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Updated: May 15, 2025

Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
Contributions of synaptic energetic dysfunction by microtubule dynamics and microtubule-based mitochondrial transport
Zheng Li1,2, Jie Liu1, Jie Ju1
1Department of Anesthesiology and Pain Medicine, Hubei Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health, and Wuhan Clinical Research Center for Geriatric Anesthesia, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Background And Purpose:
Morphine is among the most powerful analgesic, but its long-term use can cause tolerance. Synaptic ATP supply is critical for maintaining synaptic transmission. Microtubule-based mitochondrial transport ensures synaptic energy supply. How synaptic energy changes with morphine and the role of microtubule tracks in synaptic mitochondrial energy supply remain elusive. Chronic morphine treatment can destroy microtubule cytoskeletons. We investigated the effect of the microtubule cytoskeleton on synaptic mitochondrial energy supply and the mechanism of microtubule dynamics after morphine exposure.
Experimental Approach:
Rats were treated with long-term morphine and the effect on thermal pain thresholds was evaluated by the tail-flick latency test. Various antagonists and agonists were used elucidated the role and mechanism of synaptic mitochondrial energy supply and microtubules in morphine tolerance in vivo and in SH-SY5Y cells.
Key Results:
Chronic morphine treatment reduced synaptic mitochondrial ATP production. Improving mitochondrial oxidative phosphorylation (OXPHOS) alleviated the downregulation of synaptic ATP levels. Microtubule-stabilizing agents prevented microtubule disruption and ameliorated synaptic energy deficit via microtubule-based microtubule transport. In SH-SY5Y cells, morphine exposure reduced microtubule expression. And re-opening the synaptic Ca2+ channel by agonist alleviated microtubule decrease by calcium/calmodulin-dependent protein kinase 2 (CAMKK2)/AMP-activated protein kinase (AMPK) pathway.
Conclusion And Implications:
This study demonstrates that the microtubule cytoskeleton regulated by the Ca2+-CAMKK2-AMPK axis is critical for synaptic mitochondrial transport and ATP production, explaining an interplay between chronic morphine-induced abnormal neuroadaptation and synaptic energetic dysfunction. These findings implicated a potential clinical strategy for prolonging the opioid antinociceptive effect during long-term pain control.
Insights
Chronic morphine use impairs synaptic energy by disrupting microtubules. Stabilizing microtubules via the Ca2+-CAMKK2-AMPK pathway can restore synaptic ATP and potentially prolong pain relief.
Area of Science:
- Neuroscience
- Cell Biology
- Pharmacology
Background:
- Long-term morphine use leads to analgesic tolerance.
- Synaptic adenosine triphosphate (ATP) supply is vital for neuronal function.
- Microtubules are crucial for mitochondrial transport and energy delivery.
Purpose of the Study:
- Investigate how morphine affects synaptic energy supply.
- Determine the role of microtubule cytoskeleton in morphine tolerance.
- Elucidate the mechanism of microtubule dynamics under morphine exposure.
Main Methods:
- Morphine treatment in rats and SH-SY5Y cells.
- Tail-flick latency test for pain threshold evaluation.
- Pharmacological modulation of synaptic pathways and microtubule stability.
Main Results:
- Chronic morphine reduced synaptic mitochondrial ATP production.
- Microtubule stabilization ameliorated energy deficits and prevented disruption.
- The Ca2+-CAMKK2-AMPK pathway regulated microtubule expression and synaptic ATP.
Conclusions:
- The microtubule cytoskeleton, regulated by the Ca2+-CAMKK2-AMPK axis, is essential for synaptic mitochondrial transport and ATP production.
- This highlights a link between chronic morphine-induced neuroadaptation and synaptic energy dysfunction.
- Findings suggest potential strategies to enhance long-term opioid efficacy in pain management.
Related Concept Videos
Analgesia and Pain Management
Drug Abuse and Addiction: Pharmacological Phenomena
Drugs Affecting Neurotransmitter Synthesis
Drugs that Stabilize Microtubules
Desensitization and Tachyphylaxis
Neurochemical Transmission: Sites of Drug Action

