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Updated: Aug 11, 2025

Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
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.
Abstract:
Opioid analgesic tolerance, a root cause of opioid overdose and misuse, can develop through an associative learning. Despite intensive research, the locus and central pathway subserving the associative opioid analgesic tolerance (AOAT) remains unclear. Using a combination of chemo/optogenetic manipulation with calcium imaging and slice physiology, here we identify neuronal ensembles in a hierarchically organized pathway essential for AOAT. The association of morphine-induced analgesia with an environmental condition drives glutamatergic signaling from ventral hippocampus (vHPC) to dorsomedial prefrontal cortex (dmPFC) cholecystokininergic (CCKergic) neurons. Excitation of CCKergic neurons, which project and release CCK to basolateral amygdala (BLA) glutamatergic neurons, relays AOAT signal through inhibition of BLA μ-opioid receptor function, thereby leading to further loss of morphine analgesic efficacy. This work provides evidence for a circuit across different brain regions distinct for opioid analgesic tolerance. The components of this pathway are potential targets to treat opioid overdose and abuse.
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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