British Journal of Anaesthesia, Vol 80, Issue 3 354-359, Copyright © 1998 by The Board of Management and Trustees of the British Journal of Anaesthesia
J. V. Rabadan, M. V. Milanes and M. L. Laorden
In this study, we determined if changes in heart catecholamine content
during naloxone-induced withdrawal correlated with modifications in heart
rate. In addition, we determined plasma concentrations of corticosterone as
an index of the hypothalamo-pituitary-adrenal (HPA) axis. The effects of
naloxone on norepinephrine, epinephrine or dopamine content and turnover,
plasma concentrations of corticosterone and the mechanical response of the
right atria of the rat were studied. Male rats were implanted with placebo
or morphine pellets for 7 days. On the day of sacrifice, animals were
injected with saline or naloxone 1 mg kg-1 s.c. to precipitate a withdrawal
syndrome. Administration of naloxone to morphine-treated (tolerant) animals
induced a decrease in atrial content of norepinephrine, epinephrine and
dopamine (290.2 (11.9) ng g-1, 15.6 (2.1) ng g-1 and 9.52 (0.5) ng g-1,
respectively) and an increase (1.38 (0.2) ng g-1 in the dihydroxy phenyl
acetic acid/dopamine (DOPAC/DA) ratio. Administration of naloxone to
morphine- treated animals enhanced plasma concentrations of corticosterone
(435.8 (27.6) ng ml-1). In the isolated right atria, L-naloxone induced an
increase in atrial rate in preparations from morphine-treated rats whereas
in placebo-pelleted (naive) rats, L-naloxone induced a decrease. In
contrast, administration of D-naloxone (inactive isomer) produced a
decrease in atrial rate in preparations from placebo or morphine-treated
rats. We conclude that this study has provided evidence that
naloxone-induced withdrawal was characterized by activation of
catecholaminergic neurones in the heart that was accompanied by an increase
in atrial rate.
LABORATORY INVESTIGATIONS
Changes in right atrial catecholamine content in naive rats and after naloxone-induced withdrawal
Department of Physiology and Pharmacology, Unit of Pharmacology, University School of Medicine, Murcia, Spain
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