Stockton Steven D, Devi Lakshmi A
Department of Pharmacology and Systems Therapeutics and Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Neuropsychopharmacology. 2014 Jan;39(1):88-103. doi: 10.1038/npp.2013.227. Epub 2013 Sep 18.
Morphine is a classic analgesic for the treatment of chronic pain. However, its repeated use is known to produce tolerance, physical dependence, and addiction; these properties limit its long-term therapeutic use and this has led to a quest for therapeutics without these unwanted side effects. Understanding the molecular changes in response to long-term use of morphine is likely to aid in the development of novel therapeutics for the treatment of pain. Studies examining the effects of chronic morphine administration have reported alterations in gene expression, synapse morphology, and synaptic transmission implying changes in synaptic protein profile. To fully understand the changes in protein profiles, proteomic techniques have been used. Studies using two-dimensional gel electrophoresis of various brain regions combined with mass spectrometry have found alterations in the levels of a number of proteins. However, neither the changes in brain regions relevant to morphine effects nor changes in the abundance of synaptic proteins have been clearly delineated. Recent studies employing subcellular fractionation to isolate the striatal synapse, combined with quantitative proteomics and graph theory-inspired network analyses, have begun to quantify morphine-regulated changes in synaptic proteins and facilitate the generation of networks that could serve as targets for the development of novel therapeutics for the treatment of chronic pain. Thus, an integrated quantitative proteomics and systems biology approach can be useful to identify novel targets for the treatment of pain and other disorders of the brain.
吗啡是治疗慢性疼痛的经典镇痛药。然而,已知其反复使用会产生耐受性、身体依赖性和成瘾性;这些特性限制了其长期治疗用途,这促使人们寻求没有这些不良副作用的治疗方法。了解长期使用吗啡后的分子变化可能有助于开发治疗疼痛的新型疗法。研究慢性吗啡给药的影响的报告显示,基因表达、突触形态和突触传递发生了改变,这意味着突触蛋白质谱发生了变化。为了全面了解蛋白质谱的变化,人们使用了蛋白质组学技术。使用各种脑区的二维凝胶电泳结合质谱的研究发现了许多蛋白质水平的变化。然而,与吗啡作用相关的脑区变化以及突触蛋白丰度的变化都尚未得到明确描述。最近的研究采用亚细胞分级分离来分离纹状体突触,结合定量蛋白质组学和受图论启发的网络分析,已开始量化吗啡调节的突触蛋白变化,并促进生成可作为开发治疗慢性疼痛新型疗法靶点的网络。因此,综合定量蛋白质组学和系统生物学方法可能有助于识别治疗疼痛和其他脑部疾病的新靶点。