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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
Inhibition of neuronal nitric oxide synthase attenuates the development of morphine tolerance in rats
María Teresa Santamarta1, Isabel Ulibarri, Joseba Pineda
1Department of Pharmacology, Faculty of Medicine, University of the Basque Country, E-48940 Leioa, Bizkaia, Spain.
Abstract:
Our previous results have shown the involvement of nitric oxide in acute opioid desensitization of mu-opioid receptors in vitro. In the present study, we investigated the effect of repeated administration of 7-nitroindazole (7-NI; 30 mg/kg/12 h, i.p., 3 days), an inhibitor of neuronal nitric oxide synthase in vivo, on mu-opioid receptor tolerance induced by subchronic treatment with morphine in rats. The inhibitory effect of the opioid agonist Met5-enkephalin (ME) on the cell firing rate was evaluated by single-unit extracellular recordings of noradrenergic neurons in the locus coeruleus from brain slices, and the antinociceptive effect of morphine was measured by tail-flick techniques. In morphine-treated animals, concentration-effect curves for ME in the locus coeruleus were shifted by 5-fold to the right as compared to those in sham-treated animals, which confirmed the induction of mu-opioid receptor tolerance. However, tolerance to ME in morphine-treated rats was fully prevented by co-administration of 7-NI when compared to the vehicle-morphine group. Likewise, the antinociceptive effect of morphine was reduced in morphine-treated animals as compared to the sham group, whereas the antinociceptive tolerance was partially prevented by co-administration of 7-NI in morphine-treated rats (when compared to the vehicle-morphine group). Finally, 7-NI administration in sham-treated rats failed to change the effect induced by ME on the locus coeruleus or by morphine in the tail-flick test as compared to vehicle groups. These results demonstrate that subchronic administration of a neuronal inhibitor of nitric oxide synthase attenuates the development of morphine tolerance to the cellular and analgesic effects of mu-opioid receptor agonists.
Insights
Nitric oxide synthase inhibition prevents morphine tolerance in rats. This study shows that blocking neuronal nitric oxide synthase with 7-nitroindazole attenuates opioid receptor desensitization and analgesic tolerance.
Area of Science:
- Neuroscience
- Pharmacology
- Pain Research
Background:
- Nitric oxide (NO) is implicated in acute opioid receptor desensitization.
- Morphine tolerance, a decrease in drug efficacy with repeated use, is a significant clinical challenge.
Purpose of the Study:
- To investigate the in vivo effect of neuronal nitric oxide synthase (NOS) inhibition on morphine-induced mu-opioid receptor tolerance.
- To determine if blocking NO production can prevent the development of cellular and analgesic tolerance to opioids.
Main Methods:
- Rats were treated with morphine to induce tolerance.
- Neuronal NOS was inhibited using 7-nitroindazole (7-NI).
- Mu-opioid receptor function was assessed via Met5-enkephalin's effect on locus coeruleus neuron firing rates and morphine's antinociceptive effects using tail-flick tests.
Main Results:
- Morphine treatment induced a 5-fold rightward shift in Met5-enkephalin concentration-effect curves, indicating tolerance.
- Co-administration of 7-NI fully prevented tolerance to Met5-enkephalin in the locus coeruleus.
- 7-NI partially prevented the reduction in morphine's antinociceptive effect, indicating partial prevention of analgesic tolerance.
Conclusions:
- Subchronic inhibition of neuronal nitric oxide synthase attenuates the development of morphine tolerance.
- Targeting neuronal nitric oxide synthase may offer a strategy to manage opioid tolerance.
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