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The Journal of Neuroscience, December 15, 2002, 22(24):10847-10855

Rostral Ventromedial Medulla Neurons That Project to the Spinal Cord Express Multiple Opioid Receptor Phenotypes

Silvia Marinelli1, Christopher W. Vaughan1, 2, Stephen A. Schnell3, Martin W. Wessendorf3, and MacDonald J. Christie1

1 Department of Pharmacology and The Medical Foundation, The University of Sydney, Sydney, New South Wales 2006 Australia, 2 Department of Anaesthesia and Pain Management, Royal North Shore Hospital New South Wales, New South Wales 2065 Australia, and 3 Department of Neuroscience, University of Minnesota, Minneapolis, Minnesota 55455

The rostral ventromedial medulla (RVM) forms part of a descending pathway that modulates nociceptive neurotransmission at the level of the spinal cord dorsal horn. However, the involvement of descending RVM systems in opioid analgesia are a matter of some debate. In the present study, patch-clamp recordings of RVM neurons were made from rats that had received retrograde tracer injections into the spinal cord. More than 90% of identified spinally projecting RVM neurons responded to opioid agonists. Of these neurons, 53% responded only to the µ-opioid agonist D-Ala2, N-Me-Phe4, Gly-ol5 enkephalin, 14% responded only to the kappa -opioid agonist U-69593, and another group responded to both µ and kappa  opioids (23%). In unidentified RVM neurons, a larger proportion of neurons responded only to µ opioids (75%), with smaller proportions of kappa - (4%) and µ/kappa -opioid (13%) responders. These RVM slices were then immunostained for tryptophan hydroxylase (TPH), a marker of serotonergic neurons. Forty-percent of spinally projecting neurons and 11% of unidentified neurons were TPH positive. Of the TPH-positive spinally projecting neurons, there were similar proportions of µ- (33%), kappa - (25%), and µ/kappa -opioid (33%) responders. Most of the TPH-negative spinally projecting neurons were µ-opioid responders (67%). These findings indicate that functional opioid receptor subtypes exist on spinally projecting serotonergic and nonserotonergic RVM neurons. The proportions of µ- and kappa -opioid receptors expressed differ between serotonergic and nonserotonergic neurons and between retrogradely labeled and unlabeled RVM neurons. We conclude that important roles exist for both serotonergic and nonserotonergic RVM neurons in the mediation of opioid effects.

Key words: rostral ventromedial medulla; spinal cord; opioid receptor; analgesia; serotonergic; patch clamp; immunohistochemistry


Copyright © 2002 Society for Neuroscience  0270-6474/02/222410847-09$05.00/0


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