Ligand-directed trafficking of the δ-opioid receptor in vivo: two paths toward analgesic tolerance

J Neurosci. 2010 Dec 8;30(49):16459-68. doi: 10.1523/JNEUROSCI.3748-10.2010.

Abstract

δ-Opioid receptors are G-protein-coupled receptors that regulate nociceptive and emotional responses. It has been well established that distinct agonists acting at the same G-protein-coupled receptor can engage different signaling or regulatory responses. This concept, known as biased agonism, has important biological and therapeutic implications. Ligand-biased responses are well described in cellular models, however, demonstrating the physiological relevance of biased agonism in vivo remains a major challenge. The aim of this study was to investigate the long-term consequences of ligand-biased trafficking of the δ-opioid receptor, at both the cellular and behavioral level. We used δ agonists with similar binding and analgesic properties, but high [SNC80 ((+)-4-[(αR)-α-((2S,5R)-4-allyl-2,5-dimethyl-1-piperazinyl)-3-methoxybenzyl]-N,N-diethylbenzamide)]- or low [ARM390 (N,N-diethyl-4-(phenyl-piperidin-4-ylidenemethyl)-benzamide)]-internalization potencies. As we found previously, a single SNC80-but not ARM390-administration triggered acute desensitization of the analgesic response in mice. However, daily injections of either compound over 5 d produced full analgesic tolerance. SNC80-tolerant animals showed widespread receptor downregulation, and tolerance to analgesic, locomotor and anxiolytic effects of the agonist. Hence, internalization-dependent tolerance developed, as a result of generalized receptor degradation. In contrast, ARM390-tolerant mice showed intact receptor expression, but δ-opioid receptor coupling to Ca²+ channels was abolished in dorsal root ganglia. Concomitantly, tolerance developed for agonist-induced analgesia, but not locomotor or anxiolytic responses. Therefore, internalization-independent tolerance was produced by anatomically restricted adaptations leading to pain-specific tolerance. Hence, ligand-directed receptor trafficking of the δ-opioid receptor engages distinct adaptive responses, and this study reveals a novel aspect of biased agonism in vivo.

Publication types

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

MeSH terms

  • Analgesics / pharmacology*
  • Analgesics / therapeutic use
  • Animals
  • Benzamides / pharmacology
  • Benzamides / therapeutic use
  • Brain / ultrastructure
  • Calcium / metabolism
  • Cell Membrane / drug effects
  • Cell Membrane / genetics
  • Disease Models, Animal
  • Drug Interactions
  • Drug Tolerance / genetics
  • Drug Tolerance / physiology*
  • Female
  • Freund's Adjuvant
  • Ganglia, Spinal / cytology
  • Green Fluorescent Proteins / genetics
  • Guanosine 5'-O-(3-Thiotriphosphate) / metabolism
  • Hyperalgesia / drug therapy
  • Hyperalgesia / physiopathology
  • Inflammation / chemically induced
  • Inflammation / complications
  • Ligands*
  • Locomotion / drug effects
  • Locomotion / genetics
  • Male
  • Maze Learning / drug effects
  • Membrane Potentials / drug effects
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Pain / drug therapy
  • Pain / etiology
  • Pain Threshold / drug effects
  • Pain Threshold / physiology*
  • Patch-Clamp Techniques / methods
  • Piperazines / pharmacology
  • Piperazines / therapeutic use
  • Piperidines / pharmacology
  • Piperidines / therapeutic use
  • Protein Binding / drug effects
  • Protein Transport / genetics
  • Protein Transport / physiology
  • Receptors, Opioid, delta / agonists
  • Receptors, Opioid, delta / genetics
  • Receptors, Opioid, delta / metabolism*
  • Sensory Receptor Cells / drug effects
  • Spinal Cord / ultrastructure
  • Statistics, Nonparametric
  • Sulfur Isotopes / metabolism
  • Time Factors

Substances

  • Analgesics
  • Benzamides
  • Ligands
  • N,N-diethyl-4-(phenylpiperidin-4-ylidenemethyl)benzamide
  • Piperazines
  • Piperidines
  • Receptors, Opioid, delta
  • Sulfur Isotopes
  • enhanced green fluorescent protein
  • Green Fluorescent Proteins
  • 4-(alpha-(4-allyl-2,5-dimethyl-1-piperazinyl)-3-methoxybenzyl)-N,N-diethylbenzamide
  • Guanosine 5'-O-(3-Thiotriphosphate)
  • Freund's Adjuvant
  • Calcium