L-cysteine ethylester reverses the adverse effects of morphine on breathing and arterial blood-gas chemistry while minimally affecting antinociception in unanesthetized rats - 04/02/24

Abstract |
L-cysteine ethylester (L-CYSee) is a membrane-permeable analogue of L-cysteine with a variety of pharmacological effects. The purpose of this study was to determine the effects of L-CYSee on morphine-induced changes in ventilation, arterial-blood gas (ABG) chemistry, Alveolar-arterial (A-a) gradient (i.e., a measure of the index of alveolar gas-exchange), antinociception and sedation in male Sprague Dawley rats. An injection of morphine (10 mg/kg, IV) produced adverse effects on breathing, including sustained decreases in minute ventilation. L-CYSee (500 μmol/kg, IV) given 15 min later immediately reversed the actions of morphine. Another injection of L-CYSee (500 μmol/kg, IV) after 15 min elicited more pronounced excitatory ventilatory responses. L-CYSee (250 or 500 μmol/kg, IV) elicited a rapid and prolonged reversal of the actions of morphine (10 mg/kg, IV) on ABG chemistry (pH, pCO2, pO2, sO2) and A-a gradient. L-serine ethylester (an oxygen atom replaces the sulfur; 500 μmol/kg, IV), was ineffective in all studies. L-CYSee (500 μmol/kg, IV) did not alter morphine (10 mg/kg, IV)-induced sedation, but slightly reduced the overall duration of morphine (5 or 10 mg/kg, IV)-induced analgesia. In summary, L-CYSee rapidly overcame the effects of morphine on breathing and alveolar gas-exchange, while not affecting morphine sedation or early-stage analgesia. The mechanisms by which L-CYSee modulates morphine depression of breathing are unknown, but appear to require thiol-dependent processes.
El texto completo de este artículo está disponible en PDF.Graphical Abstract |
• | L-CYSee is converted to S-nitrosylated L-CYSee (SNO-L-CYSee) in ventilatory control pathways via the actions of constitutive nitric oxide synthase (NOS). |
• | SNO-l-CYSee is the active form inside of cells that modulates signaling events. |
• | The minimal presence of constitutive NOS in analgesic pathways allows for only minimal formation of SNO-L-CYSee and therefore minimal disruption of opioid analgesia. |
Highlights |
• | L-cysteine ethyl ester (L-CYSee) reverses morphine-induced respiratory depression. |
• | L-CYSee reverses morphine-induced changes in arterial-blood-gas chemistry. |
• | L-CYSee reverses morphine-induced changes in alveolar gas-exchange. |
• | L-CYSee minimally affects morphine-induced analgesia. |
• | The effects of L-CYSee are not mimicked by L-serine ethyl ester. |
Abbreviations : L-CYSee, L-CYSme, D-CYSee, L-GSHee, D-CYSdiee, D-CYSdime, EAA, BK channel, TV, MV, Ti, Te, EIP, EEP, PIF, PEF, EF50, RT, NEBI, ABG, A-a gradient, HPL
Keywords : L-cysteine ethylester, Morphine, Ventilatory depression, Arterial blood-gas chemistry, Analgesia, Sedation, Male Sprague Dawley rats
Esquema
Vol 171
Artículo 116081- février 2024 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.
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