Agonist-dependent development of delta opioid receptor tolerance in the colon

Jesse J DiCello1,2, Ayame Saito3,4, Pradeep Rajasekhar3,4

  • 1Drug Discovery Biology Theme, Monash Institute of Pharmaceutical Sciences, Monash University, 381 Royal Parade, Parkville, VIC, 3052, Australia. Jesse.Dicello@Monash.edu.

Insights

Delta opioid receptor (DOR) agonists like SNC80 can prolong colonic motor inhibition, potentially causing constipation. ARM390, another DOR agonist, did not affect motor patterns, suggesting fewer gastrointestinal side-effects.

Area of Science:

  • Gastroenterology
  • Neuropharmacology
  • Pain Management

Background:

  • Opioid analgesics cause constipation via mu opioid receptor (MOR) activation in enteric neurons.
  • Delta opioid receptors (DOR) are therapeutic targets for pain, depression, and anxiety.
  • The effect of DOR agonists on colonic transit is not well understood.

Purpose of the Study:

  • To investigate the effects of DOR agonists SNC80 and ARM390 on colonic motility.
  • To examine acute and chronic tolerance to these agonists in neural pathways controlling colonic transit.

Main Methods:

  • Assessed tolerance to SNC80 (full DOR agonist) and ARM390 (partial DOR agonist).
  • Evaluated effects on excitatory and inhibitory pathways in colonic motility.
  • Measured changes in propagating colonic motor patterns after agonist exposure.

Main Results:

  • Excitatory pathways developed acute and chronic tolerance to SNC80; inhibitory pathways showed chronic tolerance.
  • ARM390 exposure did not impair the function of either pathway.
  • SNC80 significantly reduced colonic motor patterns acutely and chronically, unlike ARM390.

Conclusions:

  • SNC80 demonstrates a prolonged inhibitory effect on colonic motility, potentially leading to constipation.
  • ARM390 did not affect colonic motor patterns, indicating a potential for reduced gastrointestinal side-effects.

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