Department of Physiology and Pharmacology, Oregon Health Sciences
University, Portland, Oregon
The present study examined the potential for cross-tolerance
development between µ-opioid and
-aminobutyric acidB
receptor agonists, in hypothalamic arcuate neurons, resulting from
chronic morphine treatment. Intracellular recordings were made in
hypothalamic slices prepared from ovariectomized female guinea pigs.
The µ-opioid receptor agonist
D-Ala2,N-Me-Phe4,Gly-ol5-enkephalin
and the
-aminobutyric acidB receptor agonist baclofen produced dose-dependent membrane hyperpolarizations of arcuate neurons.
The reversal potential for both agonist-induced hyperpolarizations was
near
95 mV, indicative of the activation of an underlying K+ conductance. Coadministration of maximally effective
concentrations of
D-Ala2,N-Me-Phe4,Gly-ol5-enkephalin
and baclofen produced a response that was not additive, indicating a
convergence onto a common K+ channel. In arcuate neurons,
including a subset that was immunopositive for tyrosine hydroxylase,
chronic morphine treatment for 4 to 7 days produced a 3.2-fold
reduction in the potency, with no change in the efficacy, of
D-Ala2,N-Me-Phe4,Gly-ol5-enkephalin.
In contrast, it affected neither the potency nor the efficacy of
baclofen. Therefore, chronic morphine exposure does not produce
cross-tolerance between µ-opioid and
-aminobutyric acidB receptor agonists in A12 dopamine
neurons, suggesting that convergence upon a common effector is not a
sufficient criterion for the development of cross-tolerance between
receptor systems.
 |
Introduction |
Opioids play an important role in
the regulation of the hypothalamo-pituitary axis. Opioid receptors of
the three major subtypes (µ,
and
) are found in varying levels
throughout the hypothalamus and posterior pituitary (Bondy et
al., 1989
; Desjardins et al., 1990
), and
opioid-containing nerve terminals make substantial synaptic contacts in
many different hypothalamic nuclei (e.g., ARC,
periventricular, paraventricular and supraoptic nuclei) (Goldsmith et al., 1991
; Fitzsimmons et al., 1992
). Opioids
inhibit the activity of A12 dopamine neurons (Loose
et al., 1990
; Manzanares et al., 1992
), which
accounts for the stimulatory effect of opioids on prolactin secretion
(Kapoor and Willoughby, 1990
) from the anterior pituitary. Opioids also
regulate the firing patterns of magnocellular neurons in the supraoptic
nucleus (Bourque et al., 1993
), thereby inhibiting the
secretion of oxytocin and vasopressin from the posterior pituitary
(Bondy et al., 1989
; Russell et al., 1992
). At
the cellular level, opioids inhibit hypothalamic neurons in one of two
ways. In supraoptic neurons
-opioids regulate magnocellular firing
by attenuating Ca++ currents (Bourque et al.,
1993
), whereas in ARC neurons µ- and
-opioids inhibit cell firing
by activating an inwardly rectifying K+ conductance (Loose
and Kelly, 1990
).
The inhibitory neurotransmitter GABA also plays an important role in
the regulation of the hypothalamo-pituitary axis. GABAA receptor subunits and the biosynthetic enzyme for GABA, glutamic acid
decarboxylase, are expressed throughout the hypothalamus (Tappaz
et al., 1977
; Inglefield et al., 1994
), and GABA
is found in the majority of hypothalamic nerve terminals (Decavel and
van den Pol, 1992). Activation of GABA receptors inhibits the activity of A12 dopamine neurons (Wagner et al., 1994
),
thereby stimulating prolactin secretion (Kimura et al.,
1993
; Mäkinen et al., 1993
; Wagner et al.,
1994
) from the anterior pituitary. At the cellular level, activation of
GABA receptors inhibits cell firing by activating a Cl
ionophore that facilitates Cl
influx (i.e.,
the GABAA receptor) (Inglefield et al., 1994
) or by activating an inwardly rectifying K+ conductance
(i.e., the GABAB receptor) (Bowery, 1989
; Loose
et al., 1991
).
