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Updated: May 13, 2026

Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
Microglia activation precedes the anti-opioid BDNF and NMDA receptor mechanisms underlying morphine analgesic
Yosuke Matsushita, Idowu O Omotuyi, Takehiro Mukae
1Division of Molecular Pharmacology and Neuroscience, Nagasaki University Graduate School of Biomedical Sciences, 1-14 Bunkyo-machi, Nagasaki 852-8521, Japan. ueda@nagasaki-u.ac.jp.
Abstract:
Herein, we investigated the role of periaqueductal gray (PAG)-resident microglia in the development of morphine tolerance and its underlying mechanisms. We showed that clodronate and minocycline known as microglia inhibitors reversed morphine tolerance, providing proof that microglia activation has key role in the development of morphine tolerance. The microglia-mediated anti-opioid mechanism occurs via sequential BDNF release and NMDA expression. Experimental evidence is provided here as conditional bdnf knockout mice (bdnf⁻/⁻) failed to develop tolerance following Cre-recombinase adenovirus treatment. Increased BDNF expression followed microglia activation in acute minocycline treatment reversible manner. Following BDNF release, NR2A subunit of NMDA receptor was upregulated in anti-BDNF reversible manner showing the contribution of BDNF signaling in the control of NMDA receptor expression following chronic morphine treatment. Our data provide compelling evidence that microglia activation and BDNF release are key regulators in opioid tolerance mechanism via glutaminergic synapse plasticity.
Insights
Microglia activation in the periaqueductal gray (PAG) drives morphine tolerance through brain-derived neurotrophic factor (BDNF) release and NMDA receptor expression. Inhibiting microglia reverses this opioid tolerance.
Area of Science:
- Neuroscience
- Pharmacology
- Cell Biology
Background:
- Morphine tolerance, a significant clinical challenge, limits long-term opioid therapy effectiveness.
- The role of microglia, the brain's resident immune cells, in opioid tolerance remains incompletely understood.
- The periaqueductal gray (PAG) is a critical brain region involved in pain modulation and opioid action.
Purpose of the Study:
- To investigate the involvement of periaqueductal gray (PAG)-resident microglia in the development of morphine tolerance.
- To elucidate the underlying molecular mechanisms, including the roles of brain-derived neurotrophic factor (BDNF) and NMDA receptors.
Main Methods:
- Utilized microglia inhibitors (clodronate, minocycline) to assess their impact on morphine tolerance.
- Employed conditional BDNF knockout mice (BDNF⁻/⁻) to examine the necessity of BDNF signaling.
- Investigated the expression levels of BDNF and NMDA receptor subunits (NR2A) following chronic morphine treatment and pharmacological interventions.
Main Results:
- Microglia inhibition reversed established morphine tolerance, confirming microglia activation's crucial role.
- Conditional knockout of BDNF prevented the development of morphine tolerance.
- Microglia activation led to increased BDNF expression, which in turn upregulated NMDA receptor subunit NR2A, demonstrating a sequential mechanism.
Conclusions:
- Microglia activation in the PAG is a key driver of morphine tolerance.
- The microglia-mediated pathway involves sequential release of BDNF and subsequent upregulation of NMDA receptor expression.
- Targeting microglia and the BDNF-glutamatergic pathway presents a potential therapeutic strategy for managing opioid tolerance.
Related Concept Videos
Analgesia and Pain Management
Opioid Receptors: Overview
Opioid Analgesics: Morphine and Other Natural Cogeners
Opioid Analgesics: Synthetic and Semisynthetic Opioids
Drug Abuse and Addiction: Pharmacological Phenomena
Nociception

