A novel view of opiate tolerance

George B. Stefano , Berta Scharrer , Thomas V. Bilfinger , Michel Salzet , Gregory L. Fricchione
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引用次数: 25

Abstract

Opiate substances occur as natural compounds in various invertebrate and vertebrate neural tissues. Recently we have discovered a novel opiate alkaloid-selective and opioid peptide-insensitive receptor, designated μ3, that provides further evidence of the existence of separate morphine processes. Interestingly morphine biosynthesis appears to be linked to the dopamine pathway. Based on studies documenting the presence of morphine after stress, e.g., trauma, it is noted that this signal substance emerges after a timely delay. From this we speculate that this molecule can serve a specific effect to downregulate physiological processes after stress. We conclude that tolerance represents a natural process that terminates its action. In this regard a morphine hypothesis may be essential to a complete picture of motive circuitry. A speculative view of the psychiatric implications in schizophrenia, depression, and autism are presented with this in mind.

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阿片类药物耐受性的新观点
阿片类物质作为天然化合物存在于各种无脊椎动物和脊椎动物的神经组织中。最近,我们发现了一种新的阿片生物碱选择性和阿片肽不敏感受体,称为μ3,这进一步证明了存在单独的吗啡过程。有趣的是,吗啡的生物合成似乎与多巴胺通路有关。根据记录吗啡在应激(如创伤)后出现的研究,人们注意到这种信号物质在及时延迟后出现。由此我们推测,这种分子可以在应激后下调生理过程中发挥特定的作用。我们的结论是,容忍是一个自然过程,它终止了它的作用。在这方面,吗啡假说可能是必要的,以一个完整的画面的动机电路。一种关于精神分裂症、抑郁症和自闭症的精神病学含义的推测性观点提出了这一点。
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