“…Within the presynaptic compartment, multiple adaptations to chronic opioid exposure have been observed; tolerance in some instances (Atwood et al, 2014; Fyfe et al, 2010; Matsui et al, 2014), while enhanced opioid efficacy, or facilitation, in others (Chieng & Williams, 1998; Hack et al, 2003; Ingram et al, 1998; Pennock et al, 2012). MOR phosphorylation also regulates presynaptic cellular tolerance in cultured striatal neurons (Jullié et al, 2022; Jullié et al, 2020), however, the role of phosphorylation in mediating presynaptic facilitation and tolerance in intact brain circuits is not established. Complicating the matter, studies investigating these differences have been done across species and brain regions making it difficult to generalize how a particular cell type or synapse will adapt to repeated opioid exposure.…”