Morphine and Fentanyl Citrate Induce Retrotransposition of Long Interspersed Element-1

The retroelement long interspersed element-1 (LINE-1 or L1) comprises about 17% of the human genome. A single human cell has 80 to 100 copies of retrotransposition-competent L1, approximately 10% of which are 'hot' and actively 'jump' around the genome. Recent observations demonstrated that low-molecular weight compounds may induce L1 retrotransposition through unknown mechanisms. Herein, we demonstrated that the painkillers morphine and fentanyl citrate trigger L1 retrotransposition in neuronal cells without inducing DNA damage or up-regulating L1 mRNA expression. This effect was blocked by an antagonist of Toll-like receptor 4 (TLR4). Taken together, the data suggest that L1 retrotransposition due to morphine and fentanyl citrate is distinct from that triggered by DNA damage, requires TLR4, and is a novel type of genomic instability. Thus, we propose that L1 retrotransposition should be characterized as a component of the pharmacological activity of these analgesic agents.