Regulation of dihydropyridine-sensitive Ca(2+) channels during naloxone-induced opioid supersensitivity in rats

Srinivas Gullapalli1, Poduri Ramarao

  • 1Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, Phase-X, Sector 67, SAS Nagar (Mohali), Punjab 160 062, India.

Insights

Chronic naloxone treatment enhances morphine analgesia by down-regulating calcium (Ca2+) channels. Nimodipine, a Ca2+ channel blocker, also increases morphine analgesia and counteracts naloxone

Area of Science:

  • Neuroscience
  • Pharmacology
  • Pain Research

Background:

  • Chronic opioid antagonist treatment, like naloxone, can lead to analgesic supersensitivity to opioids.
  • Calcium (Ca2+) channels, particularly L-type channels, are implicated in modulating pain pathways.
  • Nimodipine is a dihydropyridine calcium channel blocker known to affect Ca2+ channel function.

Purpose of the Study:

  • To investigate the role of dihydropyridine-sensitive Ca2+ channels in chronic naloxone-induced supersensitivity to morphine analgesia.
  • To examine the effects of chronic naloxone and nimodipine, alone and in combination, on morphine analgesia and Ca2+ channel binding.
  • To determine if changes in Ca2+ channel density correlate with altered morphine analgesic responses.

Main Methods:

  • Rats were chronically treated with naloxone, nimodipine, or vehicle for 10 days.
  • Morphine-induced tail-flick analgesia was measured on day 11.
  • Radioligand binding assays using [3H]PN200-110 were performed on rat whole-brain membranes to quantify dihydropyridine-sensitive Ca2+ channels.

Main Results:

  • Chronic naloxone significantly potentiated morphine analgesia (+84%) and decreased [3H]PN200-110 binding density (-39%).
  • Chronic nimodipine also potentiated morphine analgesia (+76%) and slightly increased Ca2+ channel density (+14.5%).
  • Combined naloxone and nimodipine treatment resulted in additive potentiation of morphine analgesia (+206%) and reversed naloxone's down-regulation, leading to increased Ca2+ channel binding (+25%).

Conclusions:

  • Chronic naloxone-induced analgesic supersensitivity to morphine is associated with a down-regulation of dihydropyydridine-sensitive Ca2+ channels.
  • Blockade of these Ca2+ channels by nimodipine also enhances morphine analgesia, suggesting their involvement in the observed supersensitivity.
  • These findings highlight a critical role for L-type Ca2+ channel regulation in the development of naloxone-induced analgesic supersensitivity to morphine.

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