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Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
Spinal or supraspinal phosphorylation deficiency at the MOR C-terminus does not affect morphine tolerance in vivo
Cherkaouia Kibaly1, Hong-Yiou Lin2, Horace H Loh1
1Department of Pharmacology and Basic Research Center on Molecular and Cell Biology of Drug Addiction, University of Minnesota, Minneapolis, MN 55455, USA.
Abstract:
The development of tolerance to morphine, one of the most potent analgesics, in the management of chronic pain is a significant clinical problem and its mechanisms are poorly understood. Morphine exerts its pharmacological effects via the μ-opioid receptor (MOR). Tolerance is highly connected to G-protein-coupled receptors (GPCR) phosphorylation and desensitization increase. Because morphine desensitization previously has been shown to be MOR phosphorylation- and ß-arrestin2-independent (in contrast to agonists such as fentanyl), we examined the contribution of phosphorylation of the entire C-terminus to the development of antinociceptive tolerance to the partial (morphine) and full (fentanyl) MOR agonists in vivo. In MOR knockout (MORKO) mice, we delivered via lentivirus the genes encoding the wild-type MOR (WTMOR) or a phosphorylation-deficient MOR (Cterm(-S/T)MOR) in which all of the serine and threonine residues were mutated to alanine into the ventrolateral periaqueductal grey matter (vlPAG) or lumbar spinal cord (SC), structures that are involved in nociception. We compared the analgesic ED50 in WTMOR- and Cterm(-S/T)MOR-expressing MORKO mice before and after morphine or fentanyl tolerance was induced. Morphine acute antinociception was partially restored in WTMOR- or Cterm(-S/T)MOR-transferred MORKO mice. Fentanyl acute antinociception was observed only in MORKO mice with the transgenes expressed in the SC. Morphine antinociceptive tolerance was not affected by expressing Cterm(-S/T)MOR in the vlPAG or SC of MORKO mice. Fentanyl-induced tolerance in MORKO mice expressing WTMOR or Cterm(-S/T)MOR, is greater than morphine-induced tolerance. Thus, MOR C-terminus phosphorylation does not appear to be critical for morphine tolerance in vivo.
Insights
Morphine tolerance mechanisms remain unclear. This study found that μ-opioid receptor (MOR) C-terminus phosphorylation is not critical for morphine tolerance, unlike fentanyl tolerance, suggesting different pathways for these analgesics.
Area of Science:
- Neuroscience
- Pharmacology
- Molecular Biology
Background:
- Development of tolerance to morphine, a potent analgesic, presents a significant clinical challenge in chronic pain management.
- Mechanisms underlying opioid tolerance, particularly concerning the μ-opioid receptor (MOR), are not fully understood.
- G-protein-coupled receptor (GPCR) phosphorylation and subsequent desensitization are implicated in tolerance, but specific roles for different agonists vary.
Purpose of the Study:
- To investigate the contribution of μ-opioid receptor (MOR) C-terminus phosphorylation to the development of antinociceptive tolerance.
- To compare the roles of MOR C-terminus phosphorylation in tolerance to morphine (partial agonist) versus fentanyl (full agonist) in vivo.
- To elucidate the differential mechanisms of tolerance for various MOR agonists.
Main Methods:
- Utilized MOR knockout (MORKO) mice and lentiviral gene delivery to express wild-type MOR (WTMOR) or phosphorylation-deficient MOR (Cterm(-S/T)MOR) in key pain pathways (vlPAG and SC).
- Assessed and compared analgesic efficacy (ED50) and tolerance development after morphine or fentanyl administration in modified MORKO mice.
- Examined the impact of MOR C-terminus phosphorylation status on antinociceptive tolerance in vivo.
Main Results:
- Morphine-induced antinociception was partially restored in MORKO mice expressing either WTMOR or Cterm(-S/T)MOR.
- Fentanyl-induced antinociception was observed only when transgenes were expressed in the spinal cord (SC).
- Crucially, morphine antinociceptive tolerance was unaffected by the expression of the phosphorylation-deficient Cterm(-S/T)MOR in either the vlPAG or SC.
- Fentanyl induced greater tolerance than morphine in MORKO mice expressing WTMOR or Cterm(-S/T)MOR.
Conclusions:
- μ-opioid receptor (MOR) C-terminus phosphorylation does not appear to be a critical factor in the development of morphine-induced antinociceptive tolerance in vivo.
- Differential mechanisms may underlie tolerance to morphine and fentanyl, highlighting the complexity of opioid analgesia and tolerance.
- Findings suggest that targeting MOR C-terminus phosphorylation may not be effective for mitigating morphine tolerance.
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