Mu-opioid receptor mRNA regulation during morphine tolerance in the rat peripheral nervous system

Thomas Meuser1, Thorsten Giesecke, Anja Gabriel

  • 1Departments of *Anesthesiology and †Neurophysiology, University of Cologne, Cologne, Germany, ‡Department of Anesthesiology, University of Halle Wittenberg, Halle, Germany, and the §Department of Anesthesia, University of California, San Francisco, CA.

Anesthesia and Analgesia
|October 23, 2003
PubMed
Abstract

Insights

Chronic morphine treatment leads to opioid tolerance in the peripheral nervous system. This involves mu-opioid receptor mRNA down-regulation in dorsal root ganglia, which reverses with naloxone.

Area of Science:

  • Neuroscience
  • Pharmacology

Background:

  • Limited in vivo data exist on opioid receptor mRNA regulation in the peripheral nervous system following agonist exposure.
  • Opioid tolerance is a significant clinical challenge, and its underlying mechanisms require further elucidation.

Purpose of the Study:

  • To investigate the impact of morphine on mu-opioid receptor mRNA regulation in rat peripheral sensory ganglia.
  • To determine if the peripheral nervous system contributes to the development of opioid tolerance.

Main Methods:

  • Rats were administered morphine or saline subcutaneously for 4 days.
  • Behavioral tolerance was assessed using the hot plate test.
  • Mu-opioid receptor mRNA levels in dorsal root ganglia were quantified using quantitative reverse transcriptase-polymerase chain reaction (RT-PCR).

Main Results:

  • Chronic morphine treatment induced significant behavioral tolerance, evidenced by reduced paw-withdrawal latency.
  • A 62% down-regulation of mu-opioid receptor mRNA was observed in dorsal root ganglia after morphine exposure (P < 0.05).
  • Following naloxone administration, both mu-opioid receptor mRNA levels and behavioral tolerance returned to control levels within 24 hours.

Conclusions:

  • The peripheral nervous system is a potential site for the development of opioid receptor tolerance.
  • Chronic morphine treatment leads to down-regulation of mu-opioid receptor mRNA in dorsal root ganglia, contributing to behavioral tolerance.
  • Reversal of both molecular and behavioral changes with naloxone highlights the plasticity of the peripheral nervous system in opioid tolerance.