Morphine potentiates dextromethorphan-induced vasodilation in rat superior mesenteric artery

Saadet Inan1, Ronald J Tallarida

  • 1Department of Pharmacology and Center for Substance Abuse Research, Temple University School of Medicine, 3420 N. Broad St., Philadelphia, PA 19140, USA.

Insights

Morphine and dextromethorphan show synergistic relaxation effects on the superior mesenteric artery, a finding blocked by naloxone. This interaction was specific to the mesenteric artery, not observed in other blood vessels.

Area of Science:

  • Pharmacology
  • Vascular Biology
  • Drug Interactions

Background:

  • Opioids like morphine and antitussives like dextromethorphan have complex vascular effects.
  • Understanding their combined action is crucial for predicting clinical outcomes.

Purpose of the Study:

  • To investigate the synergistic effects of morphine and dextromethorphan on the superior mesenteric artery.
  • To explore the role of naloxone and the endothelium in this interaction.

Main Methods:

  • Isolated superior mesenteric artery rings were used in a muscle bath setup.
  • Vascular tension was recorded using a force transducer.
  • Dose-response curves for dextromethorphan, morphine, and their combination were generated.

Main Results:

  • Dextromethorphan caused dose-dependent relaxation; morphine alone had no effect.
  • A significant synergistic relaxation (factor of 3.7) was observed with the morphine-dextromethorphan combination.
  • Naloxone abolished the synergism, while endothelial removal only slightly attenuated it.
  • Additive interactions were noted in the carotid artery and aorta, unlike the mesenteric artery.

Conclusions:

  • Morphine and dextromethorphan exhibit potent, naloxone-reversible synergism in the superior mesenteric artery.
  • This synergistic effect appears to be endothelium-independent and specific to certain vascular beds.

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