Impact of tramadol and morphine abuse on the activities of acetylcholine esterase, Na+/K+-ATPase and related parameters in cerebral cortices of male adult rats

Objective: To determine the effect of the most commonly abused drugs (tramadol and morphine), on acetylcholine esterase (AChE), Na+ /K+ -ATPase activities and related parameters, Na+ and K+ as biomarkers of neurotoxicity. Methods: Tramadol - as a weak µ opioid receptor agonist- and morphine - a...

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Bibliographic Details
Main Authors: Abd El-Hamid Mohamed Elwy, Ghada Tabl
Format: Article
Language:English
Published: Electronic Physician 2017-03-01
Series:Electronic Physician
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Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5407239/
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Summary:Objective: To determine the effect of the most commonly abused drugs (tramadol and morphine), on acetylcholine esterase (AChE), Na+ /K+ -ATPase activities and related parameters, Na+ and K+ as biomarkers of neurotoxicity. Methods: Tramadol - as a weak µ opioid receptor agonist- and morphine - as opiate analgesic drugs, were chosen for the present study. Four series of experimental animals were conducted for either tramadol or morphine: control series; repeated single equal doses (therapeutic dose) series; cumulative increasing doses series and delay (withdrawal) series (96 hours withdrawal period after last administration), at time period intervals 7, 14 and 21 days. Acetylcholine esterase (AChE), Na+ /K+ -ATPase activities and related parameters, Na+ and K+ were measured in cerebral cortices of experimental rats. Results: Acetylcholine esterase (AChE) activity in the brain cerebral cortex increased after the administration of therapeutic repeated doses of either tramadol (20 mg/kg b.w.) or morphine (4 mg/kg b.w.) in different groups. The daily intraperitoneal injection of cumulative increasing dose levels of either tramadol 20, 40 and 80 mg/kg or morphine 4, 8 and 12 mg/kg revealed a significant increase in the mean of acetylcholine esterase activities. The withdrawal groups of either tramadol or morphine showed significant decreases in their levels. Na+ /K+ ATPase activity in the brain cerebral cortex of either repeated therapeutic doses of tramadol (20 mg/kg) or morphine repeated therapeutic doses (4 mg/kg) for 21 consecutive days at different intervals 7, 14 and 21 days, induced a significant decrease in the levels of Na+ /K+ -ATPase in all groups. Withdrawal groups showed a significant decrease in Na+ /K+ -ATPase level. Furthermore, the daily intraperitoneal injection of cumulative increasing dose levels of either tramadol (20, 40 and 80 mg/kg b.w.) or morphine (4, 8 and12 mg/kg b.w.) induced significant decreases in Na+ /K+ -ATPase levels in all studied groups. Regarding Na+ and K+ , concentrations of either repeated therapeutic doses or cumulative increasing doses at different time intervals, showed different fluctuations in their levels. Conclusion: The recorded data suggest that both drugs exert potent effects on AChE and Na+ /K+ -ATPase activities which could contribute to cerebral cortex malfunction including, memory deficits and the decline in cognitive function observed in chronic users.
ISSN:2008-5842
2008-5842