Impact of the Timing of Morphine Administration on Lipopolysaccharide-Mediated Lethal Endotoxic Shock in Mice

Tomoko Fukada1, Hidehito Kato, Makoto Ozaki

  • 1*Department of Anesthesiology, Tokyo Women's Medical University, School of Medicine †Department of Microbiology and Immunology, Tokyo Women's Medical University, School of Medicine, Tokyo, Japan.

Shock (Augusta, Ga.)
|December 20, 2015
PubMed

Insights

Morphine

Area of Science:

  • Immunology
  • Pharmacology
  • Pathophysiology

Background:

  • Sepsis involves systemic inflammation and organ dysfunction, often linked to cytokine dysregulation.
  • Morphine's impact on infection severity is known to be related to its effects on cytokine production.
  • Understanding morphine's immunological role is crucial for managing sepsis-related complications.

Purpose of the Study:

  • To investigate the immunological function of morphine in a mouse model of septic shock.
  • To evaluate how the timing of morphine administration affects survival, cytokine levels, and lung histology in lipopolysaccharide (LPS)-induced endotoxic shock.

Main Methods:

  • A mouse model of lethal endotoxic shock was induced using alpha-galactosylceramide and LPS.
  • Morphine was administered either before or after LPS challenge.
  • Survival rates, plasma cytokine levels (TNF-α, IFN-γ, MCP-1, IL-12), and lung tissue histology were assessed.

Main Results:

  • Pre-treatment with morphine before LPS challenge suppressed lethal endotoxic shock and improved survival rates.
  • Post-treatment with morphine after LPS challenge exacerbated shock, leading to increased lung inflammation, alveolar destruction, and higher levels of pro-inflammatory cytokines.
  • Histological analysis showed increased leukocyte infiltration in the lungs of mice treated with morphine post-LPS.

Conclusions:

  • The timing of morphine administration is a critical factor determining its effect on sepsis severity.
  • Administering morphine before sepsis onset can be protective, while administration after sepsis onset can be detrimental.
  • These findings highlight the complex immunomodulatory effects of morphine in the context of severe infection.

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