The opioid agonist DAMGO (Goldstein and Naidu, 1989
) and the
GABAB receptor agonist baclofen (Bowery, 1989
) inhibit
-endorphin (Loose et al., 1991
) as well as
A12 dopamine (Loose et al., 1990
; Wagner
et al., 1994
) neurons within the ARC nucleus. The DAMGO effect is antagonized by naloxone with an equilibrium constant consistent with a blockade of µ-opioid receptors (Kelly et
al., 1992
). When a maximally effective dose of DAMGO is
coadministered with a maximally effective dose of baclofen, no
additional inhibitory effect is observed (Loose et al.,
1991
; Kelly et al., 1992
). This suggests that, in ARC
neurons, µ-opioid and GABAB receptors are coupled to a
common pool of ligand-gated, inwardly rectifying, K+
channels.
The opiate morphine is capable of binding µ-,
- and
-opioid
receptors but binds µ-opioid receptors with approximately 2 orders of
magnitude higher affinity, compared with
or
receptors (Goldstein and Naidu, 1989
; Kristensen et al., 1995
). Many
studies have focused on the effects of chronic morphine treatment and the resultant development of tolerance to various opioid-regulated processes, such as analgesia (Roerig, 1995
), inhibition of
gastrointestinal smooth muscle contractility (Chavkin and Goldstein,
1984
) and neuronal excitability in the locus coeruleus (Christie
et al., 1987
; Rasmussen et al., 1990
). However,
relatively few studies have examined the effect of chronic morphine on
processes regulated by, or on neurons originating in, the hypothalamus.
Much of what has been studied has focused on the development of
tolerance to opioid receptor-mediated inhibition of oxytocin release
(Russell et al., 1992
). However, we recently found that
cellular tolerance develops in ARC neurons to µ-opioid agonists
(Zhang et al., 1996
), with the latter most likely being due
to an attenuation of the µ-opioid receptor/K+ channel
coupling. Because µ-opioid and GABAB receptor systems converge on the same effector, the possibility exists that
cross-tolerance to the baclofen response might develop because of
chronic morphine treatment.
The purpose of the present study was to test the hypothesis that in ARC
neurons, including TH-positive neurons, tolerance develops to the
membrane-hyperpolarizing effects of µ-opioid and GABAB
receptor activation as a result of chronic morphine treatment. To this
end, intracellular recordings were made under current-clamp conditions
in hypothalamic slices prepared from ovariectomized female guinea pigs
treated with placebo or morphine pellets for 4 to 7 days. Dose-response
relationships for DAMGO and baclofen were determined, to evaluate the
potency and efficacy of these two agonists. The results reveal that, in
A12 dopamine neurons, cross-tolerance does not develop
between µ-opioid and GABAB receptor agonists, which
suggests that convergence upon a common effector may not be a
sufficient criterion for the expression of cross-tolerance between
receptor systems. Preliminary results of this work have been presented
in abstract form (Wagner et al., 1995
).
 |
Methods |
Animals.
Female Topeka guinea pigs (440-670 g) were
obtained from our institutional breeding facility and maintained under
conditions of constant temperature (72.4 ± 0.1°F) and light
(lights on between 6:30 A.M. and 8:30 P.M.).
Animals were housed individually, with food and water provided ad
libitum. The surgical and sacrificing procedures described in the
present study are in accordance with institutional guidelines based on
National Institutes of Health standards.
Drugs and treatments.
Pellets containing either placebo or
75 mg of morphine sulfate were obtained from the Research Technology
Branch of the National Institute on Drug Abuse (Research Triangle, NC).
(±)-Baclofen [(±)-
-(aminomethyl)-4-chlorobenzenepropanoic acid;
Sigma Chemical Co., St. Louis, MO] was dissolved in 0.1 N HCl to a
stock concentration of 40 mM. DAMGO (Peninsula Laboratories Inc.,
Belmont, CA) was dissolved in Milli-Q water to a stock concentration of
1 mM. TTX (Sigma Chemical Co.) was dissolved in Milli-Q water and
diluted to the appropriate volume with 0.1% acetic acid (final
concentration, 1 mM; pH 4-5). Aliquots of the baclofen, DAMGO and TTX
stock solutions were stored at
80°C.
