Núñez Cristina, Földes Anna, Pérez-Flores Domingo, García-Borrón J Carlos, Laorden M Luisa, Kovács Krisztina J, Milanés M Victoria
Department of Pharmacology, University School of Medicine, Campus de Espinardo, 30100 Murcia, Spain.
Endocrinology. 2009 Jul;150(7):3118-27. doi: 10.1210/en.2008-1732. Epub 2009 Jan 29.
Chronic opiate exposure induces neurochemical adaptations in the noradrenergic system. Enhanced responsiveness of the hypothalamo-pituitary-adrenal axis after morphine withdrawal has been associated with hyperactivity of ascending noradrenergic input from the nucleus of the solitary tract (NTS-A(2)) cell group to the hypothalamic paraventricular nucleus (PVN). This study addressed the role of morphine withdrawal-induced corticosterone (CORT) release in regulation of tyrosine hydroxylase (TH), the rate-limiting enzyme of catecholamine biosynthesis in adrenalectomized (ADX) rats supplemented with low CORT pellet (ADX plus CORT). Present results show that in sham-ADX rats, noradrenergic neurons in the NTS-A(2) became activated during morphine withdrawal, as indicated by increased TH mRNA expression. However, this induction of TH expression is not detected in ADX plus CORT rats that are unable to mount CORT secretory response to morphine withdrawal. Total TH protein levels were elevated in the NTS-A(2) from sham-operated rats during morphine dependence and withdrawal, whereas we did not find any alteration in ADX plus CORT animals. Furthermore, high levels of TH phosphorylated (activated) at Ser31 (but not at Ser40) were found in the A(2) area from sham-morphine withdrawn rats. Consistent with these effects, we observed an increase in the enzyme activity of TH in the PVN. However, induction of morphine withdrawal to ADX plus CORT animals did not alter the phosphorylation (activation) of TH in NTS-A(2) and decreased TH activity in the PVN. These results suggest the existence of a positive reverberating circle in which elevated glucocorticoids during morphine abstinence play a permissive role in morphine withdrawal-induced activation of noradrenergic pathway innervating the PVN.
长期接触阿片类药物会引起去甲肾上腺素能系统的神经化学适应性变化。吗啡戒断后下丘脑-垂体-肾上腺轴反应性增强,这与从孤束核(NTS-A(2))细胞群到下丘脑室旁核(PVN)的去甲肾上腺素能上行输入亢进有关。本研究探讨了吗啡戒断诱导的皮质酮(CORT)释放对酪氨酸羟化酶(TH)的调节作用,TH是肾上腺切除(ADX)大鼠补充低剂量CORT微丸(ADX加CORT)时儿茶酚胺生物合成的限速酶。目前的结果表明,在假手术ADX大鼠中,吗啡戒断期间NTS-A(2)中的去甲肾上腺素能神经元被激活,TH mRNA表达增加表明了这一点。然而,在无法对吗啡戒断产生CORT分泌反应的ADX加CORT大鼠中未检测到TH表达的这种诱导。在吗啡依赖和戒断期间,假手术大鼠的NTS-A(2)中总TH蛋白水平升高,而在ADX加CORT动物中我们未发现任何变化。此外,在假手术吗啡戒断大鼠的A(2)区域发现Ser31(而非Ser40)处磷酸化(活化)的TH水平较高。与这些作用一致,我们观察到PVN中TH的酶活性增加。然而,对ADX加CORT动物进行吗啡戒断诱导并未改变NTS-A(2)中TH的磷酸化(活化),并降低了PVN中TH的活性。这些结果表明存在一个正反馈回路,其中吗啡戒断期间升高的糖皮质激素在吗啡戒断诱导的支配PVN的去甲肾上腺素能通路激活中起允许作用。