Vollum Institute, Oregon Health & Science University, Portland, United States.
Department of Anesthesiology Perioperative and Pain Medicine, Stanford Neurosciences Institute, Stanford University, Stanford, United States.
Elife. 2019 May 17;8:e45146. doi: 10.7554/eLife.45146.
The medial thalamus (MThal), anterior cingulate cortex (ACC) and striatum play important roles in affective-motivational pain processing and reward learning. Opioids affect both pain and reward through uncharacterized modulation of this circuitry. This study examined opioid actions on glutamate transmission between these brain regions in mouse. Mu-opioid receptor (MOR) agonists potently inhibited MThal inputs without affecting ACC inputs to individual striatal medium spiny neurons (MSNs). MOR activation also inhibited MThal inputs to the pyramidal neurons in the ACC. In contrast, delta-opioid receptor (DOR) agonists disinhibited ACC pyramidal neuron responses to MThal inputs by suppressing local feed-forward GABA signaling from parvalbumin-positive interneurons. As a result, DOR activation in the ACC facilitated poly-synaptic (thalamo-cortico-striatal) excitation of MSNs by MThal inputs. These results suggest that opioid effects on pain and reward may be shaped by the relative selectivity of opioid drugs to the specific circuit components.
内侧丘脑 (MThal)、前扣带皮层 (ACC) 和纹状体在情感动机性疼痛处理和奖励学习中发挥重要作用。阿片类药物通过对该回路的特征不明的调制来影响疼痛和奖励。本研究在小鼠中检查了阿片类药物对这些脑区之间谷氨酸传递的作用。μ-阿片受体 (MOR) 激动剂强烈抑制 MThal 的输入,而不影响 ACC 对单个纹状体中间神经元 (MSNs) 的输入。MOR 激活还抑制了 ACC 中的锥体神经元的 MThal 输入。相比之下,δ-阿片受体 (DOR) 激动剂通过抑制来自 Parvalbumin 阳性中间神经元的局部前馈 GABA 信号来抑制 ACC 锥体神经元对 MThal 输入的反应。结果,ACC 中的 DOR 激活通过 MThal 输入促进了 MSNs 的多突触 (丘脑皮质纹状体) 兴奋。这些结果表明,阿片类药物对疼痛和奖励的影响可能取决于阿片类药物对特定回路成分的相对选择性。