Cross-talk between Human Spinal Cord μ-opioid Receptor 1Y Isoform and Gastrin-releasing Peptide Receptor Mediates

Xian-Yu Liu1, Yehuda Ginosar, Joseph Yazdi

  • 1From the Center for the Study of Itch, Departments of Anesthesiology, Psychiatry and Developmental Biology (X.-Y.L., Z.-F.C.) the Division of Obstetric Anesthesiology, Department of Anesthesiology, Barnes Jewish Hospital (Y.G., A.H.), Washington University School of Medicine, St. Louis, Missouri the Mother and Child Anesthesia Unit, Department of Anesthesiology, Hadassah Hebrew University Medical Center, Jerusalem, Israel (Y.G.) SpineMore Surgical Associates, St. Louis, Missouri (J.Y.).

Anesthesiology
|July 18, 2019
PubMed
Abstract

Insights

Spinal opioids cause itching via interactions between the mu-opioid receptor 1Y isomer and gastrin-releasing peptide receptor. Targeting this pathway may reduce opioid-induced itch without affecting pain relief.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Molecular Biology

Background:

  • Spinal opioids are effective analgesics but commonly cause pruritus (itching).
  • Previous research identified interactions between mu-opioid receptor 1D and gastrin-releasing peptide receptor mediating morphine-induced scratching in mice.
  • The C-terminal of 1D was found to inhibit scratching without altering analgesia.

Purpose of the Study:

  • To investigate if human spinal cord contains itch-specific mu-opioid receptor isoforms.
  • To determine if these isoforms interact with the gastrin-releasing peptide receptor (GRPR).
  • To explore the potential of targeting these interactions for therapeutic benefit.

Main Methods:

  • Reverse transcription polymerase chain reaction (RT-PCR) on human spinal cord cDNA.
  • Calcium imaging microscopy in HEK293 cells coexpressing GRPR and human mu-opioid receptor isoforms in response to morphine.
  • Assessment of morphine-induced scratching behavior and thermal analgesia in mice following intrathecal injection of morphine and a peptide targeting the 1Y isoform.

Main Results:

  • The mu-opioid receptor 1Y isomer was detected in the human spinal cord dorsal horn.
  • Morphine induced a calcium response in cells coexpressing GRPR and 1Y, which was blocked by naltrexone, a GRPR antagonist, or the 1Y-peptide.
  • In mice, the 1Y-peptide significantly reduced morphine-induced scratching without affecting analgesia.

Conclusions:

  • The human mu-opioid receptor 1Y isomer, a variant of Oprm1, is expressed in the spinal cord.
  • Cross-talk between 1Y and GRPR mediates opioid-induced pruritus.
  • Disrupting this 1Y-GRPR interaction could decouple analgesic effects from side effects like itching.

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