Elsevier

Life Sciences

Volume 25, Issue 19, 5 November 1979, Pages 1621-1631
Life Sciences

Minireview
On the specificity of naloxone as an opiate antagonist

https://doi.org/10.1016/0024-3205(79)90403-XGet rights and content

Abstract

Since the discovery of endogenous opioid peptides in brain (68,69,97,113, 128) and the pituitary gland (26,81,105,125) there has been considerable interest in their possible roles in a variety of physiological and pharmacological processes. Many studies have used antagonism by naloxone as a criterion for implicating endogenous opiates in a process, assuming that naloxene has no pharmacological actions other than those related to blockade of opiate receptors. The doses of naloxene used are often higher than those required to antagonize the analgesic and other effects of morphine. However, multiple forms of opiate receptors are present in nervous tissue and higher concentrations of naloxene are required to antagonize effects mediated by some of these receptors (83). Although the earlier literature supports the assumption that the effects of naloxene are due to the blockade of opiate receptors (87), there are an increasing number of reports which indicate that naloxene may have pharmacological actions unrelated to opiate receptor blockade. The subsequent review serves to emphasize that antagonism by naloxene is a necessary but not sufficient criterion for invoking the mediation of a response by an endogenous opiate (61). Additional lines of evidence which serve to strengthen the conclusion that endogenous opiates mediate a process will be considered.

References (135)

  • E.F. Bell

    J. Pediatr.

    (1975)
  • M. Benuck et al.

    Neurosci. Lett.

    (1978)
  • M.L. Billingsley et al.

    Life Sci.

    (1978)
  • K. Blum et al.
  • J.J. Carmody et al.

    Life Sci.

    (1979)
  • G.A. Clay et al.

    Biochem. Pharmacol.

    (1975)
  • B.M. Cox et al.

    Life Sci.

    (1975)
  • P.W. Dettmar et al.

    Neuropharmacology

    (1978)
  • R. Dingledine et al.

    Europ. J. Pharmacol.

    (1978)
  • A. Dupont et al.

    Life Sci.

    (1977)
  • Z. Fürst et al.

    Life Sci.

    (1977)
  • R.J. Gayton et al.

    Nueropharmacology

    (1978)
  • W.H. Gispen et al.

    Neurosci. Lett.

    (1976)
  • A. Goldstein et al.

    Life Sci.

    (1976)
  • S. Haber et al.

    Prog. Neuro-Psychopharmacol.

    (1978)
  • R.A. Harris et al.

    Europ. J. Pharmacol.

    (1977)
  • A. Horita et al.

    Life Sci.

    (1978)
  • J. Hughes

    Brain Res.

    (1975)
  • S.A. Lorens et al.

    Life Sci.

    (1978)
  • J.B. Malick et al.

    Life Sci.

    (1978)
  • R.J. Miller et al.

    Biochem. Biophys. Res. Comm.

    (1977)
  • L.M. Moss

    J. Am. Coll. Emer. Phys.

    (1973)
  • M.A. North

    Life Sci.

    (1978)
  • G.W. Pasternak et al.

    Life Sci.

    (1975)
  • A. Patthy et al.

    Biochem. Biophys. Res. Comm.

    (1977)
  • H. Akil et al.
  • H. Akil et al.

    Science

    (1978)
  • J.O. Arndt et al.

    Nature

    (1979)
  • B.M. Austen et al.

    Biochem. Soc. Trans.

    (1977)
  • P.B. Bennett

    Anaesthiol.

    (1978)
  • B.A. Berkowitz et al.

    J. Pharmacol. Exp. Ther.

    (1977)
  • B.A. Berkowitz et al.

    Science

    (1976)
  • G.G. Bernston et al.

    Brain Res. Bull.

    (1977)
  • H.N. Bhargava
  • J. Bläsig et al.

    Naunyn-Schmiedeberg's Arch. Pharmacol.

    (1976)
  • K. Blum et al.

    Pharmacologist

    (1975)
  • H. Blumeberg et al.
  • M.S. Buchsbaum et al.

    Nature

    (1977)
  • G.B. Chesher et al.

