Department of Neurology, Qilu Hospital, Shandong University, Jinan 250012, China.
Neuropharmacology. 2010 Nov;59(6):444-51. doi: 10.1016/j.neuropharm.2010.06.006. Epub 2010 Jun 22.
Opioids have been widely applied in clinics as one of the most potent pain relievers for centuries, but their abuse has deleterious physiological effects beyond addiction. We previously reported that opioids inhibit cell growth and trigger apoptosis in lymphocytes. However, the underlying mechanism by which microglia apoptosis in response to opioids is not yet known. In this study, we show that morphine induces microglia apoptosis and caspase-3 activation in an opioid-receptor dependent manner. Morphine decreased the levels of microglia phosphorylated Akt (p-Akt) and p-GSK-3β (glycogen synthase kinase-3 beta) in an opioid-receptor dependent manner. More interestingly, GSK-3β inhibitor SB216763 significantly increases morphine-induced apoptosis in both BV-2 microglia and mouse primary microglial cells. Moreover, co-treatment of microglia with SB216763 and morphine led to a significant synergistic effect on the level of phospho-p38 mitogen-activated protein kinase (MAPK). In addition, inhibition of p38 MAPK by its specific inhibitor SB203580 significantly inhibited morphine-induced apoptosis and caspase-3 activation. Taken together, our data clearly demonstrates that morphine-induced apoptosis in microglial cells, which is mediated via GSK-3β and p38 MAPK pathways.
阿片类药物作为最有效的止痛药之一,已经在临床上广泛应用了几个世纪,但它们的滥用除了成瘾之外,还会产生有害的生理影响。我们之前曾报道过,阿片类药物会抑制淋巴细胞的生长并引发其凋亡。然而,目前尚不清楚阿片类药物如何导致小胶质细胞凋亡。在这项研究中,我们发现吗啡以阿片受体依赖的方式诱导小胶质细胞凋亡和半胱天冬酶-3 的激活。吗啡以阿片受体依赖的方式降低了小胶质细胞中磷酸化 Akt(p-Akt)和磷酸化糖原合成酶激酶-3β(GSK-3β)的水平。更有趣的是,GSK-3β抑制剂 SB216763 显著增加了吗啡在 BV-2 小胶质细胞和小鼠原代小胶质细胞中诱导的凋亡。此外,小胶质细胞同时用 SB216763 和吗啡处理会导致磷酸化 p38 丝裂原激活蛋白激酶(p38 MAPK)水平产生显著的协同作用。此外,其特异性抑制剂 SB203580 抑制 p38 MAPK 可显著抑制吗啡诱导的凋亡和半胱天冬酶-3 的激活。综上所述,我们的数据清楚地表明,吗啡诱导小胶质细胞凋亡是通过 GSK-3β 和 p38 MAPK 通路介导的。