Opioid tolerance in periaqueductal gray neurons isolated from mice chronically treated with morphine

Elena E Bagley1, Billy C H Chieng, MacDonald J Christie

  • 1Pain Management Research Institute, E25, Kolling Institute, University of Sydney at Royal North Shore Hospital, St Leonards, Australia.

Insights

Chronic morphine treatment reduces the effectiveness of mu-opioid receptors (MOP) in the periaqueductal gray (PAG). This cellular adaptation in PAG neurons contributes to morphine tolerance.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Cellular Biology

Background:

  • The periaqueductal gray (PAG) is crucial for opioid analgesia.
  • Chronic morphine treatment (CMT) induces cellular adaptations in the PAG.
  • Understanding these adaptations is key to addressing opioid tolerance.

Purpose of the Study:

  • To investigate mu-opioid receptor (MOP) regulation of ion channels in PAG neurons from mice undergoing CMT.
  • To determine how CMT affects voltage-gated calcium channel (I(Ca)) and G-protein-activated potassium channel (GIRK) currents in the PAG.
  • To correlate cellular changes with observed antinociceptive tolerance.

Main Methods:

  • Mice received chronic morphine treatment (CMT) or vehicle.
  • Electrophysiological recordings (voltage clamp) were used to measure I(Ca) in isolated PAG neurons.
  • GIRK currents were measured in PAG slices using voltage clamp.
  • Responses to MOP agonists (DAMGO, Met-enkephalin) and a GABA(B) agonist (baclofen) were assessed.

Main Results:

  • CMT induced tolerance to morphine's antinociceptive effects.
  • MOP agonist inhibition of I(Ca) showed reduced maximal effectiveness in CMT neurons.
  • Met-enkephalin-activated GIRK currents were smaller in CMT neurons.
  • GABA(B) agonist-induced currents were unaffected by CMT.

Conclusions:

  • CMT leads to a homologous reduction in MOP effectiveness to inhibit I(Ca) and activate GIRK in the PAG.
  • These findings indicate a decrease in MOP number and/or G-protein coupling in PAG neurons following CMT.
  • This cellular adaptation contributes to the development of antinociceptive tolerance to morphine.