Mu opioid receptor-dependent and independent components in effects of tramadol

Neuropharmacology. 2006 Sep;51(3):651-8. doi: 10.1016/j.neuropharm.2006.05.008. Epub 2006 Jun 21.

Abstract

Tramadol is thought to induce analgesia via both opioid and non-opioid pathways, although the precise mechanisms remain to be elucidated. In this study, we investigated the roles of the mu-opioid receptor (MOP) in analgesic and rewarding effects of tramadol by using MOP knockout (KO) mice. Tramadol-induced antinociception, assessed by hot-plate and tail-flick tests, was significantly reduced in heterozygous and homozygous MOP-KO mice when compared with that in wild-type mice. Interestingly, however, tramadol retained its ability to induce significant antinociception in homozygous MOP-KO mice. The tramadol-induced antinociception remaining in homozygous MOP-KO mice was not significantly affected by methysergide, a serotonin receptor antagonist, but was partially blocked by yohimbine, an adrenaline alpha2 receptor antagonist, and both naloxone, a non-selective opioid receptor antagonist, and yohimbine. In addition, antinociceptive effects of an active tramadol metabolite M1 were abolished or remarkably reduced in MOP-KO mice. On the other hand, neither wild-type nor homozygous MOP-KO mice showed significant place preference for tramadol in a conditioned place preference test, although there were slight tendencies toward preference in wild-type mice and avoidance in homozygous MOP-KO mice. These results strongly support the idea suggested in the previous pharmacological studies that MOP and the adrenaline alpha2 receptor mediate most of the analgesic properties of tramadol.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic alpha-Antagonists / pharmacology
  • Analysis of Variance
  • Animals
  • Behavior, Animal / drug effects
  • Conditioning, Psychological / drug effects*
  • Cyclosporine / pharmacology
  • Dose-Response Relationship, Drug
  • Drug Interactions
  • Hot Temperature
  • Hyperalgesia / drug therapy*
  • Methysergide / pharmacology
  • Mice
  • Mice, Knockout
  • Narcotics / therapeutic use*
  • Pain Measurement / methods
  • Reaction Time / drug effects
  • Receptors, Opioid, mu / deficiency
  • Receptors, Opioid, mu / physiology*
  • Reward*
  • Serotonin Antagonists / pharmacology
  • Time Factors
  • Tramadol / therapeutic use*
  • Yohimbine / pharmacology

Substances

  • Adrenergic alpha-Antagonists
  • M1 cyclosporin metabolite
  • Narcotics
  • Receptors, Opioid, mu
  • Serotonin Antagonists
  • Yohimbine
  • Tramadol
  • Cyclosporine
  • Methysergide