Department of Anesthesiology, Chiba University Graduate School of Medicine, Chiba, Japan.
J Cell Mol Med. 2010 Dec;14(12):2816-26. doi: 10.1111/j.1582-4934.2009.00932.x.
Morphine is a potent analgesic, but the molecular mechanism for tolerance formation after repeated use is not fully understood. Binding immunoglobulin protein (BiP) is an endoplasmic reticulum (ER) chaperone that is central to ER function. We examined knock-in mice expressing a mutant BiP with the retrieval sequence deleted in order to elucidate physiological processes that are sensitive to BiP functions. We tested the thermal antinociceptive effect of morphine in heterozygous mutant BiP mice in a hot plate test. Paw withdrawal latencies before and after a single administration of morphine were not significantly different between the wild-type and mutant BiP mice. Repeated morphine administration caused the development of morphine tolerance in the wild-type mice. The activation of glycogen synthase kinase 3b (GSK-3b) was associated with morphine tolerance, because an inhibitor of GSK-3β prevented it. On the other hand, the mutant BiP mice showed less morphine tolerance, and the activation of GSK-3b was suppressed in their brain. These results suggest that BiP may play an important role in the development of morphine tolerance. Furthermore, we found that a chemical chaperone which improves ER protein folding capacity also attenuated the development of morphine tolerance in wild-type mice, suggesting a possible clinical application of chemical chaperones in preventing morphine tolerance.
吗啡是一种有效的镇痛剂,但对于重复使用后形成耐受的分子机制还不完全清楚。结合免疫球蛋白蛋白(BiP)是内质网(ER)伴侣蛋白,是 ER 功能的核心。我们研究了表达突变 BiP 的敲入小鼠,该突变 BiP 缺失了回收序列,以便阐明对 BiP 功能敏感的生理过程。我们在热板试验中测试了杂合突变 BiP 小鼠中吗啡的热镇痛作用。单次给予吗啡前后野生型和突变 BiP 小鼠的足底撤回潜伏期没有显著差异。重复给予吗啡导致野生型小鼠产生吗啡耐受。糖原合酶激酶 3b(GSK-3b)的激活与吗啡耐受有关,因为 GSK-3β 的抑制剂可以阻止它。另一方面,突变 BiP 小鼠表现出较少的吗啡耐受,并且其大脑中的 GSK-3b 激活受到抑制。这些结果表明 BiP 可能在吗啡耐受的发展中起重要作用。此外,我们发现一种可以改善内质网蛋白折叠能力的化学伴侣也可以减轻野生型小鼠吗啡耐受的发展,这表明化学伴侣在预防吗啡耐受方面可能具有临床应用价值。