Opiate addiction and plasma beta-endorphin-like immunoreactivity: methadone maintained, recently detoxified and early naltrexone treated ex-addicts.

Alcohol and drug research Pub Date : 1987-01-01
P Cushman, D Morris, M Adams, W Dewey
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Abstract

Plasma beta-endorphin-like radioimmunoreactivity (BEND) was measured in opiate addicts and controls with an antisera which cross reacted with lipotropin but not with other endogenous opiate peptides. 43 stable male methadone maintained patients had mean BEND of 18 +/- 11 pg/ml. No relationship was found between BEND, and time of day, dose or time since last methadone. Controls had 22 +/- 8pg/ml. 9 hospitalized freshly detoxified male opiate addicts, 7-23 days after last opioid, had BEND of 32 +/- 11 pg/ml. These same took 7 days of 50 mg oral naltrexone (NTX) daily, and repeat BEND was 41 +/- 13 pg/ml, rising in all instances compared to baseline. Ex-addicts after detoxification had high BEND which rose further during a short course of NTX. Methadone maintained patients had normal BEND. These data are consistent with previous animal and human reports of high plasma BEND level with NTX or detoxification.

阿片成瘾和血浆β -内啡肽样免疫反应性:美沙酮维持,近期解毒和早期纳曲酮治疗前成瘾者。
用抗血清测定了阿片成瘾者和对照者血浆β -内啡肽样放射免疫反应性(BEND),该抗血清与促脂素交叉反应,但不与其他内源性阿片肽交叉反应。43例稳定的男性美沙酮维持患者的平均BEND为18 +/- 11 pg/ml。没有发现BEND与一天中的时间,剂量或自上次美沙酮以来的时间有关。对照组22 +/- 8pg/ml。9例住院的刚解毒的男性阿片类药物依赖者,在最后一次阿片类药物后7-23天,BEND为32 +/- 11 pg/ml。这些患者每天口服50毫克纳曲酮(NTX) 7天,重复BEND为41 +/- 13 pg/ml,与基线相比,所有病例都有所上升。解毒后的成瘾者有较高的BEND,在NTX的短期疗程中进一步上升。美沙酮维持患者的BEND正常。这些数据与以前的动物和人类报告的高血浆BEND水平与NTX或解毒一致。
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