The paradigm for chronic morphine treatment is a modification of the
procedure described by Chavkin and Goldstein (1984)
. Briefly, animals
were ovariectomized while under ketamine/xylazine anesthesia (33 and 6 mg/kg, respectively, i.p.) and were given four pellets containing
either morphine or placebo (s.c.). The animals were ovariectomized to
avoid potential confounding effects of estrogen on the µ-opioid and
GABAB receptor-mediated responses (Kelly et al.,
1992
; Lagrange et al., 1995
). Two days later, the animals
received an additional six pellets of either morphine or placebo and
were used for experimentation 2 to 5 days thereafter. In comparing
animals treated for 4 days with those treated for 7 days, no
differences were found with regard to the uncoupling of the µ-opioid
response (Zhang et al., 1995
).
Hypothalamic slice preparation.
On the day of
experimentation, each animal was decapitated, and its trunk blood was
collected for subsequent determination of serum morphine and metabolite
levels. The brain was rapidly removed from the skull and rinsed with
ice-cold aCSF [124 mM NaCl, 5 mM KCl, 2.6 mM
NaH2PO4, 10 mM dextrose, 10 mM
4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid, 2 mM
MgSO4, 2 mM CaCl2], and the hypothalamus was
immediately dissected. Four coronal slices (450 µm) through the
rostro-caudal extent of the ARC were cut with the aid of a vibrotome.
The slices were transferred to a multi-well auxiliary chamber
containing oxygenated (95% O2/5% CO2) aCSF,
where they were kept until electrophysiological recording. During
experiments involving morphine-treated animals, slices were kept in
aCSF containing 1 µM morphine to prevent withdrawal (Zhang et
al., 1996
).
Electrophysiology.
During recording, slices were maintained
in a chamber perfused with warmed (35°C) oxygenated aCSF. aCSF and
all drugs (diluted with aCSF) were perfused via a
peristaltic pump, at a rate of 1.5 ml/min. Microelectrodes were
assembled from borosilicate glass pipettes (1.2-mm outer diameter;
Dagan, Minneapolis, MN) pulled on a P-87 Flaming Brown puller (Sutter
Instrument Co., Novato, CA) and were filled with a 3% biocytin
solution in 1.75 M KCl, 0.025 M Tris (pH 7.4). Electrode resistances
varied from 100 to 300 M
. The Vm of hypothalamic neurons
was measured under current-clamp conditions by intracellular recording
from the ARC. Potentials were amplified and current was passed through
the electrode using an Axoclamp 2A preamplifier (Axon Instruments,
Foster City, CA). Current and Vm traces were stored on a
digital oscilloscope (Tektronix 2230; Tektronix, Beaverton, OR) and
were recorded on a chart recorder (Gould 2200; Gould Inc., Glen Burnie,
MD). They also underwent analog/digital conversion with a CyberAmp 320 signal conditioner (for amplification) connected to a DigiData 1200 analog/digital converter (sampling frequency, 62 Hz), with subsequent
storage on a computer containing Axotape software (Axon Instruments).
