“…However, under conditions of inflammation or exposure to inflammatory mediators, peripherally-restricted opioid agonists can produce profound antinociceptive responses (Fields et al, 1980;Chen et al, 1997;Obara et al, 2009;Rowan et al, 2009;Berg et al, 2011Berg et al, , 2012Sullivan et al, 2015a). Similarly, with peripheral sensory neurons in culture, activation of opioid receptors do not activate the Gi-adenylyl cyclase signaling pathway unless cells are first exposed to an inflammatory mediator, such as bradykinin (BK) or arachidonic acid (AA) (Patwardhan et al, 2005;Berg et al, 2007Berg et al, , 2011Berg et al, , 2012Sullivan et al, 2015aSullivan et al, , 2017. Induction of opioid receptor functional competence in peripheral sensory neurons by inflammatory mediators is mediated by cyclooxygenase (COX)-dependent metabolites of AA (Berg et al, 2007(Berg et al, , 2011Sullivan et al, 2015a).…”