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Updated: Apr 20, 2026

Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
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.
Background:
The development of antinociceptive tolerance following repetitive administration of opioid analgesics significantly hinders their clinical use. Evidence has accumulated indicating that microglia within the spinal cord play a critical role in morphine tolerance. The present study investigated the effects and possible mechanisms of a natural compound, paeoniflorin, in morphine tolerance via its specific inhibition of microglial activation.
Methods:
The microglia cell line BV-2 was used. Cytokine expression was measured using quantitative polymerase chain reaction. Cell signalling was assayed by Western blot and immunohistochemistry. Nociception was assessed in Sprague-Dawley rats and CD-1 mice using Hargreaves' methods or the hot-plate test, respectively.
Results:
(1) Morphine induces robust BV-2 cell activation, as evidenced by increased p38 mitogen-activated protein kinase (MAPK) phosphorylation, nuclear factor (NF)-κB translocation and proinflammatory cytokine expression. These changes are inhibited by paeoniflorin. (2) Co-administration of paeoniflorin with morphine potentiates morphine antinociception by inhibiting p38 MAPK/NF-κB signalling in the spinal cord. (3) Co-administration of paeoniflorin suppresses morphine-increased expression of toll-like receptor-4 both in BV-2 cells and within the spinal cord following chronic morphine treatment.
Conclusion:
Paeoniflorin directly suppresses morphine-induced microglial activation and thus results in potentiation of morphine acute analgesia and attenuation of morphine chronic antinociceptive tolerance.
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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