Monoamine receptors targeted by methamphetamine differentially modulate basal and fentanyl-depressed respiration in

Harrison J Elder1, D Matthew Walentiny2, Patrick M Beardsley3

  • 1Behavioral Pharmacology Research Unit, Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA; Department of Pharmacology & Toxicology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.

Abstract

Insights

Selective activation of dopamine D1 and alpha-1 receptors may treat opioid-induced respiratory depression (OIRD). Methamphetamine

Area of Science:

  • Neuropharmacology
  • Respiratory Physiology
  • Toxicology

Background:

  • Fentanyl overdoses are a major public health crisis.
  • Methamphetamine co-use complicates overdose risk.
  • Methamphetamine's enantiomers have differential effects on respiration.

Purpose of the Study:

  • To identify monoamine receptor mechanisms underlying methamphetamine's respiratory effects.
  • To explore potential therapeutic targets for opioid-induced respiratory depression (OIRD).

Main Methods:

  • Tested selective agonists at alpha1, alpha2, D1, D2-like, 5HT1A, and 5HT2 receptors in mice.
  • Assessed effects on basal minute volume (MVb) and fentanyl-depressed MVb using whole-body plethysmography.

Main Results:

  • Dopamine D1 and alpha-1 agonists increased basal MVb.
  • Alpha-2 and D2-like agonists decreased basal MVb.
  • D1 and alpha-1 agonists partially reversed fentanyl-induced respiratory depression.

Conclusions:

  • Dopamine D1 and alpha-1 receptors are potential targets for treating OIRD.
  • Alpha-2, D2-like, and 5HT1A receptors may contribute to methamphetamine's exacerbation of OIRD.

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