nothing is known about the nonopioid component. Here we show that the specific CB1 cannabinoid receptor antagonist 5-(4-chlorophenyl)-1-(2,4-dichloro-phenyl)-4-methyl-N-(piperidin-1-yl)-1H-1-pyrazole-3-carboxamide (rimonabant or SR141716) blocks nonopioid placebo analgesic responses but has no effect on opioid placebo responses. These findings suggest that the endocannabinoid system has a pivotal role in placebo analgesia in some circumstances when the opioid system is not involved.