Morphine's immunoregulatory actions are not shared by fentanyl

被引:60
作者
Bilfinger, TV [1 ]
Fimiani, C
Stefano, GB
机构
[1] SUNY Stony Brook, Dept Surg, Univ Hosp & Med Ctr, Cardiac Res Program, Stony Brook, NY 11794 USA
[2] SUNY Coll Old Westbury, Neurosci Res Inst, Old Westbury, NY 11568 USA
关键词
fentanyl; analgesia; morphine; nitric oxide; inflammation; cell adhesion;
D O I
10.1016/S0167-5273(98)00037-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Fentanyl is a commonly used narcotic agent in anesthesia. It has strong analgesic properties which it shares with morphine. Unlike morphine, it does not possess the ability to bind to the mu(3) receptor, and therefore does not have the ability to influence nitric oxide release as measured amperometrically. Cell adhesion also is not influenced. As a result, it also lacks the ability to downregulate the inflammatory response associated with surgery, especially cardiopulmonary bypass. (C) 1998 Elsevier Science Ireland Ltd.
引用
收藏
页码:S61 / S66
页数:6
相关论文
共 15 条
[1]   MORPHINE-INHIBITION OF LYMPHOCYTE ACTIVITY IS MEDIATED BY AN OPIOID DEPENDENT MECHANISM [J].
BAYER, BM ;
DAUSSIN, S ;
HERNANDEZ, M ;
IRVIN, L .
NEUROPHARMACOLOGY, 1990, 29 (04) :369-374
[2]   Cryopreserved veins in myocardial revascularization: Possible mechanism for their increased failure [J].
Bilfinger, TV ;
Hartman, AR ;
Liu, Y ;
Magazine, HI ;
Stefano, GB .
ANNALS OF THORACIC SURGERY, 1997, 63 (04) :1063-1069
[3]   OCCURRENCE OF THE OPIATE ALKALOID-SELECTIVE MU(3) RECEPTOR IN MAMMALIAN MICROGLIA, ASTROCYTES AND KUPFFER CELLS [J].
DOBRENIS, K ;
MAKMAN, MH ;
STEFANO, GB .
BRAIN RESEARCH, 1995, 686 (02) :239-248
[4]   IN-VITRO EVALUATION OF FENTANYL AND MEPERIDINE FOR IMMUNOMODULATORY ACTIVITY [J].
HOUSE, RV ;
THOMAS, PT ;
BHARGAVA, HN .
IMMUNOLOGY LETTERS, 1995, 46 (1-2) :117-124
[5]   EFFECTS OF FENTANYL ON THE RAT AORTA ARE MEDIATED BY ALPHA-ADRENOCEPTORS RATHER THAN BY THE ENDOTHELIUM [J].
KARASAWA, F ;
IWANOV, V ;
MOULDS, RFW .
BRITISH JOURNAL OF ANAESTHESIA, 1993, 71 (06) :877-880
[6]  
Lee K, 1994, Masui, V43, P89
[7]  
MAKMAN MH, 1995, J IMMUNOL, V154, P1323
[8]   Opioids in cardiac surgery: Cardiopulmonary bypass and inflammatory response [J].
Scott, BH .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 1998, 64 :S35-S41
[9]   DOWN-REGULATION OF ENKEPHALIN-MEDIATED INFLAMMATORY RESPONSES BY CD10 NEUTRAL ENDOPEPTIDASE 24.11 [J].
SHIPP, MA ;
STEFANO, GB ;
DADAMIO, L ;
SWITZER, SN ;
HOWARD, FD ;
SINISTERRA, J ;
SCHARRER, B ;
REINHERZ, EL .
NATURE, 1990, 347 (6291) :394-396
[10]   MICROGLIA IN INVERTEBRATE GANGLIA [J].
SONETTI, D ;
OTTAVIANI, E ;
BIANCHI, F ;
RODRIGUEZ, M ;
STEFANO, ML ;
SCHARRER, B ;
STEFANO, GB .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1994, 91 (19) :9180-9184