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Updated: Dec 29, 2025

Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
Blood-borne and brain-derived microparticles in morphine-induced anti-nociceptive tolerance
Deepa Ruhela1, Veena M Bhopale1, Ming Yang1
1Department of Emergency Medicine, United States.
Abstract:
We hypothesized that elevations of microparticles (MPs) would occur with morphine administration to mice. Repetitive dosing to induce anti-nociceptive tolerance increases blood-borne MPs by 8-fold, and by 10-fold in deep cervical lymph nodes draining brain glymphatics. MPs express proteins specific to cells including neutrophils, microglia, astrocytes, neurons and oligodendrocytes. Interleukin (IL)-1β content of MPs increases 68-fold. IL-1β antagonist administration diminishes blood-borne and cervical lymph node MPs, and abrogates tolerance induction. Intravenous polyethylene glycol Telomer B, a surfactant that lyses MPs, and intraperitoneal methylnaltrexone also inhibit MPs elevations and tolerance. Critically, neutropenic mice do not develop anti-nociceptive tolerance, elevations of blood-borne or cervical node MPs. Immunohistochemical evidence for microglial activation by morphine does not correlated with the MPs response pattern. Neutrophil-derived MPs appear to be required for morphine-induced anti-nociceptive tolerance. Further, patients entering treatment for opioid use disorder exhibit similar MPs elevations as do tolerant mice.
Insights
Morphine tolerance increases blood microparticles (MPs), particularly those from neutrophils, which are crucial for this effect. Similar MP elevations are seen in patients with opioid use disorder.
Area of Science:
- Neuroscience
- Immunology
- Pharmacology
Background:
- Opioid analgesics like morphine can lead to the development of anti-nociceptive tolerance, a reduced response to pain relief with repeated use.
- The underlying mechanisms of morphine tolerance are not fully understood, but involve complex cellular and molecular changes.
Purpose of the Study:
- To investigate the role of microparticles (MPs) in the development of morphine-induced anti-nociceptive tolerance.
- To identify the cellular origins and key molecular components of MPs involved in tolerance.
Main Methods:
- Morphine was administered repetitively to mice to induce anti-nociceptive tolerance.
- Blood and lymph samples were analyzed for microparticle levels and cellular markers.
- Interventions included IL-1β antagonist, MP-lysing agents, methylnaltrexone, and neutropenia induction.
Main Results:
- Repetitive morphine administration significantly increased blood-borne MPs (8-fold) and MPs in cervical lymph nodes (10-fold).
- MPs expressed proteins from neutrophils, microglia, astrocytes, neurons, and oligodendrocytes, with a 68-fold increase in Interleukin (IL)-1β content.
- Inhibiting IL-1β, lysing MPs, or inducing neutropenia abrogated MP elevations and prevented tolerance development.
Conclusions:
- Neutrophil-derived MPs, particularly those containing IL-1β, are essential for morphine-induced anti-nociceptive tolerance.
- These findings suggest a novel mechanism involving MPs in opioid tolerance.
- Similar MP elevations observed in patients with opioid use disorder warrant further investigation.
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