Role of adrenal cortical activation in the immunosuppressive effects of chronic morphine treatment

Endocrinology. 1991 Jun;128(6):3253-8. doi: 10.1210/endo-128-6-3253.

Abstract

Implantation of a 75-mg morphine pellet in sham-adrenalectomized male C3H/HeN mice resulted in significant elevations of serum corticosterone levels within 6 h. Corticosterone levels remained elevated (3- to 4-fold) for 72 h and had returned to normal by 120 h postimplantation. Within 48 h of pellet implantation, morphine-pelleted mice exhibited marked reductions in spleen (35%) and thymus weight (56%) relative to values in placebo-pelleted controls. In addition, adrenal hypertrophy was observed in the morphine-pelleted shams (50% increase in adrenal weight relative to placebo. The magnitude of splenic and thymic atrophy was reduced by about 50% in adrenalectomized morphine-pelleted mice (17% and 22% reductions, respectively) compared to that in adrenalectomized mice implanted with placebo pellets. Lymphocyte proliferative responses to the T-cell mitogen Concanavalin-A and the B-cell mitogen bacterial lipopolysaccharide were also significantly reduced in the morphine-pelleted sham mice. Morphine-induced suppression of Concanavalin-A- or lipopolysaccharide-stimulated lymphocyte proliferation was absent in adrenalectomized mice. Effects similar to adrenalectomy (e.g. lessening of magnitude of morphine-induced suppression of lymphoid organ weight and lymphocyte proliferation) were found in morphine-pelleted mice given the glucocorticoid receptor antagonist RU-486 at a dose of 10 mg/kg, twice daily. These studies imply that morphine-induced immunosuppression is at least in part mediated by the increase in serum corticosterone levels after implantation of the morphine pellet.

MeSH terms

  • Adrenal Cortex / physiology*
  • Adrenalectomy
  • Animals
  • Cell Division / drug effects
  • Concanavalin A / pharmacology
  • Corticosterone / blood
  • Drug Implants
  • Immunosuppressive Agents / pharmacology*
  • Lipopolysaccharides / pharmacology
  • Male
  • Mice
  • Mice, Inbred C3H
  • Mifepristone / pharmacology
  • Morphine / pharmacology*
  • Organ Size / drug effects
  • Spleen / anatomy & histology
  • Spleen / cytology
  • Thymus Gland / anatomy & histology
  • Time Factors

Substances

  • Drug Implants
  • Immunosuppressive Agents
  • Lipopolysaccharides
  • Concanavalin A
  • Mifepristone
  • Morphine
  • Corticosterone