Related Experiment Video
Updated: Jan 11, 2026

Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
The actions of morphine on microglia and the underlying effects on associated adverse effects
Weihua Wu1, Qian Li2, Fei Yang3
1School of Criminal Investigation, People's Public Security University of China, 100038, Beijing, China.
Abstract:
Morphine and other opioid receptor agonists are the gold-standard treatments for acute and chronic pain states due to their efficient and persistent analgesic effects. However, side effects limit the application of opioid drugs, with morphine misuse causing related deaths at an estimated incidence of 0.3% to 4%. Therefore, a comprehensive understanding of pharmacological actions of morphine, especially its adverse effects, may facilitate the exploration of potential treatments. Microglia, the predominant immune cells in the brain, regulate inflammation, synaptic plasticity, and pain, all of which affect morphine functions. Accumulating evidence has confirmed that morphine modulates the state of microglia and regulates the release of cell factors, thereby manipulating neuronal functions and influencing the related side effects. Here, we reviewed the regulatory effects of morphine on microglia from the perspective of the activation of microglial µ opioid receptor (MOR), δ opioid receptor (DOR), κ opioid receptor (KOR), and toll-like receptor 4 (TLR4). The associated side effects were also discussed. Studies to limit these adverse consequences by modulating microglial state and microglial endogenous opioid secretion (such as dynorphin and endorphin) were also collected. We further discussed the interactions between microglia and other glial cells in the development of morphine side effects. This review aims to deepen our understanding of opioid pharmacology and pave the way for promising therapies against adverse effects.
Insights
Morphine
Area of Science:
- Neuroscience
- Pharmacology
- Immunology
Background:
- Opioid agonists like morphine are effective analgesics but have significant side effects.
- Morphine misuse leads to substantial mortality.
- Understanding morphine's adverse effects is crucial for developing safer treatments.
Purpose of the Study:
- To review morphine's regulatory effects on microglia.
- To explore the role of microglial opioid receptors (MOR, DOR, KOR) and TLR4 in morphine's actions.
- To discuss strategies for mitigating morphine-induced side effects.
Main Methods:
- Literature review focusing on morphine's impact on microglial activation.
- Analysis of studies investigating microglial receptors (MOR, DOR, KOR, TLR4).
- Examination of research on modulating microglial states and endogenous opioid secretion.
Main Results:
- Morphine modulates microglial states via MOR, DOR, KOR, and TLR4 activation.
- Microglia influence neuronal function and morphine-related side effects.
- Modulating microglial activity and endogenous opioids shows potential for reducing adverse effects.
Conclusions:
- Microglia play a key role in mediating morphine's pharmacological effects and side effects.
- Targeting microglial pathways offers a promising therapeutic avenue for managing opioid-induced adverse events.
- Further research into glial cell interactions can enhance opioid therapy safety.
Related Concept Videos
Opioid Analgesics: Morphine and Other Natural Cogeners
Analgesia and Pain Management
Opioid Receptors: Overview
Opioid Analgesics: Synthetic and Semisynthetic Opioids
Drugs Affecting Neurotransmitter Synthesis
Local Anesthetics: Adverse Effects
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...

