Ultra-low dose naltrexone potentiates the anticonvulsant effect of low dose morphine on clonic seizures

Neuroscience. 2004;129(3):733-42. doi: 10.1016/j.neuroscience.2004.08.029.

Abstract

Significant potentiation of analgesic effects of opioids can be achieved through selective blockade of their stimulatory effects on intracellular signaling pathways by ultra-low doses of opioid receptor antagonists. However, the generality and specificity of this interaction is not well understood. The bimodal modulation of pentylenetetrazole-induced seizure threshold by opioids provide a model to assess the potential usefulness of this approach in seizure disorders and to examine the differential mechanisms involved in opioid anti- (morphine at 0.5-3 mg/kg) versus pro-convulsant (20-100 mg/kg) effects. Systemic administration of ultra-low doses of naltrexone (100 fg/kg-10 ng/kg) significantly potentiated the anticonvulsant effect of morphine at 0.5 mg/kg while higher degrees of opioid receptor antagonism blocked this effect. Moreover, inhibition of opioid-induced excitatory signaling by naltrexone (1 ng/kg) unmasked a strong anticonvulsant effect for very low doses of morphine (1 ng/kg-100 microg/kg), suggesting that a presumed inhibitory component of opioid receptor signaling can exert strong seizure-protective effects even at very low levels of opioid receptor activation. However, ultra-low dose naltrexone could not increase the maximal anticonvulsant effect of morphine (1-3 mg/kg), possibly due to a ceiling effect. The proconvulsant effects of morphine on seizure threshold were minimally altered by ultra-low doses of naltrexone while being completely blocked by a higher dose (1 mg/kg) of the antagonist. The present data suggest that ultra-low doses of opioid receptor antagonists may provide a potent strategy to modulate seizure susceptibility, especially in conjunction with very low doses of opioids.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Differential Threshold / drug effects
  • Differential Threshold / physiology
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Drug Synergism
  • Male
  • Mice
  • Morphine / therapeutic use*
  • Naltrexone / therapeutic use*
  • Narcotic Antagonists / therapeutic use*
  • Narcotics / therapeutic use*
  • Pentylenetetrazole
  • Reaction Time / drug effects
  • Seizures / chemically induced
  • Seizures / prevention & control*

Substances

  • Narcotic Antagonists
  • Narcotics
  • Naltrexone
  • Morphine
  • Pentylenetetrazole