Effectiveness of nalbuphine, a κ-opioid receptor agonist and μ-opioid receptor antagonist, in the inhibition of INa , IK(M) , and IK(erg) unlinked to interaction with opioid receptors

Drug Dev Res. 2019 Sep;80(6):846-856. doi: 10.1002/ddr.21568. Epub 2019 Jul 13.

Abstract

Nalbuphine (NAL) is recognized as a mixer with the κ-opioid receptor agonist and the μ-opioid receptor antagonist. However, whether this drug causes any modifications in neuronal ionic currents is unclear. The effects of NAL on ionic currents in mHippoE-14 hippocampal neurons were investigated. In the whole-cell current recordings, NAL suppressed the peak amplitude of voltage-gated Na+ current (INa ) with an IC50 value of 1.9 μM. It shifted the steady-state inactivation curve of peak INa to the hyperpolarized potential, suggesting that there is the voltage dependence of NAL-mediated inhibition of peak INa . In continued presence of NAL, subsequent application of either dynorphin A1-13 (1 μM) or naloxone (30 μM) failed to modify its suppression of peak INa . Tefluthrin (Tef; 10 μM), a pyrethroid known to activate INa , increased peak INa with slowed current inactivation; however, further application of NAL suppressed Tef-mediated suppression of peak INa followed by an additional slowing of current inactivation. In addition, NAL suppressed the amplitude of M-type K+ current [IK(M) ] with an IC50 value of 5.7 μM, while it slightly suppressed erg-mediated and delayed-rectifier K+ currents. In the inside-out current recordings, NAL failed to modify the activity of large-conductance Ca2+ -activated K+ channels. In differentiated NG108-15 neuronal cells, NAL also suppressed the peak INa , and subsequent addition of Tef reversed NAL-induced suppression of INa . Our study highlights the evidence that in addition to modulate opioid receptors, NAL has the propensity to interfere with ionic currents including INa and IK(M) , thereby influencing the functional activities of central neurons.

Keywords: erg-mediated K+ current; M-type K+ current; delayed-rectifier K+ current; hippocampal neuron; nalbuphine; opioid receptor; voltage-gated Na+ current.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics, Opioid / pharmacology*
  • Animals
  • Cell Line
  • Delayed Rectifier Potassium Channels / antagonists & inhibitors*
  • Delayed Rectifier Potassium Channels / physiology
  • Ether-A-Go-Go Potassium Channels / antagonists & inhibitors*
  • Ether-A-Go-Go Potassium Channels / physiology
  • Large-Conductance Calcium-Activated Potassium Channels / physiology
  • Mice
  • Nalbuphine / pharmacology*
  • Neurons / drug effects*
  • Neurons / physiology
  • Receptors, Opioid, kappa / agonists*
  • Receptors, Opioid, mu / antagonists & inhibitors*
  • Voltage-Gated Sodium Channel Blockers / pharmacology*

Substances

  • Analgesics, Opioid
  • Delayed Rectifier Potassium Channels
  • Ether-A-Go-Go Potassium Channels
  • Large-Conductance Calcium-Activated Potassium Channels
  • Receptors, Opioid, kappa
  • Receptors, Opioid, mu
  • Voltage-Gated Sodium Channel Blockers
  • Nalbuphine