共同表达的 μ-、δ-和 κ-阿片受体调节胃投射迷走传入神经元中的电压门控钙通道。

Coexpressed -, -, and -Opioid Receptors Modulate Voltage-Gated Ca Channels in Gastric-Projecting Vagal Afferent Neurons.

机构信息

Departments of Neural and Behavioral Sciences (H.J.G., S.L.S., L.B.W., G.M.H.) and Anesthesiology and Perioperative Medicine (V.R.-V.), Penn State University College of Medicine, Hershey, Pennsylvania.

Departments of Neural and Behavioral Sciences (H.J.G., S.L.S., L.B.W., G.M.H.) and Anesthesiology and Perioperative Medicine (V.R.-V.), Penn State University College of Medicine, Hershey, Pennsylvania

出版信息

Mol Pharmacol. 2024 Feb 15;105(3):250-259. doi: 10.1124/molpharm.123.000774.

Abstract

Opioid analgesics are frequently associated with gastrointestinal side effects, including constipation, nausea, dysphagia, and reduced gastric motility. Though it has been shown that stimulation of opioid receptors expressed in enteric motor neurons contributes to opioid-induced constipation, it remains unclear whether activation of opioid receptors in gastric-projecting nodose ganglia neurons contributes to the reduction in gastric motility and emptying associated with opioid use. In the present study, whole-cell patch-clamp recordings were performed to determine the mechanism underlying opioid receptor-mediated modulation of Ca currents in acutely isolated gastric vagal afferent neurons. Our results demonstrate that Ca2.2 channels provide the majority (71% ± 16%) of Ca currents in gastric vagal afferent neurons. Furthermore, we found that application of oxycodone, U-50488, or deltorphin II on gastric nodose ganglia neurons inhibited Ca currents through a voltage-dependent mechanism by coupling to the G family of heterotrimeric G-proteins. Because previous studies have demonstrated that the nodose ganglia expresses low levels of -opioid receptors, we also determined the deltorphin II concentration-response relationship and assessed deltorphin-mediated Ca current inhibition following exposure to the -opioid receptor antagonist ICI 174,864 (0.3 µM). The peak mean Ca current inhibition following deltorphin II application was 47% ± 24% (EC = 302.6 nM), and exposure to ICI 174,864 blocked deltorphin II-mediated Ca current inhibition (4% ± 4% versus 37% ± 20%). Together, our results suggest that analgesics targeting any opioid receptor subtype can modulate gastric vagal circuits. SIGNIFICANCE STATEMENT: This study demonstrated that in gastric nodose ganglia neurons, agonists targeting all three classical opioid receptor subtypes (, , and ) inhibit voltage-gated Ca channels in a voltage-dependent mechanism by coupling to Gα. These findings suggest that analgesics targeting any opioid receptor subtype would modulate gastric vagal circuits responsible for regulating gastric reflexes.

摘要

阿片类镇痛药常伴有胃肠道副作用,包括便秘、恶心、吞咽困难和胃动力降低。虽然已经表明,刺激表达在肠运动神经元中的阿片受体有助于阿片类药物引起的便秘,但尚不清楚阿片受体在胃投射的结状神经节神经元中的激活是否有助于与阿片类药物使用相关的胃动力和排空的减少。在本研究中,进行全细胞膜片钳记录以确定阿片受体介导的急性分离胃迷走传入神经元钙电流调制的机制。我们的结果表明,Ca2.2 通道提供了胃迷走传入神经元中大部分(71%±16%)的钙电流。此外,我们发现,在胃结状神经节神经元上应用羟考酮、U-50488 或德尔塔芬 II 通过与 G 家族异三聚体 G 蛋白偶联的电压依赖性机制抑制钙电流。由于先前的研究表明结状神经节表达低水平的-阿片受体,我们还确定了德尔塔芬 II 的浓度-反应关系,并在暴露于-阿片受体拮抗剂 ICI 174,864(0.3 μM)后评估了德尔塔芬介导的钙电流抑制。应用德尔塔芬 II 后,平均峰值钙电流抑制率为 47%±24%(EC=302.6 nM),暴露于 ICI 174,864 阻断了德尔塔芬 II 介导的钙电流抑制(4%±4%对 37%±20%)。总之,我们的结果表明,靶向任何阿片受体亚型的镇痛药都可以调节胃迷走神经回路。意义陈述:本研究表明,在胃结状神经节神经元中,靶向所有三种经典阿片受体亚型(μ、δ 和 κ)的激动剂通过与 Gα 偶联以电压依赖性机制抑制电压门控钙通道。这些发现表明,靶向任何阿片受体亚型的镇痛药都会调节负责调节胃反射的胃迷走神经回路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/358e/10877734/321153f802b3/molpharm.123.000774absf1.jpg

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