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Published on: July 29, 2014
Role of the mu-opioid receptor in opioid modulation of immune function
1Department of Surgery, University of Minnesota, 420 Delaware St SE, MMC195, Minneapolis, MN 55455, USA. nink0003@umn.edu
Abstract:
Endogenous opioids are synthesized in vivo to modulate pain mechanisms and inflammatory pathways. Endogenous and exogenous opioids mediate analgesia in response to painful stimuli by binding to opioid receptors on neuronal cells. However, wide distribution of opioid receptors on tissues and organ systems outside the CNS, such as the cells of the immune system, indicate that opioids are capable of exerting additional effects in the periphery, such as immunomodulation. The increased prevalence of infections in opioid abuser-based epidemiological studies further highlights the immunosuppressive effects of opioids. In spite of their many debilitating side effects, prescription opioids remain a gold standard for treatment of chronic pain. Therefore, given the prevalence of opioid use and abuse, opioid-mediated immune suppression presents a serious concern in our society today. It is imperative to understand the mechanisms by which exogenous opioids modulate immune processes. In this review, we will discuss the role of opioid receptors and their ligands in mediating immune-suppressive functions. We will summarize recent studies on direct and indirect opioid modulation of the cells of the immune system, as well as the role of opioids in exacerbation of certain disease states.
Insights
Opioids, used for pain relief, suppress the immune system by acting on opioid receptors throughout the body. Understanding these mechanisms is crucial due to widespread opioid use and abuse.
Area of Science:
- Immunology
- Neuroscience
- Pharmacology
Background:
- Endogenous opioids modulate pain and inflammation.
- Opioid receptors are present on immune cells, suggesting peripheral effects.
- Opioid abuse is linked to increased infection rates, indicating immunosuppression.
Purpose of the Study:
- To review the mechanisms of opioid-mediated immune suppression.
- To explore the role of opioid receptors and ligands in immune function.
- To summarize opioid effects on immune cells and disease exacerbation.
Main Methods:
- Literature review of studies on opioid receptors and immune modulation.
- Analysis of research on direct and indirect opioid effects on immune cells.
- Examination of opioid roles in disease states.
Main Results:
- Opioids bind to receptors on immune cells, leading to immunomodulation.
- Exogenous opioids can suppress immune functions, increasing infection susceptibility.
- Opioid use is associated with the worsening of certain diseases.
Conclusions:
- Opioid-mediated immune suppression is a significant concern.
- Further research into these mechanisms is essential.
- Understanding opioid effects on immunity can inform clinical practice and public health strategies.
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