L. Teppema et al., The neuronal nitric oxide synthase inhibitor 7-nitroindazole (7-NI) and morphine act independently on the control of breathing, BR J ANAEST, 84(2), 2000, pp. 190-196
Citations number
38
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Inhibitors of nitric oxide synthase (NOS) have analgesic properties and red
uce opioid tolerance and dependency. To investigate a possible interaction
of NOS inhibitors with the respiratory depressant action of morphine, we de
termined the effects of the neuronal NOS inhibitor 7-nitroindazole (7-NI) o
n the ventilatory carbon dioxide response curve; subsequently, we studied t
he effects of additional morphine application. Finally, using naloxone, we
investigated a possible interaction (at the opioid receptor) between the ef
fects of 7-NI and morphine. The effects of 7-NI 50 mg kg(-1) i.p., morphine
0.1 mg kg(-1) i.v. and naloxone 0.1 mg kg(-1) i.v. were studied using dyna
mic end-tidal carbon dioxide forcing in eight cats under alpha-choralose-ur
ethane anaesthesia. Data analysis was performed using a two-compartment mod
el comprising a fast peripheral and a slow central component characterized
by carbon dioxide sensitivities and a single offset B (apnoeic threshold).
7-NI decreased the mean apnoeic threshold from 4.27 (SD 0.87) to 2.59 (1.71
) kPa. Peripheral and central carbon dioxide sensitivities were reduced fro
m 0.56 (0.22) to 0.26 (0.09) litre min(-1) kPa(-1) and from 0.09 (0.05) to
0.04 (0.03) litre min(-1) kPa(-1) respectively. Morphine increased the apno
eic threshold by 0.5 kPa and reduced carbon dioxide sensitivity by a furthe
r 35%. Naloxone reversed the ventilatory effects of morphine but not those
induced by 7-NI. We conclude that the respiratory effects of 7-NI and morph
ine are mediated independently and that the effects of 7-NI do not result f
rom interaction with opioid receptors.