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Updated: Aug 24, 2026

Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
[Opioid tolerance: what if it was just a question of receptor internalization?]
Nicolas Marie1, Philippe Jauzac, Stéphane Allouche
1Laboratoire de Pharmacologie Moléculaire de la Tolérance aux Opiacés, Centre Hospitalier et Universitaire de Caen, Université de Caen, France.
Abstract:
Despite side effects which appear upon chronic administration of opioid agonists, these drugs remain widely used and effective for pain relief. Among these side effects, tolerance is the major factor limiting the effectiveness of these drugs. Desensitization, defined by a decrease of opioid receptor transduction, would be a crucial step in the development of tolerance. Molecular mechanisms of opioid receptor desensitization have been extensively studied on cellular models and have been found to involve various proteins and different steps such as receptor phosphorylation, internalization, and recycling or degradation into intracellular compartments. In the present review, we discuss the role of opioid receptor internalization and sorting in desensitization and tolerance processes.
Insights
Opioid agonists effectively relieve pain but cause tolerance, a major limitation. Receptor internalization and sorting are key steps in opioid receptor desensitization, contributing to this tolerance development.
Area of Science:
- Pharmacology
- Molecular Biology
- Neuroscience
Context:
- Opioid agonists are vital for pain management but chronic use leads to tolerance.
- Opioid receptor desensitization is a critical mechanism underlying tolerance.
- Understanding these molecular processes is essential for improving pain therapies.
Purpose:
- To review the molecular mechanisms of opioid receptor desensitization.
- To highlight the role of receptor internalization and sorting in tolerance.
- To provide insights into the cellular events following opioid receptor activation.
Summary:
- Opioid receptor desensitization, involving phosphorylation, internalization, and degradation, is central to tolerance.
- Receptor internalization and subsequent sorting pathways are crucial for modulating opioid signaling.
- Cellular models reveal complex protein interactions and trafficking events in desensitization.
Impact:
- Informs the development of strategies to mitigate opioid tolerance.
- Enhances understanding of drug side effects and therapeutic limitations.
- Contributes to the design of more effective and safer analgesics.
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