Department of Transplantation Immunology, Institute of Experimental Medicine of the Czech Academy of Sciences, 4, 142 20, Prague, Czech Republic.
Department of Cell Biology, Faculty of Science, Charles University, 128 43, Prague 2, Czech Republic.
Stem Cell Rev Rep. 2018 Dec;14(6):801-811. doi: 10.1007/s12015-018-9843-8.
Morphine is an analgesic drug therapeutically administered to relieve pain. However, this drug has numerous side effects, which include impaired healing and regeneration after injuries or tissue damages. It suggests negative effects of morphine on stem cells which are responsible for tissue regeneration. Therefore, we studied the impact of morphine on the properties and functional characteristics of human bone marrow-derived mesenchymal stem cells (MSCs). The presence of μ-, δ- and κ-opioid receptors (OR) in untreated MSCs, and the enhanced expression of OR in MSCs pretreated with proinflammatory cytokines, was demonstrated using immunoblotting and by flow cytometry. Morphine modified in a dose-dependent manner the MSC phenotype, inhibited MSC proliferation and altered the ability of MSCs to differentiate into adipocytes or osteoblasts. Furthermore, morphine rather enhanced the expression of genes for various immunoregulatory molecules in activated MSCs, but significantly inhibited the production of the vascular endothelial growth factor, hepatocyte growth factor or leukemia inhibitory factor. All of these observations are underlying the selective impact of morphine on stem cells, and offer an explanation for the mechanisms of the negative effects of opioid drugs on stem cells and regenerative processes after morphine administration or in opioid addicts.
吗啡是一种临床上用于缓解疼痛的镇痛药物。然而,这种药物有许多副作用,包括损伤或组织损伤后愈合和再生受损。这表明吗啡对负责组织再生的干细胞有负面影响。因此,我们研究了吗啡对人骨髓间充质干细胞(MSCs)特性和功能特征的影响。使用免疫印迹和流式细胞术证明了未处理的 MSC 中存在 μ、δ 和 κ 阿片受体(OR),以及预处理炎性细胞因子的 MSC 中 OR 表达增强。吗啡以剂量依赖的方式修饰 MSC 表型,抑制 MSC 增殖,并改变 MSC 分化为脂肪细胞或成骨细胞的能力。此外,吗啡增强了激活的 MSC 中各种免疫调节分子的基因表达,但显著抑制了血管内皮生长因子、肝细胞生长因子或白血病抑制因子的产生。所有这些观察结果都表明吗啡对干细胞有选择性影响,并为阿片类药物对干细胞和吗啡给药后或阿片类药物成瘾者再生过程的负面影响的机制提供了解释。