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The Journal of Neuroscience, September 22, 2004, 24(38):8193-8197; doi:10.1523/JNEUROSCI.1657-04.2004

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BRIEF COMMUNICATION
Chronic Morphine Sensitizes the Brain Norepinephrine System to Corticotropin-Releasing Factor and Stress

Guang-Ping Xu,1 Elisabeth Van Bockstaele,2 Beverly Reyes,2 Thelma Bethea,1 and Rita J. Valentino1

1Departments of Pediatrics and Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, and 2Department of Neurosurgery, Thomas Jefferson University School of Medicine, Philadelphia, Pennsylvania 19107

Chronic opiate use produces persistent changes in brain neurons that are expressed as adverse effects, including physical dependence and compulsive drug-seeking behavior. Dysregulation of the hypothalamic-pituitary-adrenal response to stress also occurs with chronic opiate administration and has been implicated as a contributing factor to continued substance abuse. This study provides the first evidence for dysregulation of the central noradrenergic response to stress by chronic opiates. Chronic morphine selectively sensitized locus ceruleus (LC)-norepinephrine (NE) neurons to corticotropin-releasing factor (CRF), an integral mediator of the stress response. CRF doses that were inactive in vehicle-treated rats produced a near-maximal activation of LC neurons of rats chronically administered morphine. LC sensitization to CRF was not solely a pharmacological phenomenon but was expressed as hyperresponsivity to physiological stress. Finally, opiate-induced LC sensitization translated to a change in the behavioral repertoire in response to environmental stress (swim stress) such that NE-mediated hyperactive behaviors predominated. The opiate-induced sensitization of the central NE response to stress predicts that chronic opiate administration increases vulnerability to certain stress-related symptoms (e.g., hyperarousal, attentional dysfunction), and this may contribute to the maintenance of opiate-seeking behavior.

Key words: corticotropin-releasing factor; locus ceruleus; morphine; µ-opiate receptor; swim stress; 8-bromo-cAMP


Received May 2, 2004; revised July 9, 2004; accepted August 10, 2004.




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