    Life Sci.

    (1977)
  • T.J. Cicero et al.

    Arch. Int. Pharmacodyn. Ther.

    (1975)
  • M.L. Cohn et al.

    Science

    (1978)
  • E. Costa et al.
  • E. Costa et al.

    Life Sci.

    (1975)
  • B. Cox et al.

    J. Pharmacol. Exp. Ther.

    (1976)
  • H.B. Dayton et al.
  • A.W. Duggan et al.

    J. Pharmacol. Exp. Ther.

    (1976)
  • D. Duncalf et al.

    Anaes. Analg.

    (1978)
  • S. Ehrenpreis et al.
  • H.W. Elliott et al.

    Life Sci.

    (1976)
  • A.P. Fertziger et al.

    Psychopharmacology

    (1977)
  • Cited by (572)

    • Pain control in tonic immobility (TI) and other immobility models

      2022, Progress in Brain Research
      Citation Excerpt :

      Further studies in rats by Spanagel et al. (1991) have demonstrated that the β-endorphin effects are dose dependent: a small amount (2.5-5 μgr) stimulates locomotor activity via dopamine release by the nucleus accumbens, whereas a higher amount (7 μgr) elicits catalepsy but not dopamine release. The main criteria required to assess the involvement of an opioid mechanism are: (a) morphine potentiation and naloxone antagonization (Sawynock et al., 1979) and (b) abolition in morphine tolerant animals (Akil et al., 1984). Before discussing opioid mechanisms, it is important to underline that morphine has a different analgesic effect on tonic and phasic experimental pain in animals and in acute and chronic pain in humans.

    • Respiratory effects of buprenorphine/naloxone alone and in combination with diazepam in naive and tolerant rats

      2014, Toxicology Letters
      Citation Excerpt :

      In our model, NLX alone significantly decreased TI and increased f in comparison to the solvent. In the literature, various stimulant effects have been attributed to NLX (Isom and Elshowihy, 1982; Sawynok et al., 1979). Additionally, NLX has been shown to enhance ventilatory response (increase in f and VT) to hypercapnia (Schlenker et al., 1997) or hypoxia (Olson, 1987).

    • Effects of acute stressors on itch- and pain-related behaviors in rats

      2012, Pain
      Citation Excerpt :

      The opioid antagonist naltrexone (Sigma, St. Louis, MO) was tested at 14 mg/kg and dissolved in a vehicle containing DMSO, ethanol, Tween-80, and saline in a ratio of 1:1:1:17. Despite evidence that high doses of opioid antagonists may affect other neurotransmitter systems [38], we selected naltrexone (rather than naloxone) at this dose for reasons described by Maier et al. [25] and supported by subsequent studies [13,15,17]. Briefly, naltrexone is 3 to 8 times more potent than naloxone, has a longer duration of action, and the dose of 14 mg/kg prevents or reverses both short- and long-term analgesic effects of SIA.

    • Pharmacological modulation of anxiety-like phenotypes in adult zebrafish behavioral models

      2011, Progress in Neuro-Psychopharmacology and Biological Psychiatry
    • Naltrexone fails to increase pain affect in response to inflammatory pain in a novel escape/avoidance paradigm

      2009, Physiology and Behavior
      Citation Excerpt :

      Although our prediction that sensory pain would remain intact was confirmed by the analysis of threshold scores, predictions about the modulation of pain affect by naltrexone were inaccurate. This was not entirely surprising given the ambivalent nature of naltrexone research, as well as the range of physiological activities that have been implicated as underlying mechanisms of action for this drug [33]. Several published studies indicate that the effect of naltrexone on some aspects of behavior is not as clear as others, including research dealing with pain [13] and non-noxious aversive stimuli (see [34] in comparison to [35]).

    View all citing articles on Scopus

    Studies of the authors were supported by the Medical Research Council of Canada, Non-Medical Use of Drugs Directorate, Health and Welfare Canada, the Sellers Foundation and the Richardson Foundation.

    2

    Postdoctoral Fellow of the Medical Research Council.

    3

    Career Investigator of the Medical Research Council.

    View full text