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Updated: Jun 29, 2025

Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
Progress in the study of intestinal microbiota involved in morphine tolerance
Ke Bi1,2, Yi Lei1, Deshenyue Kong1,2
1Department of Gastrointestinal and Hernia Surgery, First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China.
Abstract:
Morphine is a widely used opioid for treatment of pain. The attendant problems including morphine tolerance and morphine dependence pose a major public health challenge. In recent years, there has been increasing interest in the gastrointestinal microbiota in many physiological and pathophysiological processes. The connectivity network between the gut microbiota and the brain is involved in multiple biological systems, and bidirectional communication between them is critical in gastrointestinal tract homeostasis, the central nervous system, and the microbial system. Many research have previously shown that morphine has a variety of effects on the gastrointestinal tract, but none have determined the function of intestinal microbiota in morphine tolerance. This study reviewed the mechanisms of morphine tolerance from the perspective of dysregulation of microbiota-gut-brain axis homeostasis, by summarizing the possible mechanisms originating from the gut that may affect morphine tolerance and the improvement of morphine tolerance through the gut microbiota.
Insights
Morphine tolerance is linked to gut microbiota changes. This study explores how gut microbes influence morphine tolerance and potential therapeutic strategies targeting the gut microbiota-brain axis.
Area of Science:
- Pharmacology
- Microbiology
- Neuroscience
Background:
- Morphine is a key pain reliever, but tolerance and dependence are significant public health issues.
- The gut microbiota plays a role in various physiological and pathophysiological processes.
- Bidirectional communication within the microbiota-gut-brain axis is crucial for homeostasis.
Purpose of the Study:
- To review mechanisms of morphine tolerance from the perspective of microbiota-gut-brain axis dysregulation.
- To summarize gut-derived mechanisms affecting morphine tolerance.
- To explore the potential of gut microbiota modulation for improving morphine tolerance.
Main Methods:
- Literature review of existing research on morphine tolerance and gut microbiota.
- Analysis of studies investigating the effects of morphine on the gastrointestinal tract.
- Synthesis of findings related to the microbiota-gut-brain axis and opioid tolerance.
Main Results:
- Morphine affects the gastrointestinal tract, but the role of intestinal microbiota in tolerance was previously undetermined.
- Dysregulation of the microbiota-gut-brain axis is implicated in morphine tolerance.
- Gut microbiota alterations may contribute to the development of morphine tolerance.
Conclusions:
- The gut microbiota is a potential factor influencing morphine tolerance.
- Targeting the gut microbiota may offer novel strategies for managing morphine tolerance.
- Further research is needed to elucidate the precise mechanisms and therapeutic potential.
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