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Updated: May 23, 2026

Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
Involvement of matrix metalloproteinase-9 in the development of morphine tolerance
Kazuo Nakamoto1, Shintaro Kawasaki, Takuro Kobori
1Department of Clinical Pharmacy, Kobe Gakuin University, School of Pharmaceutical Sciences, 1-1-3 Minatojima, Chuo-ku, Kobe, Hyogo 650-8586, Japan.
Abstract:
Matrix metalloproteinase-9 (MMP-9) is involved in tissue remodeling or neural plasticity in various clinical states (e.g. inflammation, neuropathic pain). We focused on the effect of MMP-9 on development of morphine tolerance after repeated morphine treatment. To develop morphine tolerance, mice were given morphine (10mg/kg; s.c.) once daily for 5 days. The antinociceptive effect of morphine was measured by the tail flick method. Development of morphine tolerance was significantly inhibited by daily treatment of the non-specific MMP inhibitor GM6001 (5 μg/mouse, i.c.v.). A MMP-9 inhibitor (5 μg/mouse, i.c.v.) partially, yet significantly, inhibited the development of morphine tolerance. Intrathecal treatment of a MMP-9 inhibitor did not affect morphine tolerance. In MMP-9((-/-)) mice, the development of morphine tolerance was partially, yet significantly, inhibited compared with wild-type mice. MMP-9 protein expression levels in the midbrain gradually increased 12h to 24h after morphine treatment on day 1, but were unchanged on days 3-5. In the spinal cord, MMP-9 protein expression levels were unchanged. In gelatin zymography analyses, MMP-9 activity in the midbrain gradually increased 12 to 24h after morphine treatment. Increment in MMP-9 activity in the midbrain was also observed on days 3-5. Our findings suggest that persistent MMP-9 activation observed after the transient increment in MMP-9 expression from the early phase of morphine treatment may contribute to the development of morphine tolerance.
Insights
Matrix metalloproteinase-9 (MMP-9) activation in the midbrain, not the spinal cord, contributes to morphine tolerance. Inhibiting MMP-9 partially blocks tolerance development after repeated morphine use.
Area of Science:
- Neuroscience
- Pharmacology
- Biochemistry
Background:
- Matrix metalloproteinase-9 (MMP-9) plays a role in tissue remodeling and neural plasticity.
- MMP-9 is implicated in various clinical conditions, including inflammation and neuropathic pain.
Purpose of the Study:
- To investigate the role of MMP-9 in the development of morphine tolerance.
- To determine the specific location (midbrain vs. spinal cord) of MMP-9 involvement in morphine tolerance.
Main Methods:
- Morphine tolerance was induced in mice via daily subcutaneous injections for 5 days.
- Antinociceptive effects were assessed using the tail flick method.
- Mice were treated with non-specific MMP inhibitor (GM6001) or a specific MMP-9 inhibitor.
- MMP-9 knockout mice were used for comparison.
- MMP-9 protein expression and activity were analyzed in the midbrain and spinal cord using Western blot and gelatin zymography.
Main Results:
- Daily treatment with GM6001 significantly inhibited morphine tolerance development.
- A specific MMP-9 inhibitor partially inhibited tolerance when administered systemically (intracerebroventricularly), but not intrathecally.
- Mice lacking MMP-9 exhibited partially inhibited morphine tolerance compared to wild-type.
- MMP-9 protein levels transiently increased in the midbrain early in morphine treatment, while MMP-9 activity showed a persistent increase in the midbrain.
- MMP-9 levels and activity remained unchanged in the spinal cord.
Conclusions:
- Persistent MMP-9 activation in the midbrain, following an initial transient increase in expression, appears to contribute to the development of morphine tolerance.
- The spinal cord is not the primary site for MMP-9's role in morphine tolerance.
- Targeting MMP-9 may offer a strategy to manage morphine tolerance.
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