高级检索
当前位置: 首页 > 详情页

Chronic Opioid Potentiates Presynaptic but Impairs Postsynaptic N-Methyl-D-aspartic Acid Receptor Activity in Spinal Cords IMPLICATIONS FOR OPIOID HYPERALGESIA AND TOLERANCE

文献详情

资源类型:
WOS体系:

收录情况: ◇ SCIE ◇ 自然指数

单位: [1]Univ Texas MD Anderson Canc Ctr, Dept Anesthesiol & Perioperat Med, Ctr Pain & Neurosci Res, Houston, TX 77030 USA [2]Univ Texas Houston, Grad Program Neurosci, Grad Sch Biomed Sci, Houston, TX 77225 USA [3]Univ Texas Houston, Grad Program Expt Therapeut, Grad Sch Biomed Sci, Houston, TX 77225 USA [4]Tongji Hosp, Dept Anesthesiol, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China
出处:
ISSN:

摘要:
Opioids are the most effective analgesics for the treatment of moderate to severe pain. However, chronic opioid treatment can cause both hyperalgesia and analgesic tolerance, which limit their clinical efficacy. In this study, we determined the role of pre- and postsynaptic NMDA receptors (NMDARs) in controlling increased glutamatergic input in the spinal cord induced by chronic systemic morphine administration. Whole-cell voltage clamp recordings of excitatory postsynaptic currents (EPSCs) were performed on dorsal horn neurons in rat spinal cord slices. Chronic morphine significantly increased the amplitude of monosynaptic EPSCs evoked from the dorsal root and the frequency of spontaneous EPSCs, and these changes were largely attenuated by blocking NMDARs and by inhibiting PKC, but not PKA. Also, blocking NR2A- or NR2B-containing NMDARs significantly reduced the frequency of spontaneous EPSCs and the amplitude of evoked EPSCs in morphine-treated rats. Strikingly, morphine treatment largely decreased the amplitude of evoked NMDAR-EPSCs and NMDAR currents of dorsal horn neurons elicited by puff NMDA application. The reduction in postsynaptic NMDAR currents caused by morphine was prevented by resiniferatoxin pretreatment to ablate TRPV1-expressing primary afferents. Furthermore, intrathecal injection of the NMDAR antagonist significantly attenuated the development of analgesic tolerance and the reduction in nociceptive thresholds induced by chronic morphine. Collectively, our findings indicate that chronic opioid treatment potentiates presynaptic, but impairs postsynaptic, NMDAR activity in the spinal cord. PKC-mediated increases in NMDAR activity at nociceptive primary afferent terminals in the spinal cord contribute critically to the development of opioid hyperalgesia and analgesic tolerance.

基金:
语种:
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2011]版:
大类 | 2 区 生物
小类 | 2 区 生化与分子生物学
最新[2025]版:
大类 | 2 区 生物学
小类 | 2 区 生化与分子生物学
JCR分区:
出版当年[2010]版:
Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
最新[2023]版:
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2010版] 出版当年五年平均 出版前一年[2009版] 出版后一年[2011版]

第一作者:
第一作者单位: [1]Univ Texas MD Anderson Canc Ctr, Dept Anesthesiol & Perioperat Med, Ctr Pain & Neurosci Res, Houston, TX 77030 USA [4]Tongji Hosp, Dept Anesthesiol, Tongji Med Coll, Wuhan 430030, Hubei, Peoples R China
通讯作者:
通讯机构: [1]Univ Texas MD Anderson Canc Ctr, Dept Anesthesiol & Perioperat Med, Ctr Pain & Neurosci Res, Houston, TX 77030 USA [2]Univ Texas Houston, Grad Program Neurosci, Grad Sch Biomed Sci, Houston, TX 77225 USA [3]Univ Texas Houston, Grad Program Expt Therapeut, Grad Sch Biomed Sci, Houston, TX 77225 USA [*1]Univ Texas MD Anderson Canc Ctr, Dept Anesthesiol & Perioperat Med, Ctr Pain & Neurosci Res, Unit 110,1515 Holcombe Blvd, Houston, TX 77030 USA
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:589 今日访问量:0 总访问量:441 更新日期:2025-06-01 建议使用谷歌、火狐浏览器 常见问题

版权所有:重庆聚合科技有限公司 渝ICP备12007440号-3 地址:重庆市两江新区泰山大道西段8号坤恩国际商务中心16层(401121)