Fentanyl-induced cortical and cardiopulmonary damage linked to immune response functions and apoptosis-necrosis

Nabarun Chakraborty1, Mital Patel1,2, Swapna Kannan1,3

  • 1Medical Readiness Systems Biology, Center for Military Psychiatry and Neuroscience (CMPN), Walter Reed Army Institute of Research, Silver Spring, MD, United States.

Abstract

Insights

Fentanyl exposure triggers distinct immune and cell death responses in the brain, heart, and lungs. Specific microRNAs (miRNAs) show potential for targeted therapies against fentanyl toxicity.

Area of Science:

  • Pharmacology
  • Toxicology
  • Systems Biology

Background:

  • Fentanyl's rapid impairment of vital functions necessitates understanding early host responses.
  • A systems-level approach is crucial for a comprehensive analysis of tissue-specific effects.

Purpose of the Study:

  • To investigate the time- and dose-dependent host response to fentanyl exposure.
  • To identify key molecular mechanisms and potential therapeutic targets.

Main Methods:

  • Developed an SKH-1 mouse model integrating ex-vivo imaging and multi-omics.
  • Collected cortex, heart, and lung tissues at multiple time points post-fentanyl administration.
  • Utilized machine learning to identify regulatory microRNAs.

Main Results:

  • Fentanyl primarily impacts immune response networks and apoptosis-necrosis pathways.
  • Tissue-specific immune responses and cell death patterns were observed, with varying latencies and durations.
  • Identified conserved microRNAs (miR-146-5p, miR-877-3p) with potential therapeutic roles.

Conclusions:

  • Fentanyl toxicity involves complex, tissue-specific molecular responses.
  • Identified microRNAs offer potential for developing precision countermeasures.
  • Understanding temporal dynamics is key for effective early intervention strategies.