Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, Brooklyn, New York, USA.
J Neurochem. 2020 Feb;152(4):449-467. doi: 10.1111/jnc.14863. Epub 2019 Oct 20.
We recently demonstrated in rat spinal cord that a regimen of escalating doses of systemic morphine, analogous to regimens used clinically for chronic pain management, selectively up-regulates the mu-opioid receptor (MOR) splice variants MOR-1B2 and MOR-1C1 mRNA and functional protein. This study investigated the potential relevance of up-regulating MOR-1B2 and MOR-1C1 to the ability of chronic morphine to shift MOR signaling from predominantly G /G inhibitory to G stimulatory. Specifically, we tested the hypotheses that chronic morphine induces phosphorylation of carboxyl terminal sites unique to MOR-1B2 and MOR-1C1, and that this phosphorylation is causally related to augmented association of these variants with G α. Hypotheses were validated by (i) abolition of the chronic morphine-induced increment in MOR-1C1 and MOR-1B2 association with G α by inhibitors of protein kinase A and Casein kinase 2, respectively; (ii) failure of chronic morphine to augment MOR variant G α interactions in Chinese hamster ovary cells transiently transfected with either rat MOR-1C1 or MOR-1B2 in which targeted protein kinase A and Casein kinase 2 serine phosphorylation sites, respectively, were mutated to alanine; (iii) abrogation of chronic morphine-induced augmented MOR G α association in spinal cord of male rats following intrathecal administration of dicer substrate small interfering RNAs targeting MOR-1B2/MOR-1C1 mRNA. The ability of chronic morphine to not only up-regulate-specific MOR variants but also their carboxyl terminal phosphorylation and consequent augmented association with G α may represent a novel component of opioid tolerance mechanisms, suggesting novel potential targets for tolerance abatement.
我们最近在大鼠脊髓中证明,类似于临床上用于慢性疼痛管理的方案,递增剂量的全身吗啡方案选择性地上调μ-阿片受体(MOR)剪接变体 MOR-1B2 和 MOR-1C1 mRNA 和功能蛋白。本研究探讨了上调 MOR-1B2 和 MOR-1C1 与慢性吗啡将 MOR 信号从主要 G / G 抑制转变为 G 刺激的能力的潜在相关性。具体而言,我们测试了以下假设:慢性吗啡诱导独特于 MOR-1B2 和 MOR-1C1 的羧基末端位点磷酸化,并且这种磷酸化与这些变体与 Gα的增强关联因果相关。通过以下方法验证了假设:(i)分别通过蛋白激酶 A 和酪蛋白激酶 2 的抑制剂消除慢性吗啡诱导的 MOR-1C1 和 MOR-1B2 与 Gα的关联增加;(ii)慢性吗啡不能增加中国仓鼠卵巢细胞中 MOR 变体 Gα相互作用,这些细胞瞬时转染了大鼠 MOR-1C1 或 MOR-1B2,其中靶向蛋白激酶 A 和酪蛋白激酶 2 的丝氨酸磷酸化位点分别突变为丙氨酸;(iii)鞘内给予针对 MOR-1B2/MOR-1C1 mRNA 的 dicer 底物小干扰 RNA 后,雄性大鼠脊髓中慢性吗啡诱导的增强的 MOR Gα关联被消除。慢性吗啡不仅能够上调特定的 MOR 变体,还能够上调其羧基末端磷酸化,从而增强与 Gα的关联,这可能代表阿片类药物耐受机制的一个新组成部分,提示耐受缓解的新潜在靶点。