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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
A mu-opioid receptor positive allosteric modulator provides opioid-sparing antinociception without enhancing opioid
Kelsey E Kochan1, Benjamin M Clements1, Thomas D Prince1
1Department of Pharmacology, Edward F Domino Research Center, University of Michigan, Ann Arbor, Michigan.
Abstract:
Opioids that act at the mu-opioid receptor (MOR) are the gold standard for pain management, but can induce serious unwanted effects, including addiction liability and respiratory depression. 2-(3-bromo-4-methoxyphenyl)-3-[(4-chlorophenyl) sulfonyl]-thiazolidine is a positive allosteric modulator of MOR that increases the actions of small-molecule opioids and opioid peptides in vitro. In vivo, 2-(3-bromo-4-methoxyphenyl)-3-[(4-chlorophenyl) sulfonyl]-thiazolidine enhances the action of endogenously released opioid peptides to provide MOR-mediated antinociception, but not constipation, reward, or respiratory depression. However, the effects of positive allosteric modulators of MOR on the behavioral actions of opioid drugs such as morphine and fentanyl have not been studied. Here, we show that 2-(3-bromo-4-methoxyphenyl)-3-[(4-chlorophenyl) sulfonyl]-thiazolidine enhances opioid drug-induced antinociception in assays for acute and inflammatory pain but not the adverse effects of constipation, respiratory depression measured by blood oxygen levels and respiration rate, or reward as determined by conditioned place preference. These data support the potential of positive allosteric modulators of MOR as effective and safe opioid-sparing agents for pain management. SIGNIFICANCE STATEMENT: The undertreatment of pain and the addiction liability of opioids necessitate new strategies to improve pain management. Here, we demonstrate that the mu-opioid receptor modulator 2-(3-bromo-4-methoxyphenyl)-3-[(4-chlorophenyl) sulfonyl]-thiazolidine enhances opioid drug-mediated analgesia in mice without enhancing constipation, reward, or respiratory depression.
Insights
A novel mu-opioid receptor (MOR) modulator enhances pain relief from opioid drugs without increasing side effects like constipation or respiratory depression, offering a safer pain management strategy.
Area of Science:
- Pharmacology
- Neuroscience
- Pain Management
Background:
- Mu-opioid receptor (MOR) agonists are effective analgesics but cause significant adverse effects, including addiction and respiratory depression.
- There is a critical need for safer pain management strategies to address undertreated pain and opioid addiction.
- Positive allosteric modulators (PAMs) of MOR offer a potential alternative by enhancing receptor function without direct activation.
Purpose of the Study:
- To investigate the effects of the MOR PAM, 2-(3-bromo-4-methoxyphenyl)-3-[(4-chlorophenyl) sulfonyl]-thiazolidine, on the behavioral actions of opioid drugs.
- To determine if this MOR PAM can enhance opioid-induced analgesia while mitigating adverse effects.
Main Methods:
- Utilized in vivo mouse models to assess antinociception for acute and inflammatory pain.
- Evaluated adverse effects including constipation, respiratory depression (via blood oxygen levels and respiration rate), and reward (conditioned place preference).
- Administered the MOR PAM in conjunction with standard opioid drugs like morphine and fentanyl.
Main Results:
- The MOR PAM significantly enhanced opioid drug-induced antinociception in both acute and inflammatory pain models.
- Crucially, the PAM did not enhance opioid-induced constipation, respiratory depression, or reward-seeking behavior.
- These findings indicate a dissociation between analgesia and adverse effects when using this MOR PAM.
Conclusions:
- 2-(3-bromo-4-methoxyphenyl)-3-[(4-chlorophenyl) sulfonyl]-thiazolidine acts as a safe opioid-sparing agent by potentiating analgesia.
- MOR PAMs demonstrate potential for improved pain management, offering efficacy without the typical opioid side effect profile.
- This research supports the development of MOR PAMs as a novel therapeutic strategy for pain relief.
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