Coordinated activity of a central pathway drives associative opioid analgesic tolerance

Yiwen Hou1, Guichang Zou1,2, Xianglian Wang1

  • 1Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, Hefei National Research Center for Physical Sciences at the Microscale, University of Science and Technology of China, Hefei 230026, China.

Science Advances
|February 8, 2023
PubMed

Insights

Associative learning drives opioid tolerance via a specific brain circuit. This pathway involves the ventral hippocampus and prefrontal cortex, offering new targets for treating opioid misuse and overdose.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Addiction Research

Background:

  • Opioid analgesic tolerance is a major driver of opioid overdose and misuse.
  • The precise neural circuits underlying associative opioid analgesic tolerance (AOAT) remain largely unknown.

Purpose of the Study:

  • To identify the specific brain regions and pathways involved in AOAT.
  • To elucidate the cellular and circuit mechanisms by which AOAT is established and maintained.

Main Methods:

  • Chemo/optogenetic manipulation
  • Calcium imaging
  • Slice physiology

Main Results:

  • Identified a hierarchically organized pathway essential for AOAT.
  • Demonstrated glutamatergic signaling from the ventral hippocampus (vHPC) to dorsomedial prefrontal cortex (dmPFC) cholecystokininergic (CCKergic) neurons.
  • Showed that CCKergic neurons excite basolateral amygdala (BLA) glutamatergic neurons, inhibiting BLA μ-opioid receptor function and causing tolerance.

Conclusions:

  • Established a distinct neural circuit for opioid analgesic tolerance.
  • Highlighted the role of vHPC-dmPFC-BLA pathway in AOAT.
  • Proposed that components of this pathway are potential therapeutic targets for opioid overdose and abuse.

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