The role of mitogen-activated protein kinase (MAPK) in morphine tolerance and dependence

Mol Neurobiol. 2009 Oct;40(2):101-7. doi: 10.1007/s12035-009-8074-z. Epub 2009 May 26.

Abstract

Despite the existence of a large body of information on the subject, the mechanisms of morphine tolerance and dependence are not yet fully understood. There is substantial evidence indicating that mitogen-activated protein kinase (MAPK), a family including extracellular signal-regulated protein kinase, p38 MAPK, and c-Jun N-terminal kinase, can be activated by chronic morphine treatment in the central and peripheral nervous systems and that application of a MAPK inhibitor reduces morphine tolerance and dependence. While the exact mechanism is not completely understood, recent evidence suggests that the activation of MAPK induced by long-term morphine exposure may participate in tolerance and dependence by regulating the downstream targets, such as calcitonin gene-related peptide, substance P, nitric oxide, transient receptor potential vanilloid 1, and proinflammatory cytokines. In this review, we focus on the current understanding of the role of MAPK signaling pathways in morphine tolerance and dependence.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Drug Tolerance / physiology*
  • Humans
  • Mitogen-Activated Protein Kinases / metabolism*
  • Morphine Dependence / metabolism*
  • Signal Transduction / drug effects*
  • Signal Transduction / physiology

Substances

  • Mitogen-Activated Protein Kinases