Withdrawal from morphine in mice suppresses splenic macrophage function, cytokine production, and costimulatory

Rahil T Rahim1, Joseph J Meissler, Lily Zhang

  • 1Department of Microbiology and Immunology, Temple University School of Medicine, 3400 North Broad Street, Philadelphia, PA 19140, USA.

Insights

Morphine withdrawal significantly impairs immune cell function, specifically the plaque-forming cell (PFC) response. This study reveals that restoring macrophage function can reverse this immunosuppression, highlighting a key mechanism of opioid withdrawal effects on immunity.

Area of Science:

  • Immunology
  • Neuroscience
  • Pharmacology

Background:

  • Opioid withdrawal, including abrupt (AW) and precipitated (PW) withdrawal, is known to suppress immune responses.
  • Previous research demonstrated over 80% suppression of the in vitro plaque-forming cell (PFC) response to sheep red blood cells 24 hours post-withdrawal.

Purpose of the Study:

  • To investigate the underlying mechanisms of morphine withdrawal-induced immunosuppression.
  • To identify the specific immune cell populations and molecular factors involved in the suppressed immune response during morphine withdrawal.

Main Methods:

  • Spleen cells from mice undergoing morphine withdrawal were analyzed.
  • Immune responses were assessed by adding normal unfractionated spleen cells, macrophage-enriched adherent cells, or purified CD11b(+) macrophages to cultures from withdrawn mice.
  • Splenic mRNA and protein levels of key cytokines (IL-1beta, IL-1Ra, TNF-alpha, IL-12, IFN-gamma) were measured.
  • The effect of adding IL-1beta or IFN-gamma to cultures from abruptly withdrawn mice was evaluated.

Main Results:

  • Restoration of immune responses was observed upon the addition of normal spleen cells, macrophage-enriched cells, or purified macrophages to spleen cells from withdrawn mice.
  • Decreased splenic mRNA and/or protein levels of IL-1beta, IL-1Ra, TNF-alpha, IL-12, and IFN-gamma were detected in spleen cells from mice undergoing withdrawal.
  • The addition of IL-1beta or IFN-gamma to cultures from abruptly withdrawn mice reversed the observed immunosuppression.

Conclusions:

  • Morphine withdrawal leads to a significant deficit in macrophage function.
  • Impaired macrophage function is a key contributor to the immunosuppression observed during morphine withdrawal.
  • Cytokine deficits, particularly involving IL-1beta and IFN-gamma, play a role in the suppressed immune response.

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