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Updated: Aug 18, 2026

Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
Spinal glucocorticoid receptors contribute to the development of morphine tolerance in rats
Grewo Lim1, Shuxing Wang, Qing Zeng
1Pain Research Group, MGH Pain Center, Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, 15 Parkman Street, Boston, MA 02114, USA.
Background:
Opioid analgesic tolerance is a pharmacologic phenomenon involving the mechanisms of cellular adaptation. Central glucocorticoid receptors (GRs) have been implicated in the cellular mechanism of neuronal plasticity that has many cellular steps in common with the mechanism of opioid tolerance. In a rat model of morphine tolerance, the authors examined the hypothesis that spinal GRs would play a significant role in the development of tolerance to the antinociceptive effect of morphine.
Methods:
In experiment 1, each group of rats received the GR antagonist RU38486 (0.5 or 1 microg), the mineralocorticoid receptor antagonist spironolactone (3 microg), or a vehicle, given intrathecally with morphine (10 microg) twice daily for 6 days. In experiment 2, four groups of rats were used, and each group received intrathecally 10 microg morphine plus 5 micromol GR antisense oligodeoxynucleotide, sense oligodeoxynucleotide, mixed-base oligodeoxynucleotide, or vehicle. Western blotting was used to examine the expression of GRs within the spinal cord dorsal horn. In experiment 3, the GR agonist dexamethasone (4 microg) was given intrathecally twice daily in combination with 10 microg morphine. For all experiments, the development of morphine antinociceptive tolerance was assessed using the tail-flick test.
Results:
The development of tolerance to the antinociceptive effect of morphine was substantially attenuated when the GR antagonist RU38486 (1 > 0.5 microg > vehicle) but not spironolactone was coadministered with morphine for 6 days. A single treatment with RU38486 did not affect morphine antinociception, nor did it reverse morphine tolerance on day 7. A similar reduction of morphine tolerance was observed in those rats treated with a GR antisense oligodeoxynucleotide but not a sense or mixed-base oligodeoxynucleotide. The administration of the GR antisense oligodeoxynucleotide also prevented GR up-regulation within the spinal cord dorsal horn. Moreover, the GR agonist dexamethasone facilitated the development of morphine tolerance.
Conclusions:
The results indicate an important role of spinal GRs in the cellular mechanisms of morphine tolerance in rats and may have significant implications in clinical opioid therapy.
Insights
Spinal glucocorticoid receptors (GRs) significantly influence morphine tolerance. Blocking GRs with antagonists or antisense oligodeoxynucleotides attenuated tolerance, while agonists accelerated it, suggesting GRs are key in opioid therapy.
Area of Science:
- Neuroscience
- Pharmacology
- Cellular Biology
Background:
- Opioid analgesic tolerance is a complex cellular adaptation process.
- Central glucocorticoid receptors (GRs) are implicated in neuronal plasticity, sharing mechanisms with opioid tolerance.
- This study investigated the role of spinal GRs in morphine tolerance development.
Purpose of the Study:
- To test the hypothesis that spinal GRs are crucial for developing tolerance to morphine's antinociceptive effects.
- To explore the involvement of GRs in the cellular mechanisms underlying opioid tolerance.
Main Methods:
- Rats received intrathecal morphine combined with GR antagonists (RU38486, spironolactone), GR antisense oligodeoxynucleotides, or GR agonists (dexamethasone).
- Western blotting assessed GR expression in the spinal cord dorsal horn.
- Morphine antinociceptive tolerance was evaluated using the tail-flick test.
Main Results:
- Coadministration of GR antagonist RU38486 with morphine significantly attenuated tolerance development.
- GR antisense oligodeoxynucleotides reduced morphine tolerance and prevented GR up-regulation.
- GR agonist dexamethasone accelerated the development of morphine tolerance.
Conclusions:
- Spinal GRs play a critical role in the cellular mechanisms of morphine tolerance in rats.
- These findings suggest potential therapeutic strategies targeting GRs to manage clinical opioid therapy and mitigate tolerance.
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