Abstract-To elucidate the mechanism for the suppression by concurrent footshock (FS) exposure of the development of morphine tolerance, the effect of adrenal ectomy and a possible participation of glucocorticoids in the mechanism were examined. The analgesic effect of morphine was potentiated in adrenalectomized (ADX) mice, and further enhancement of the effect was shown by the simultaneous exposure to FS (2 mA, 0.2 Hz, 1 sec duration for 15 min) stress, while no such effects were observed in sham-operated (Sham) animals. Daily morphine treatment developed tolerance in Sham and ADX mice. The combined treatment with FS stress suppressed the development of morphine tolerance in Sham mice, whereas such suppression was abolished by adrenalectomy. The suppression of tolerance development was restored in ADX mice by supplement of prednisolone. In con trast to FS stress which produces analgesia through an opioid receptor , forced swimming stress which exerts analgesia through a non-opioid mechanism did not affect the development of morphine tolerance in both Sham and ADX mice. Thus, an opioid mediated stress, FS, could prevent the development of morphine tolerance, and adrenal glucocorticoids play an essential role in the mechanism.In our previous experiments which were undertaken to examine the effect of the con current exposure to various stressful stimuli on the development of morphine tolerance in mice, we found that footshock (FS) stress, which produces analgesia through an opioid receptor, only blocked the development of morphine tolerance (1). Meanwhile, there are several reports which suggest that the analgesic actions induced by stress exposure have relevance to the endocrine mechanisms: namely, stimulation of the pituitary-adrenal axis (e.g., hypophysectomized rat attenuated analgesia following FS, cold water swimming and immobilization) (2); footshock stress induced analgesia was enhanced by adrenal ectomy in mice (3); and the analgesic effect induced by an opioid mediated stress such as FS-stress under certain conditions was sup pressed by the treatment with dexamethasone or by adrenalectomy (4). These stress in duced analgesia are probably produced by activating the intrinsic pain-inhibitory system as an adaptive response to stress (5). If this is the case, the blockade by stress of the development of morphine tolerance may be a result of the emergency responses to such stress, through hormonal systems, since there is a general acceptance that adaptive re sponses to stress are closely related to the pituitary-adrenal system (6).In this context, we examined a possible role of the adrenal system in the blockade of the development of analgesic tolerance to morphine by the concurrent exposure to FS-stress, and we also examined the role of the system in the effect of forced swimming (SW) stress which is a non-opioid mediated stress and has no effect on the development of morphine tolerance.
Materials and MethodsAnimals: Male mice of the ddY strain weighing 18-20 g (Otsubo Exp. Animals,