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Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
Tolerance to repeated morphine administration is associated with increased potency of opioid agonists
Susan L Ingram1, Tara A Macey, Erin N Fossum
1Department of Psychology, WSU Vancouver, Vancouver, WA 98686, USA. ingram@vancouver.wsu.edu
Abstract:
Tolerance to the pain-relieving effects of opiates limits their clinical use. Although morphine tolerance is associated with desensitization of mu-opioid receptors, the underlying cellular mechanisms are not understood. One problem with the desensitization hypothesis is that acute morphine does not readily desensitize mu-opioid receptors in many cell types. Given that neurons in the periaqueductal gray (PAG) contribute to morphine antinociception and tolerance, an understanding of desensitization in PAG neurons is particularly relevant. Opioid activity in the PAG can be monitored with activation of G-protein-mediated inwardly rectifying potassium (GIRK) currents. The present data show that opioids have a biphasic effect on GIRK currents in morphine tolerant rats. Opioid activation of GIRK currents is initially potentiated in morphine (EC(50)=281 nM) compared to saline (EC(50)=8.8 microM) pretreated rats as indicated by a leftward shift in the concentration-response curve for met-enkephalin (ME)-induced currents. These currents were inhibited by superfusion of the mu-opioid receptor antagonist beta-funaltrexamine (beta-FNA) suggesting that repeated morphine administration enhances agonist stimulation of mu-opioid receptor coupling to G-proteins. Although supersensitivity of mu-opioid receptors in the PAG is counterintuitive to the development of tolerance, peak GIRK currents from tolerant rats desensitized more than currents from saline pretreated rats (56% of peak current after 10 min compared to 15%, respectively). These data indicate that antinociceptive tolerance may be triggered by enhanced agonist potency resulting in increased desensitization of mu-opioid receptors.
Insights
Opioid tolerance involves complex changes in mu-opioid receptors. Repeated morphine administration in rats enhances receptor response but leads to faster desensitization, contributing to tolerance.
Area of Science:
- Neuroscience
- Pharmacology
- Pain Research
Background:
- Opioid tolerance limits the clinical efficacy of pain relievers.
- Cellular mechanisms of morphine tolerance, particularly mu-opioid receptor desensitization, remain unclear.
- Periaqueductal gray (PAG) neurons are crucial for morphine's pain-relieving effects and tolerance development.
Purpose of the Study:
- To investigate the cellular mechanisms of mu-opioid receptor desensitization in the PAG of morphine-tolerant rats.
- To understand the biphasic effects of opioids on G-protein-mediated inwardly rectifying potassium (GIRK) currents in the PAG.
Main Methods:
- Electrophysiological recordings of GIRK currents in PAG neurons from morphine-tolerant and saline-pretreated rats.
- Concentration-response curves for met-enkephalin (ME)-induced currents.
- Assessment of current desensitization kinetics and blockade with mu-opioid receptor antagonist beta-funaltrexamine (beta-FNA).
Main Results:
- Morphine tolerance potentiated ME-induced GIRK currents, indicated by a leftward shift in the concentration-response curve (EC50=281 nM in tolerant vs. 8.8 microM in saline rats).
- Beta-funaltrexamine (beta-FNA) inhibited these currents, confirming mu-opioid receptor involvement.
- Despite enhanced initial potentiation, peak GIRK currents in tolerant rats desensitized significantly more (56%) than in saline-pretreated rats (15%) over 10 minutes.
Conclusions:
- Repeated morphine administration enhances mu-opioid receptor agonist potency and coupling to G-proteins in the PAG.
- This enhanced signaling paradoxically leads to accelerated desensitization of GIRK currents.
- Increased mu-opioid receptor desensitization in the PAG is a key cellular mechanism underlying antinociceptive tolerance.
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