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Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
Inhibition of mTOR/S6K1/Gli1 signaling alleviates morphine-induced thermal hyperalgesia and tolerance
Xing-He Wang1,2, Long Wang3, Long Yang4
1Jiangsu Province Key Laboratory of Anesthesiology, Jiangsu Province Key Laboratory of Anesthesia and Analgesia Application Technology, NMPA Key Laboratory for Research and Evaluation of Narcotic and Psychotropic Drugs, Xuzhou Medical University, Jiangsu, China.
Aims:
The precise mechanisms underlying the pathogenesis of opioid-induced thermal hyperalgesia and tolerance are not yet fully understood.
Methods:
In adult CD-1 mice, repeated morphine treatment was used to examine the expression of the non-canonical pathway of sonic hedgehog signaling, behavioral changes, and neurochemical alterations induced by morphine in the spinal cord and DRG. Additionally, to delve into the underlying mechanisms of the non-canonical pathway of Shh signaling in morphine-induced thermal hyperalgesia (MITH) and tolerance, we utilize the brain-derived neurotrophic factor (BDNF) inhibitor.
Results:
Morphine administration repeatedly resulted in apparent thermal hyperalgesia and tolerance. The initiation and maintenance of MITH and tolerance, as well as related neurochemical alterations, were greatly inhibited by pharmacological and genetic suppression of the mTOR. By blocking the mTOR/p70 ribosomal S6 protein kinase 1 (S6K1)/Gli1 signaling, the morphine-induced increase in BDNF was considerably inhibited. Moreover, mTOR activator injection in naive mice resulted in significant heat hyperalgesia and BDNF upregulation. Suppression of BDNF effectively mitigated the development of thermal hyperalgesia induced by the mTOR activator.
Conclusion:
These findings indicate that the non-canonical pathway of Shh signaling might serve as a crucial mediator in the development of MITH and tolerance through the regulation of BDNF expression.
Insights
The mTOR pathway and sonic hedgehog signaling are key to morphine-induced hyperalgesia and tolerance. Inhibiting these pathways, particularly mTOR/p70 ribosomal S6 protein kinase 1 (S6K1)/Gli1, reduces brain-derived neurotrophic factor (BDNF) and mitigates pain.
Area of Science:
- Neuroscience
- Pharmacology
Background:
- Opioid-induced thermal hyperalgesia and tolerance mechanisms remain unclear.
- Understanding these mechanisms is crucial for managing chronic pain and opioid dependence.
Purpose of the Study:
- To investigate the role of the non-canonical sonic hedgehog (Shh) signaling pathway in morphine-induced thermal hyperalgesia (MITH) and tolerance.
- To elucidate the involvement of the mTOR pathway and brain-derived neurotrophic factor (BDNF) in MITH and tolerance.
Main Methods:
- Adult CD-1 mice received repeated morphine treatment.
- Examined Shh signaling, behavioral changes, and neurochemical alterations in the spinal cord and DRG.
- Utilized BDNF inhibitors and mTOR pathway modulators (activators and suppressors).
Main Results:
- Repeated morphine induced thermal hyperalgesia and tolerance in mice.
- Suppression of the mTOR pathway significantly inhibited MITH and tolerance.
- Blocking mTOR/p70 ribosomal S6 protein kinase 1 (S6K1)/Gli1 signaling reduced morphine-induced BDNF increase.
- mTOR activation caused hyperalgesia and BDNF upregulation; BDNF suppression mitigated this effect.
Conclusions:
- The non-canonical Shh signaling pathway is implicated in MITH and tolerance.
- This pathway mediates MITH and tolerance by regulating BDNF expression.
- Targeting the mTOR/Shh/BDNF axis may offer therapeutic strategies for opioid-induced hyperalgesia.
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