After successful impalement, slices were perfused with 2 µM TTX for
at least 6 min, to block spontaneous firing, and supplemented with 1 µM TTX in all subsequent drug solutions. Before agonist dose-response
experiments were begun, a predrug V/I relationship was established by
giving hyperpolarizing and depolarizing current pulses (0.2 Hz, 1-sec
duration) of varying magnitudes and monitoring the resultant voltage
deflections. The membrane time constant was calculated as the time
necessary for a voltage deflection (~10 mV) to reach 63% of its
maximum. Doses of baclofen or DAMGO were perfused until a new
steady-state Vm was obtained (4-7 min), at which time
incrementally larger doses of the drugs were given, until finally
Vmax was reached. The Vm was then returned
to its original resting state, and a second, postdrug, V/I relationship was established. The Rin was measured, by linear
regression, as the slope of the V/I plots between
60 and
80 mV, and
the agonist-induced change in Rin was determined by
subtracting the ratio of the post- and predrug V/I slopes from 1 and
multiplying the resultant number by 100. Sometimes, maximal
concentrations of both DAMGO and baclofen were coadministered after a
dose-response experiment with either DAMGO or baclofen, to test for
additive responses. Individual estimates of agonist EC50
were obtained from single neurons via the logistic equation:
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fitted by computer (SigmaPlot) from the experimental data
points.
Histology.
After recording, slices were placed in 10 µM
forskolin for 15 to 30 min to increase the intracellular TH signal and
were then fixed with 4% paraformaldehyde in Sorensen's phosphate
buffer (pH 7.4) for 90 to 180 min (Ronnekleiv et al., 1990
).
They were immersed overnight in 30% sucrose dissolved in Sorensen's
buffer and were frozen in Tissue-Tek embedding medium (Miles, Inc.,
Elkhart, IN) the next day. Coronal sections (16 µm) were cut on a
cryostat and were mounted on slides coated with
poly-L-lysine. These sections were washed with 0.1 M sodium
phosphate buffer (pH 7.4) and then processed with
streptavidin-fluorescein isothiocyanate as described previously
(Ronnekleiv et al., 1990
). After localization of the biocytin-filled neuron, the slides containing the appropriate sections
were processed with either an affinity-purified polyclonal TH antibody
(PEL-Freez, Rogers, AR) at a 1:1000 dilution or a monoclonal TH
antibody (Ink-Star, Stillwater, MN) at a 1:3000 dilution, using
fluorescence immunohistochemistry (Ronnekleiv et al., 1990
).
Determination of serum morphine and metabolite levels.
Morphine and its conjugated metabolites M6G and M3G were measured in
serum by high-performance liquid chromatography coupled to UV
absorbance detection, using a modification of a procedure that was
originally described by Murphey and Olsen (1993)
. Briefly, the
aforementioned compounds were extracted from individual 80-µl plasma
aliquots using a C18 extraction column (Bond-Elut; Varian, Harbor City, CA). They were then reconstituted in 300 µl of mobile phase consisting of 10 mM phosphate buffer (pH 2.1) containing 1 mM
sodium dodecyl sulfate and 16.5% (v/v) acetonitrile, and 100 µl from
each sample was injected onto an octadecyl-silica, reverse-phase
analytical column (VeloSep, 100 × 3.2 mm, 3-µm sorbents; Applied Biosystems, Foster City, CA), at a flow rate of 1.4 ml/min. After separation, morphine, M6G and M3G signals were evaluated by an
absorbance detector (Waters 486; Millipore, Milford, MA) with the lamp
wavelength set at 214 nm. Peak areas from each sample were quantified
by linear regression using standard curves generated with known
quantities of the compounds. The lower limit of sensitivity for
morphine, M6G and M3G was 5 ng/80 µl serum.
Statistical analyses.
The homogeneity of variance was
evaluated using Cochran's C test. Comparison between two
groups were performed using either a two-tailed t test or a
rank sum (Mann-Whitney) test. Comparisons among two or more groups were
performed using either a one-way analysis of variance or a
Kruskal-Wallis one-way analysis of variance followed by the
Mann-Whitney test. Differences were considered statistically
significant if the probability of error was <5% (P < .05).
 |
Results |
The present study included a total of 83 cells obtained from 73 animals. There were nine instances where cells were recorded in two
different slices from the same animal and one instance where two cells
were recorded from the same slice. There also were five instances in
which both DAMGO and baclofen dose-response relationships were
generated in the same cell.
