2018
DOI: 10.1146/annurev-neuro-080317-061522
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Endogenous and Exogenous Opioids in Pain

Abstract: Opioids are the most commonly used and effective analgesic treatments for severe pain, but they have recently come under scrutiny owing to epidemic levels of abuse and overdose. These compounds act on the endogenous opioid system, which comprises four G protein-coupled receptors (mu, delta, kappa, and nociceptin) and four major peptide families (β-endorphin, enkephalins, dynorphins, and nociceptin/orphanin FQ). In this review, we first describe the functional organization and pharmacology of the endogenous opi… Show more

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Cited by 343 publications
(375 citation statements)
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References 177 publications
(213 reference statements)
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“…Mu and delta opioid receptors (MOP, DOP) are GPCRs widely distributed within the somatosensory nervous system, including ascending and descending pain pathways (Corder, Castro, Bruchas, & Scherrer, ; Gavériaux‐Ruff & Kieffer, ). Both receptors are activated by endogenous and exogenous opioids and control nociception under physiological conditions (Corder et al, ). MOP control sensitivity to heat (Matthes et al, ), whereas DOP participates in touch perception (Bardoni et al, ; Martin, Matifas, Maldonado, & Kieffer, ).…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Mu and delta opioid receptors (MOP, DOP) are GPCRs widely distributed within the somatosensory nervous system, including ascending and descending pain pathways (Corder, Castro, Bruchas, & Scherrer, ; Gavériaux‐Ruff & Kieffer, ). Both receptors are activated by endogenous and exogenous opioids and control nociception under physiological conditions (Corder et al, ). MOP control sensitivity to heat (Matthes et al, ), whereas DOP participates in touch perception (Bardoni et al, ; Martin, Matifas, Maldonado, & Kieffer, ).…”
Section: Introductionmentioning
confidence: 99%
“…Mu and delta opioid receptors (MOP, DOP) are GPCRs widely distributed within the somatosensory nervous system, including ascending and descending pain pathways (Corder, Castro, Bruchas, & Scherrer, 2018;. Both receptors are activated by endogenous and exogenous opioids and control nociception under physiological conditions .…”
Section: Introductionmentioning
confidence: 99%
“…The clinical utility of opioids as analgesics is due to activation of opioid receptors in the brain and spinal cord (1), but chronic exposure tends to diminish these effects and produce analgesic tolerance. Conversely, opioid abuse liability is related to activation of receptors in portions of the mesolimbic dopamine system, including the ventral tegmental area and nucleus accumbens (2).…”
Section: Introductionmentioning
confidence: 99%
“…The afferent nociceptive influx from peripheral tissues is regulated by descending neurons and opioid receptors participate in this system at multiple levels (Vanderah, 2010). As an example, KOP has been found to be present in spinal cord dorsal root ganglia (Attali & Vogel, 1989;Corder, Castro, Bruchas, & Scherrer, 2018;Ji et al, 1995) where it inhibits synaptic transmission between primary and secondary afferent neurons (Vanderah, 2010) in response to agonists released by descending neurons. Opioid peptides and their receptors also regulate monoaminergic systems and notably mesolimbic dopaminergic functions (Lutz & Kieffer, 2013).…”
mentioning
confidence: 99%