Ultra-low-dose naloxone suppresses opioid tolerance, dependence and associated changes in mu opioid receptor-G protein coupling and Gbetagamma signaling

Neuroscience. 2005;135(1):247-61. doi: 10.1016/j.neuroscience.2005.06.003.

Abstract

Opiates produce analgesia by activating mu opioid receptor-linked inhibitory G protein signaling cascades and related ion channel interactions that suppress cellular activities by hyperpolarization. After chronic opiate exposure, an excitatory effect emerges contributing to analgesic tolerance and opioid-induced hyperalgesia. Ultra-low-dose opioid antagonist co-treatment blocks the excitatory effects of opiates in vitro, as well as opioid analgesic tolerance and dependence, as was demonstrated here with ultra-low-dose naloxone combined with morphine. While the molecular mechanism for the excitatory effects of opiates is unclear, a switch in the G protein coupling profile of the mu opioid receptor and adenylyl cyclase activation by Gbetagamma have both been suggested. Using CNS regions from rats chronically treated with vehicle, morphine, morphine+ultra-low-dose naloxone or ultra-low-dose naloxone alone, we examined whether altered mu opioid receptor coupling to G proteins or adenylyl cyclase activation by Gbetagamma occurs after chronic opioid treatment. In morphine-naïve rats, mu opioid receptors coupled to Go in striatum and to both Gi and Go in periaqueductal gray and spinal cord. Although chronic morphine decreased Gi/o coupling by mu opioid receptors, a pronounced coupling to Gs emerged coincident with a Gbetagamma interaction with adenylyl cyclase types II and IV. Co-treatment with ultra-low-dose naloxone attenuated both the chronic morphine-induced Gs coupling and the Gbetagamma signaling to adenylyl cyclase, while increasing Gi/o coupling toward or beyond vehicle control levels. These findings provide a molecular mechanism underpinning opioid tolerance and dependence and their attenuation by ultra-low-dose opioid antagonists.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenylyl Cyclases / metabolism
  • Analgesics, Opioid / pharmacology
  • Animals
  • Blotting, Western
  • Drug Tolerance
  • Enkephalin, Ala(2)-MePhe(4)-Gly(5)- / pharmacology
  • GTP-Binding Protein alpha Subunits / metabolism
  • GTP-Binding Protein beta Subunits / physiology*
  • GTP-Binding Protein gamma Subunits / physiology*
  • Guanosine 5'-O-(3-Thiotriphosphate) / metabolism
  • Hot Temperature
  • Immunoprecipitation
  • Isoenzymes / metabolism
  • Male
  • Naloxone / pharmacology*
  • Narcotic Antagonists / pharmacology*
  • Opioid-Related Disorders / prevention & control*
  • Pain Threshold / drug effects
  • Protein Binding / drug effects
  • Rats
  • Rats, Sprague-Dawley
  • Reaction Time / drug effects
  • Receptors, G-Protein-Coupled / drug effects*
  • Receptors, Opioid, mu / drug effects*
  • Signal Transduction / drug effects*
  • Substance Withdrawal Syndrome / prevention & control

Substances

  • Analgesics, Opioid
  • G-protein Beta gamma
  • GTP-Binding Protein alpha Subunits
  • GTP-Binding Protein beta Subunits
  • GTP-Binding Protein gamma Subunits
  • Isoenzymes
  • Narcotic Antagonists
  • Receptors, G-Protein-Coupled
  • Receptors, Opioid, mu
  • Enkephalin, Ala(2)-MePhe(4)-Gly(5)-
  • Naloxone
  • Guanosine 5'-O-(3-Thiotriphosphate)
  • Adenylyl Cyclases