Ayoub Samantha M, Piscitelli Fabiana, Silvestri Cristoforo, Limebeer Cheryl L, Rock Erin M, Smoum Reem, Farag Mathew, de Almeida Hannah, Sullivan Megan T, Lacroix Sébastien, Boubertakh Besma, Nallabelli Nayudu, Lichtman Aron H, Leri Francesco, Mechoulam Raphael, Di Marzo Vincenzo, Parker Linda A
Department of Psychology and Collaborative Neuroscience, University of Guelph, Guelph, ON, Canada.
Institute of Biomolecular Chemistry, Endocannabinoid Research Group Consiglio Nazionale delle Richerche, Pozzuli, Italy.
Front Pharmacol. 2021 Sep 15;12:706703. doi: 10.3389/fphar.2021.706703. eCollection 2021.
The endocannabinoidome mediators, -Oleoylglycine (OlGly) and -Oleoylalanine (OlAla), have been shown to reduce acute naloxone-precipitated morphine withdrawal affective and somatic responses. To determine the role and mechanism of action of OlGly and OlAla in withdrawal responses from chronic exposure to opiates in male Sprague-Dawley rats. Opiate withdrawal was produced: 1) spontaneously 24 h following chronic exposure to escalating doses of morphine over 14 days (Experiments 1 and 2) and steady-state exposure to heroin by minipumps for 12 days (Experiment 3), 2) by naloxone injection during steady-state heroin exposure (Experiment 4), 3) by naloxone injection during operant heroin self-administration (Experiment 5). In Experiment 1, spontaneous morphine withdrawal produced somatic withdrawal reactions. The behavioral withdrawal reactions were accompanied by suppressed endogenous levels of OlGly in the nucleus accumbens, amygdala, and prefrontal cortex, -Arachidonylglycerol and OlAla in the amygdala, 2-arachidonoylglycerol in the nucleus accumbens, amygdala and interoceptive insular cortex, and by changes in colonic microbiota composition. In Experiment 2, treatment with OlAla, but not OlGly, reduced spontaneous morphine withdrawal responses. In Experiment 3, OlAla attenuated spontaneous steady-state heroin withdrawal responses at both 5 and 20 mg/kg; OlGly only reduced withdrawal responses at the higher dose of 20 mg/kg. Experiment 4 demonstrated that naloxone-precipitated heroin withdrawal from steady-state exposure to heroin (7 mg/kg/day for 12 days) is accompanied by tissue-specific changes in brain or gut endocannabinoidome mediator, including OlGly and OlAla, levels and colonic microbiota composition, and that OlAla (5 mg/kg) attenuated behavioural withdrawal reactions, while also reversing some of the changes in brain and gut endocannabinoidome and gut microbiota induced by naloxone. Experiment 5 demonstrated that although OlAla (5 mg/kg) did not interfere with operant heroin self-administration on its own, it blocked naloxone-precipitated elevation of heroin self-administration behavior. These results suggest that OlAla and OlGly are two endogenous mediators whose brain concentrations respond to chronic opiate treatment and withdrawal concomitantly with changes in colon microbiota composition, and that OlAla may be more effective than OlGly in suppressing chronic opiate withdrawal responses.
内源性大麻素介质,油酰甘氨酸(OlGly)和油酰丙氨酸(OlAla),已被证明可减轻急性纳洛酮诱发的吗啡戒断情感和躯体反应。为了确定OlGly和OlAla在雄性Sprague-Dawley大鼠长期暴露于阿片类药物后的戒断反应中的作用及作用机制。产生阿片类药物戒断反应的方式如下:1)在14天内慢性暴露于递增剂量的吗啡后24小时自发产生(实验1和2),以及通过微型泵持续12天稳态暴露于海洛因后自发产生(实验3);2)在稳态海洛因暴露期间注射纳洛酮产生(实验4);3)在操作性海洛因自我给药期间注射纳洛酮产生(实验5)。在实验1中,自发的吗啡戒断产生了躯体戒断反应。行为戒断反应伴随着伏隔核、杏仁核和前额叶皮质中OlGly内源性水平的抑制,杏仁核中花生四烯酸甘油酯和OlAla的抑制,伏隔核、杏仁核和内感受性岛叶皮质中2-花生四烯酸甘油酯的抑制,以及结肠微生物群组成的变化。在实验2中,OlAla治疗可减轻自发的吗啡戒断反应,而OlGly则无此作用。在实验3中,OlAla在5和20mg/kg剂量下均减弱了稳态海洛因自发戒断反应;OlGly仅在20mg/kg的较高剂量下降低了戒断反应。实验4表明,从稳态暴露于海洛因(7mg/kg/天,持续12天)后纳洛酮诱发的海洛因戒断反应伴随着脑或肠道内源性大麻素介质(包括OlGly和OlAla)水平及结肠微生物群组成的组织特异性变化,并且OlAla(5mg/kg)减弱了行为戒断反应,同时还逆转了纳洛酮诱导的脑和肠道内源性大麻素介质及肠道微生物群的一些变化。实验5表明,尽管OlAla(5mg/kg)自身并不干扰操作性海洛因自我给药,但它能阻断纳洛酮诱发的海洛因自我给药行为的增强。这些结果表明,OlAla和OlGly是两种内源性介质,其脑内浓度与结肠微生物群组成的变化同时对慢性阿片类药物治疗和戒断产生反应,并且OlAla在抑制慢性阿片类药物戒断反应方面可能比OlGly更有效。