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Endoplasmic Reticulum Stress in Spinal Cord Contributes to the Development of Morphine Tolerance

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单位: [1]Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [2]Department of Anesthesiology, Renmin Hospital of Wuhan University, Hubei General Hospital, Wuhan, China
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关键词: morphine tolerance endoplasmic reticulum stress unfolded protein response binding immunoglobulin protein activating transcription factor 6 protein kinase RNA-like ER kinase inositol-requiring enzyme 1

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Morphine tolerance remains an intractable problem, which hinders its prolonged use in clinical practice. Endoplasmic reticulum (ER) stress has been proved to play a fundamental role in the pathogenesis of Alzheimer's disease, diabetes, atherosclerosis, cancer, etc. In this study, we provide the first direct evidence that ER stress may be a significant driver of morphine tolerance. Binding immunoglobulin protein (BiP), the ER stress marker, was significantly upregulated in neurons in spinal dorsal horn in rats being treated with morphine for 7 days. Additionally, chronic morphine treatment resulted in the activation of three arms of unfolded protein response (UPR): inositol-requiring enzyme 1/X-box binding protein 1 (IRE1/XBP1), protein kinase RNA-like ER kinase/eukaryotic initiation factor 2 subunit alpha (PERK/eIF2 alpha), and activating transcription factor 6 (ATF6). More importantly, inhibiting either one of the three cascades could attenuate the development of morphine tolerance. Taken together, our results suggest that ER stress in spinal cord might contribute to the development of morphine tolerance. These findings implicate a potential clinical strategy for preventing morphine tolerance and may contribute to expanding the morphine usage in clinic.

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基金编号: 81771191

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 2 区 神经科学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 神经科学
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Q1 NEUROSCIENCES
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第一作者单位: [1]Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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