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Updated: Aug 14, 2026

Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
Trifluoperazine, an orally available clinically used drug, disrupts opioid antinociceptive tolerance
Lei Tang1, Pradeep K Shukla, Zaijie Jim Wang
1Department of Biopharmaceutical Sciences, College of Pharmacy, University of Illinois, 833 South Woods Street, Chicago, IL 60612, USA.
Abstract:
Calcium/calmodulin dependent protein kinase II (CaMKII) has been shown to play an important role in the generation and maintenance of opioid tolerance. In this study, trifluoperazine was studied for its effect on morphine tolerance in mice. Acute treatment with trifluoperazine (0.5 mg/kg, i.p.) completely reversed the established antinociceptive tolerance to morphine. Pretreatment with trifluoperazine also significantly attenuated the development of antinociceptive tolerance (p<0.01). Morphine induced a significant up-regulation of supraspinal and spinal CaMKII activity in tolerant mice, which was abolished after the pretreatment or acute treatment with trifluoperazine. These data suggested that trifluoperazine was capable of suppressing opioid tolerance, possibly by the mechanism of inhibiting CaMKII. Since trifluoperazine has been safely used as an antipsychotic drug, we propose that the drug should be studied in humans for the prevention and treatment of opioid tolerance and addiction.
Insights
Trifluoperazine reversed and prevented morphine tolerance in mice by inhibiting Calcium/calmodulin dependent protein kinase II (CaMKII) activity. This suggests trifluoperazine could treat opioid tolerance and addiction.
Area of Science:
- Neuroscience
- Pharmacology
Background:
- Opioid tolerance reduces pain relief and increases addiction risk.
- Calcium/calmodulin dependent protein kinase II (CaMKII) is implicated in opioid tolerance.
Purpose of the Study:
- To investigate trifluoperazine's effects on morphine tolerance in mice.
- To explore the role of CaMKII inhibition in this process.
Main Methods:
- Mice received trifluoperazine acutely or as pretreatment before morphine administration.
- Antinociceptive tolerance and CaMKII activity were measured.
Main Results:
- Trifluoperazine completely reversed established morphine tolerance.
- Trifluoperazine significantly attenuated the development of tolerance.
- Trifluoperazine abolished morphine-induced CaMKII up-regulation.
Conclusions:
- Trifluoperazine suppresses opioid tolerance, likely by inhibiting CaMKII.
- Trifluoperazine warrants further study for treating opioid tolerance and addiction in humans.
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