Li Zheng, Jia Xiaoqian, Peng Xiaoling, Gao Feng
Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
J Pain Res. 2020 Jul 17;13:1803-1810. doi: 10.2147/JPR.S255221. eCollection 2020.
Opioid tolerance remains a challenging problem, which limits prolonged drug usage in clinics. Previous studies have shown a fundamental role of platelet-derived growth factor receptor β submit (PDGFRβ) in morphine tolerance. The aim of this study was to investigate the mechanisms of spinal PDGFRβ activation in morphine tolerance.
Rats were treated with morphine for 7 days and the effect of drug was evaluated by tail-flick latency test. By using Western blot and real-time PCR, the interaction between μ opioid receptor (MOR) and PDGFRβ in microglia activation, as well as related signaling pathways during morphine tolerance were investigated.
Chronic PDGFRβ agonist could induce microglia activation in spinal cord and decrease the analgesic effect of morphine. PDGFRβ inhibitor suppressed microglia activation during the development of morphine tolerance. Furthermore, antagonizing MOR could effectively inhibit the phosphorylations of PDGFRβ and JNK. Blocking PDGFRβ had no influence on JNK signaling, while JNK inhibitor could decrease the phosphorylation of PDGFRβ.
These results provide direct evidence that repeatedly activating MOR by morphine could induce the transactivation of PDGFRβ via JNK MAPK in spinal cord, which leads to microglia activation during the development of morphine tolerance.
阿片类药物耐受性仍然是一个具有挑战性的问题,这限制了其在临床上的长期使用。先前的研究表明血小板衍生生长因子受体β亚型(PDGFRβ)在吗啡耐受性中起重要作用。本研究旨在探讨脊髓中PDGFRβ激活在吗啡耐受性中的机制。
大鼠接受吗啡治疗7天,并通过甩尾潜伏期试验评估药物效果。采用蛋白质免疫印迹法(Western blot)和实时定量聚合酶链反应(real-time PCR),研究了μ阿片受体(MOR)与PDGFRβ在小胶质细胞激活中的相互作用,以及吗啡耐受过程中的相关信号通路。
慢性PDGFRβ激动剂可诱导脊髓小胶质细胞激活,并降低吗啡的镇痛效果。PDGFRβ抑制剂在吗啡耐受形成过程中抑制小胶质细胞激活。此外,拮抗MOR可有效抑制PDGFRβ和JNK的磷酸化。阻断PDGFRβ对JNK信号通路无影响,而JNK抑制剂可降低PDGFRβ的磷酸化水平。
这些结果提供了直接证据,表明吗啡反复激活MOR可通过脊髓中的JNK丝裂原活化蛋白激酶(MAPK)诱导PDGFRβ的反式激活,从而导致吗啡耐受形成过程中的小胶质细胞激活。