Dissociation between morphine-induced spinal gliosis and analgesic tolerance by ultra-low-dose α2-adrenergic and cannabinoid CB1-receptor antagonists

Behav Pharmacol. 2018 Apr;29(2 and 3-Spec Issue):241-254. doi: 10.1097/FBP.0000000000000377.

Abstract

Long-term use of opioid analgesics is limited by tolerance development and undesirable adverse effects. Paradoxically, spinal administration of ultra-low-dose (ULD) G-protein-coupled receptor antagonists attenuates analgesic tolerance. Here, we determined whether systemic ULD α2-adrenergic receptor (AR) antagonists attenuate the development of morphine tolerance, whether these effects extend to the cannabinoid (CB1) receptor system, and if behavioral effects are reflected in changes in opioid-induced spinal gliosis. Male rats were treated daily with morphine (5 mg/kg) alone or in combination with ULD α2-AR (atipamezole or efaroxan; 17 ng/kg) or CB1 (rimonabant; 5 ng/kg) antagonists; control groups received ULD injections only. Thermal tail flick latencies were assessed across 7 days, before and 30 min after the injection. On day 8, spinal cords were isolated, and changes in spinal gliosis were assessed through fluorescent immunohistochemistry. Both ULD α2-AR antagonists attenuated morphine tolerance, whereas the ULD CB1 antagonist did not. In contrast, both ULD atipamezole and ULD rimonabant attenuated morphine-induced microglial reactivity and astrogliosis in deep and superficial spinal dorsal horn. So, although paradoxical effects of ULD antagonists are common to several G-protein-coupled receptor systems, these may not involve similar mechanisms. Spinal glia alone may not be the main mechanism through which tolerance is modulated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic alpha-2 Receptor Antagonists / pharmacology
  • Analgesics / pharmacology
  • Analgesics, Opioid / pharmacology
  • Animals
  • Benzofurans / pharmacology
  • Cannabinoid Receptor Antagonists / pharmacology
  • Cannabinoids
  • Dose-Response Relationship, Drug
  • Drug Tolerance / physiology*
  • Gliosis / chemically induced
  • Imidazoles / pharmacology
  • Injections, Spinal / methods
  • Male
  • Morphine / metabolism*
  • Morphine / pharmacology
  • Neuroglia / drug effects*
  • Norepinephrine
  • Pain Measurement
  • Rats
  • Rats, Sprague-Dawley
  • Receptor, Cannabinoid, CB1
  • Rimonabant / pharmacology
  • Spine / drug effects

Substances

  • Adrenergic alpha-2 Receptor Antagonists
  • Analgesics
  • Analgesics, Opioid
  • Benzofurans
  • Cannabinoid Receptor Antagonists
  • Cannabinoids
  • Imidazoles
  • Receptor, Cannabinoid, CB1
  • atipamezole
  • Morphine
  • efaroxan
  • Rimonabant
  • Norepinephrine

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