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AGENCY USE ONLY (Leave blank) 2. REPORT DATEMarch 2 001
REPORT TYPE AND DATES COVEREDAnnual (1 Mar 00 -28 Feb 01)
TITLE AND SUBTITLE
Facilitated Delivery of Endomorphins and Morphine Into the CNS
AUTHOR(S)Abba J. Kastin, M, D.
FUNDING NUMBERSDAMD17-00-1-0113
PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)Veteran Affairs Medical Center New Orleans, Louisiana 70112-1262PERFORMING ORGANIZATION REPORT NUMBER Endomorphins, endogenous brain opiates with the highest affinity and specifity for the mu opiate receptor, potently produce analgesia. A rapid brain-to-blood efflux system could give misleading results when entry rates are determined. Preliminary results show that endomorphin-1 and endomorphin-2 are saturably transported from brain to blood, as shown by self-inhibition by an excess ofthat peptide. There also was cross-inhibition of each endomorphin by the other, indicating shared components for the efflux system. CGRP, substance P, or constriction of the sciatic nerve did not decrease efflux. Furthermore, chronic pain induced by sciatic nerve constriction caused a striking decrease in endomorphin-2 immunoreactivity on the nerve-injured side in the spinal cord. Preliminary results also indicate that immunoreactive substance P, but not CGRP, was modestly reduced on the injured side, showing that immunoreactive endomorphin-2 in the spinal cord is decreased during the development of chronic pain. We also found a dissociation of analgesic and rewarding effects of endomorphin-1 in rats. This could indicate that the potent effects of endomorphin-1 on pain might not always be associated with the addictive properties of reward.
SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES)U14. SUBJECT TERMS pain, endomorphins, peptides, blood-brain barrier,
INTRODUCTION:The main purpose of this research is to examine the crossing of the blood-brain barrier (BBB) by the endomorphins. Endomorphin-1 and endomorphin-2 have been isolated by us from human and bovine brain (12,25). They represent the brain opiates with the highest affinity and specificity for the mu opiate receptor, which is the site of most of morphine's actions. They produce analgesia in mice with a potency similar to that of morphine. We are studying how their passage across the BBB is influenced by pain and its modulating peptides.
BODY:Determination of the rate of entry of subs...