The kappa-opioid receptor agonist, nalfurafine, blocks acquisition of oxycodone self-administration and oxycodone's conditioned rewarding effects in male rats

Behav Pharmacol. 2020 Dec;31(8):792-797. doi: 10.1097/FBP.0000000000000581.

Abstract

Mu-opioid receptor (MOR) agonists are highly efficacious for the treatment of pain but have significant abuse liability. Recently, we reported that nalfurafine, when combined with oxycodone at a certain ratio, reduced the reinforcing effects of oxycodone in rats while producing additive antinociceptive effects. Questions remain, however, including if the combination will function as a reinforcer in drug-naïve rats, and if the combination produces aversive effects that could explain nalfurafine's ability to reduce oxycodone self-administration? In the present study, we investigated nalfurafine's ability to reduce acquisition of oxycodone self-administration when the two were self-administered as a mixture in drug-naïve rats and nalfurafine's ability to attenuate a conditioned place preference (CPP) induced by oxycodone. In the self-administration study, male Sprague-Dawley rats self-administered intravenous injections of oxycodone (0.056 mg/kg/injection), an oxycodone/nalfurafine combination (0.056/0.0032 mg/kg/injection), or saline under fixed-ratio schedules of reinforcement for 20 days to compare rates of acquisition of drug taking. In the CPP assay, male Sprague-Dawley rats received subcutaneous injections of either saline, oxycodone (3.2 mg/kg), nalfurafine (0.18 mg/kg), or an oxycodone/nalfurafine combination at the same ratio used in the self-administration study (3.2 mg/kg/0.18 mg/kg). All subjects self-administering oxycodone alone met acquisition criteria. However, only 13% of subjects self-administering oxycodone/nalfurafine met criteria, and no subjects acquired self-administration of saline. Oxycodone, but not nalfurafine alone or the oxycodone/nalfurafine combination, produced rewarding effects in rats in the CPP test. These findings suggest that the combination of oxycodone and nalfurafine will be less habit forming in opioid-naïve patients than oxycodone alone.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Analgesics, Opioid / pharmacology
  • Animals
  • Conditioning, Classical / drug effects
  • Dose-Response Relationship, Drug
  • Male
  • Morphinans / metabolism
  • Morphinans / pharmacology*
  • Opioid-Related Disorders / drug therapy*
  • Opioid-Related Disorders / prevention & control
  • Oxycodone / adverse effects
  • Oxycodone / pharmacology
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Opioid / agonists
  • Receptors, Opioid / metabolism
  • Receptors, Opioid, kappa / agonists*
  • Receptors, Opioid, kappa / metabolism
  • Reinforcement, Psychology
  • Reward
  • Self Administration
  • Spiro Compounds / metabolism
  • Spiro Compounds / pharmacology*
  • Substance-Related Disorders / drug therapy
  • Substance-Related Disorders / prevention & control

Substances

  • Analgesics, Opioid
  • Morphinans
  • Receptors, Opioid
  • Receptors, Opioid, kappa
  • Spiro Compounds
  • TRK 820
  • Oxycodone