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.

Pharmacological Research
|February 10, 2017
PubMed

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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