[Difference in tolerance to anti-hyperalgesic effect and its molecular mechanisms between chronic treatment with morphine, fentanyl and oxycodone in a chronic pain-like state]

Nihon Shinkei Seishin Yakurigaku Zasshi. 2008 Nov;28(5-6):169-76.
[Article in Japanese]

Abstract

In the present study, we demonstrated that repeated treatment with fentanyl, but not morphine or oxycodone, causes a rapid desensitization to its ability to block the hyperalgesia associated with the attenuation of mu-opioid receptor resensitization in mice in a chronic pain-like state. In contrast, no such effect was noted in beta-endorphin knockout mice under the chronic pain-like conditions. On the assumption that beta-endorphin might be released within the spinal cord under pain-like conditions, we further examined whether beta-endorphin could be responsible for a desensitization and resensitization of fentanyl under the chronic pain. In cultured cells, unlike morphine, fentanyl and oxycodone induced a robust mu-opioid receptor internalization and, in turn, its resensitization. In the presence of beta-endorphin, the internalized mu-opioid receptor induced by fentanyl, but not oxycodone, remained within the cytosolic component even after washing out. The findings suggest that beta-endorphin could attenuate the resensitization of mu-opioid receptors. This phenomenon may explain the high degree of tolerance to fentanyl that develops with hyperalgesia caused by a chronic pain-like state.

Publication types

  • Review

MeSH terms

  • Analgesics, Opioid / administration & dosage
  • Analgesics, Opioid / therapeutic use*
  • Animals
  • Chronic Disease
  • Disease Models, Animal
  • Drug Tolerance / genetics*
  • Fentanyl / administration & dosage
  • Fentanyl / therapeutic use*
  • Humans
  • Mice
  • Morphine / administration & dosage
  • Morphine / therapeutic use*
  • Oxycodone / administration & dosage
  • Oxycodone / therapeutic use*
  • Pain / drug therapy*
  • Receptors, Opioid, mu / physiology*
  • beta-Endorphin / metabolism
  • beta-Endorphin / physiology*

Substances

  • Analgesics, Opioid
  • Receptors, Opioid, mu
  • beta-Endorphin
  • Morphine
  • Oxycodone
  • Fentanyl