Morphine and fentanyl differently affect MOP and NOP gene expression in human neuroblastoma SH-SY5Y cells
Francesca Felicia Caputi1, Francesca Lattanzio, Donatella Carretta
1Department of Pharmacy and Biotechnology, Alma Mater Studiorum, University of Bologna, Via Irnerio, 48, 40126, Bologna, Italy.
Abstract:
Morphine is widely used for the treatment of severe acute and chronic pain, but long-term therapy rapidly leads to tolerance. Morphine effects are mediated by μ opioid receptor (MOP) activation as well as for fentanyl that, in contrast to morphine, induces less tolerance to analgesia. The mechanisms underlying opioid tolerance involve complex processes, such as MOP desensitization, internalization, and/or changes of gene expression. The development of morphine tolerance also involves adaptive changes of the anti-opioid nociceptin/orphanin FQ-nociceptin receptor system, as suggested by the reduction of morphine tolerance in nociceptin opioid receptor (NOP) knockout mice. The aim of the present study was to investigate the MOP and NOP gene expression in the SH-SY5Y cells following morphine and fentanyl exposure. Results showed that cell exposure to 10 μM morphine for 5 h induced a significant decrease of MOP and NOP gene expression and that the MOP downregulation was reverted by the pretreatment with naloxone. Conversely, SH-SY5Y cells exposed to 0.1 and 1 μM fentanyl for 5 and 72 h showed a significant MOP upregulation, also reverted by naloxone pretreatment. Fentanyl induced no changes of NOP gene expression. The present findings showed a different effect by morphine and fentanyl on MOP mRNA levels that contributes to define the role of MOP gene expression changes in the mechanisms underlying the tolerance. Morphine also triggers an altered NOP-related signaling confirming that the nociceptin/orphanin FQ-nociceptin receptor system also plays a significant role in the development of morphine tolerance.
Insights
Morphine decreases μ opioid receptor (MOP) and nociceptin/orphanin FQ-nociceptin receptor (NOP) gene expression, while fentanyl increases MOP expression. These distinct effects on opioid receptor gene expression offer insights into opioid tolerance mechanisms.
Area of Science:
- Neuroscience
- Pharmacology
- Molecular Biology
Background:
- Opioid analgesics like morphine are vital for pain management but cause tolerance with long-term use.
- Opioid tolerance involves complex cellular mechanisms, including changes in μ opioid receptor (MOP) and nociceptin/orphanin FQ-nociceptin receptor (NOP) systems.
- Fentanyl, another potent opioid, exhibits different tolerance profiles compared to morphine.
Purpose of the Study:
- To investigate the differential effects of morphine and fentanyl on MOP and NOP gene expression in human neuroblastoma SH-SY5Y cells.
- To elucidate the role of MOP and NOP gene expression modulation in the development of opioid tolerance.
Main Methods:
- SH-SY5Y cells were exposed to varying concentrations of morphine and fentanyl for different durations.
- Quantitative real-time PCR was used to measure MOP and NOP mRNA levels.
- The effect of naloxone pretreatment on gene expression was assessed.
Main Results:
- Morphine (10 μM, 5h) significantly downregulated both MOP and NOP gene expression; this was reversed by naloxone.
- Fentanyl (0.1 and 1 μM, 5-72h) significantly upregulated MOP gene expression, an effect also reversed by naloxone.
- Fentanyl exposure did not alter NOP gene expression.
Conclusions:
- Morphine and fentanyl exert distinct effects on MOP gene expression, contributing to understanding opioid tolerance.
- Morphine influences NOP signaling, highlighting the nociceptin/orphanin FQ-nociceptin receptor system's role in morphine tolerance development.
Related Concept Videos
Opioid Receptors: Overview
Opioid Analgesics: Synthetic and Semisynthetic Opioids
Opioid Analgesics: Morphine and Other Natural Cogeners
Analgesia and Pain Management
Drugs Affecting Neurotransmitter Synthesis

