2009
DOI: 10.2741/3596
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Mechanisms underlying morphine analgesic tolerance and dependence

Abstract: The mechanisms underlying opioid tolerance are not fully understood, but appear to be comprised of two types of plasticity or counter-adaptation, at the cellular level and through neuronal circuits. Current studies mostly emphasize the cellular adaptation mechanisms, which include altered gene expression and receptor desensitization due to phosphorylation and endocytosis. However, the mechanisms underlying opioid tolerance and dependence are not always explained by cellular adaptation mechanisms alone. This re… Show more

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Cited by 101 publications
(55 citation statements)
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“…Many investigators choose to study the effects of morphine on immune functions because morphine is an opioid that is given clinically, even though morphine has good affinity for all opioid receptors (24,39). We have shown here that MOR and DOR constitutively produce and function in innate immune cells, and activation of these receptors leads to increased NK cell functions.…”
Section: Discussionmentioning
confidence: 99%
“…Many investigators choose to study the effects of morphine on immune functions because morphine is an opioid that is given clinically, even though morphine has good affinity for all opioid receptors (24,39). We have shown here that MOR and DOR constitutively produce and function in innate immune cells, and activation of these receptors leads to increased NK cell functions.…”
Section: Discussionmentioning
confidence: 99%
“…1A). It is generally agreed that neural adaptations implicated in addiction by many drugs, including opiates, are brought about by modification of synaptic plasticity mechanisms that can feature neuronal glia interactions (85)(86)(87). Therefore, the TSP1-dependent mechanism suggested here (Fig.…”
Section: Discussionmentioning
confidence: 99%
“…Prolonged signaling of an endocytosis-resistant receptor that maintains an analgetic tonus may be favorable in a situation of long-term noxious stimulation. In this scenario, treatment of chronic pain with synthetic hMrgX1 agonists might benefit from long-lasting analgetic signaling, being advantageous over the established opioid-based therapy, which suffers a significant loss of efficiency partly because of receptor desensitization (Ueda and Ueda, 2009). Considering algetic effects, prolonged hMrgX1 signaling could be the cause of chronic pain, which could then be treated with specific antagonists or inverse agonists.…”
Section: Discussionmentioning
confidence: 99%