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Departments of 1 Anesthesiology and 3 Physiology and Pharmacology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157; 2 Iontek, Ltd., Bursa, Turkey; and 4 Albany College of Pharmacy, Albany, New York 12184
Glycyl-glutamine
(Gly-Gln;
-endorphin30-31) is an endogenous
dipeptide that is synthesized through the posttranslational processing
of
-endorphin in brain stem regions that control respiration and
autonomic function. This study tested the hypothesis that Gly-Gln
administration to conscious rats will prevent the respiratory depression caused by morphine without affecting morphine
antinociception. Rats were administered Gly-Gln (1-100 nmol) or
saline (10 µl) intracerebroventricularly followed, 5 min later, by
morphine (40 nmol icv). Arterial blood gases and pH were measured
immediately before Gly-Gln and 30 min after morphine injection. Gly-Gln
pretreatment inhibited morphine-induced hypercapnia, hypoxia, and
acidosis significantly. The response was dose dependent and significant at Gly-Gln doses as low as 1 nmol. In contrast, Gly-Gln (1-300 nmol) had no effect on morphine-evoked antinociception in the paw
withdrawal test. When given alone to otherwise untreated animals, Gly-Gln did not affect nociceptive latencies or blood gas values. These
data indicate that Gly-Gln inhibits morphine-induced respiratory depression without compromising morphine antinociception.
opioid;
-endorphin; proopiomelanocortin; dipeptide; respiratory
depression
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