Selective suppression of microglial activation by paeoniflorin attenuates morphine tolerance

C Jiang1,2, L Xu1,2, L Chen1,2

  • 1Jiangsu Key Laboratory of Neurodegeneration, Department of Pharmacology, Nanjing Medical University, China.

Abstract

Insights

Paeoniflorin, a natural compound, suppresses morphine-induced microglial activation, enhancing pain relief and reducing tolerance to morphine analgesia. This offers a potential strategy to improve opioid therapy.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Immunology

Background:

  • Opioid analgesics, like morphine, lose effectiveness with repeated use due to antinociceptive tolerance.
  • Spinal cord microglia activation is a key mechanism driving morphine tolerance.
  • Paeoniflorin, a natural compound, is investigated for its potential to inhibit microglial activation and modulate morphine tolerance.

Purpose of the Study:

  • To investigate the effects of paeoniflorin on morphine-induced microglial activation.
  • To elucidate the underlying mechanisms of paeoniflorin's action in modulating morphine tolerance.
  • To evaluate paeoniflorin's potential to enhance morphine analgesia and attenuate tolerance.

Main Methods:

  • Utilized BV-2 microglia cell line for in vitro studies.
  • Assessed cytokine expression via quantitative polymerase chain reaction (qPCR).
  • Analyzed cell signaling pathways (p38 MAPK, NF-κB) using Western blot and immunohistochemistry.
  • Evaluated antinociceptive effects in Sprague-Dawley rats and CD-1 mice using Hargreaves' method and hot-plate test.

Main Results:

  • Morphine induced microglial activation (p38 MAPK phosphorylation, NF-κB translocation, pro-inflammatory cytokine release), which paeoniflorin inhibited.
  • Paeoniflorin co-administration potentiated morphine's analgesic effects by inhibiting spinal p38 MAPK/NF-κB signaling.
  • Paeoniflorin suppressed morphine-induced toll-like receptor-4 expression in both BV-2 cells and the spinal cord.

Conclusions:

  • Paeoniflorin directly inhibits morphine-induced microglial activation.
  • Paeoniflorin potentiates acute morphine analgesia and attenuates chronic antinociceptive tolerance.
  • Paeoniflorin represents a promising therapeutic agent for improving opioid efficacy and managing tolerance.

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