“…Differential processing of PENK by the PCs appears to generate multiple biological activities in immune cells. The opioid Met-Enk and its analogs, through their delta opioid receptor activities can enhance the immune reaction by stimulating immunocyte chemotaxis, phagocytosis and secretion of immunostimulatory factors, but would also mediate an analgesic effect in peripheral inflamed tissues (18,47,49,50). Furthermore, the release of enkelytin and Met-Enk peptides is increased in different cases such as LPS injection, surgical trauma or bacterial exposure (19,24).…”