Meuser Thomas, Giesecke Thorsten, Gabriel Anja, Horsch Maria, Sabatowski Rainer, Hescheler Jürgen, Grond Stefan, Palmer Pamela Pierce
Departments of *Anesthesiology and †Neurophysiology, University of Cologne, Cologne, Germany, ‡Department of Anesthesiology, University of Halle Wittenberg, Halle, Germany, and the §Department of Anesthesia, University of California, San Francisco, CA.
Anesth Analg. 2003 Nov;97(5):1458-1463. doi: 10.1213/01.ANE.0000081721.75663.87.
In vivo data on opioid receptor mRNA regulation after agonist exposure in the peripheral nervous system are lacking. Therefore, we studied the impact of morphine treatment on the regulation of mu-opioid receptor mRNA during behavioral signs of tolerance in rat peripheral sensory ganglia. Nineteen rats were treated in 2 groups with either morphine (10 mg/kg subcutaneously) or saline over 4 days, and a subset of rats received naloxone on the fifth day followed by either morphine injection on the sixth day or death to obtain dorsal root ganglia for mRNA analysis. Animals were tested on the hot plate during treatment days. To assess the levels of mu-opioid receptor mRNA, quantitative reverse transcriptase-polymerase chain reaction (RT-PCR) was used with the co-amplification of the "housekeeping" gene cyclophilin as internal control. Morphine treatment over 4 days induced tolerance as reflected on the hot-plate test by a significant reduction of paw-withdrawal latency from 242% to 99% above baseline. Using RT-PCR we demonstrated a down-regulation of mu-opioid receptor mRNA by 62% after morphine exposure (P < 0.05). After acute withdrawal of morphine from the mu-receptor by naloxone, the mu-opioid receptor mRNA levels in the dorsal root ganglia were restored to control levels within 24 h and the paw-withdrawal latency also returned to 280% above control. These data suggest that the peripheral nervous system may be an important site of opioid tolerance development.
The peripheral nervous system is a possible site of opioid receptor tolerance. We show the development of behavioral tolerance and mu-opioid receptor mRNA down-regulation in the dorsal root ganglia in rats after chronic morphine treatment. Both this mRNA down-regulation and behavioral tolerance reverse after 24 h of naloxone treatment.
缺乏关于外周神经系统中激动剂暴露后阿片受体mRNA调节的体内数据。因此,我们研究了吗啡治疗对大鼠外周感觉神经节耐受行为体征期间μ-阿片受体mRNA调节的影响。19只大鼠分为两组,连续4天分别接受吗啡(皮下注射10mg/kg)或生理盐水治疗,一部分大鼠在第5天接受纳洛酮,然后在第6天接受吗啡注射或处死以获取背根神经节进行mRNA分析。在治疗期间对动物进行热板测试。为了评估μ-阿片受体mRNA的水平,使用定量逆转录聚合酶链反应(RT-PCR),同时共扩增“管家”基因亲环蛋白作为内对照。连续4天的吗啡治疗诱导了耐受,热板测试显示爪撤离潜伏期从基线以上242%显著降低至99%。使用RT-PCR我们证明吗啡暴露后μ-阿片受体mRNA下调了62%(P<0.05)。通过纳洛酮使μ-受体急性撤离吗啡后,背根神经节中的μ-阿片受体mRNA水平在24小时内恢复到对照水平,爪撤离潜伏期也恢复到对照以上280%。这些数据表明外周神经系统可能是阿片耐受发展的重要部位。
外周神经系统可能是阿片受体耐受的部位。我们显示了慢性吗啡治疗后大鼠背根神经节中行为耐受的发展和μ-阿片受体mRNA的下调。纳洛酮治疗24小时后,这种mRNA下调和行为耐受均逆转。