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Morphine tolerance in arthritic rats and serotonergic system

J Y Li1, C H Wong, K S Huang

  • 1Department of Anesthesiology, Chung-Gung Memorial Hospital, Tao-Yuan, Taiwan, ROC.

Life Sciences
|March 30, 1999
PubMed

Insights

Chronic inflammation accelerates morphine tolerance development in rats. This involves increased serotonin turnover in the spinal cord, suggesting a role for serotonin in pain and tolerance.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Pain Research

Background:

  • Opioid analgesics like morphine are crucial for pain management.
  • Developing tolerance to morphine limits its long-term effectiveness.
  • Chronic inflammation is a common condition associated with persistent pain.

Purpose of the Study:

  • To investigate the impact of chronic inflammation on the development of morphine tolerance.
  • To explore the neurochemical changes in the spinal cord associated with inflammation and morphine tolerance.

Main Methods:

  • Utilized the tail-flick test to assess morphine's analgesic effect in arthritic rats.
  • Measured spinal cord monoamines and amino acid neurotransmitters.
  • Compared tolerance development in arthritic rats versus vehicle-treated controls.

Main Results:

  • Chronic inflammation significantly attenuated morphine's antinociceptive effect, leading to faster tolerance development.
  • Arthritic rats showed an increased ratio of 5-hydroxyindole-3-acetic acid/5-hydroxytryptamine (5-HIAA/5-HT) in the lumbar spinal cord.
  • No significant changes in norepinephrine, glutamate, aspartate, or GABA concentrations were observed.
  • Morphine treatment increased serotonin turnover in the spinal cord of both control and arthritic rats.

Conclusions:

  • Chronic inflammation accelerates the development of morphine tolerance.
  • Increased serotonin turnover in the spinal cord plays a significant role in chronic pain and morphine tolerance.
  • Serotonin up-regulation is a key mechanism underlying morphine tolerance in the context of chronic inflammation.

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