Figure 1 illustrates representative dose-response
relationships for DAMGO and baclofen in hypothalamic neurons. Both
DAMGO and baclofen elicited a dose-dependent membrane
hyperpolarization. Examination of the V/I plots in figure
2 reveals that the reversal potential for both DAMGO-
and baclofen-induced hyperpolarization was near
95 mV, which closely
approximates the calculated Nernst equilibrium potential for
K+. This was accompanied by a decrease in the
Rin in the region between
60 and
80 mV and an even
greater decrease in Rin at potentials more negative than
the reversal potential (i.e., inward rectification). If
maximal concentrations of DAMGO and baclofen were coadministered, the
resultant
Vmax for the two drugs combined was not
different from that determined at the end of a dose-response experiment
with a single agonist (table 1). Taken together, this confirms and extends our previous findings that in ARC neurons µ-opioid and GABAB agonists activate an inwardly
rectifying K+ conductance and that µ-opioid and
GABAB receptor systems share a common pool of these
K+ channels (Loose and Kelly, 1990
; Loose et
al., 1991
; Kelly et al., 1992
).

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Fig. 1.
A, cumulative dose-response effects of the
µ-opioid receptor agonist DAMGO on an ARC neuron from a
placebo-treated animal. The resting Vm of this cell was
48 mV. Successively increasing doses of DAMGO (20, 50 and 300 nM),
perfused until a new steady-state Vm was reached (4-7
min), hyperpolarized the cell 8, 14 and 22 mV, respectively. The
highest dose tested (1 µM) had no additional effect. The break in the
recording represents the time at which the second V/I relationship was
established (see "Methods"). B, cumulative dose-response effects of
the GABAB receptor agonist baclofen on an ARC neuron from a
placebo-treated animal. The resting Vm of this cell was
61 mV. Successively increasing doses of baclofen (1, 2, 5 and 20 µM), perfused until a new steady-state Vm was reached
(4-7 min), hyperpolarized this cell 8, 13, 17 and 19 mV, respectively.
The downward deflections represent voltage deflections used to monitor
Rin, which are caused by intermittent negative current
pulses (not shown).
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Fig. 2.
V/I plots obtained just before and immediately
after DAMGO (A) or baclofen (B) application. Depolarizing and
hyperpolarizing current pulses (0.2 Hz, 1-sec duration) were given, and
the resultant Vm response recorded, just before the
dose-response experiment ( ) and immediately after application of the
maximal concentration of drug ( ). Both plots cross at approximately
95 mV, which closely approximates the Nernst equilibrium potential
for K+. The pronounced decrease in Rin at
potentials less than 100 mV indicates that the underlying
K+ current is inwardly rectifying.
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TABLE 1
Nonadditivity of the maximal responses produced by DAMGO and baclofen
Dose-response relationships for DAMGO or baclofen were generated in ARC
neurons in hypothalamic slices prepared from placebo-treated animals.
The Vm was returned to its original resting state
via the injection of positive current, and maximal
concentrations of DAMGO (200-500 nM) and baclofen (30-40 µM) were
coadministered. Values represent the mean ± S.E.M. of the
Vmax elicited by maximal concentrations of either DAMGO
(n = 11) or baclofen (n = 3) alone or
in combination (DAMGO + baclofen; n = 14).
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As shown in table 2, chronic morphine treatment produced
appreciable serum concentrations of morphine and its conjugated metabolites M6G and M3G. This level of morphine was shown previously to
elicit the behavioral expression of tolerance (Goldstein and Schulz,
1973
), as well as down-regulation of µ-opioid receptors (Zhang
et al., 1996
). In contrast, serum levels of these compounds were not detectable in placebo-treated controls. Chronic morphine exposure produced a 3.2-fold rightward shift of the dose-response curve
for DAMGO (EC50, 42.1 ± 4.0 nM vs.
134.7 ± 13.4 nM) (fig. 3) but not for baclofen
(EC50, 2.2 ± 0.7 µM vs. 2.1 ± 0.7 µM) (fig. 4). This increase in the DAMGO
EC50 for all ARC neurons tested was nearly identical to
that observed in a subset of TH-positive ARC neurons (fig.
5), an example of which is shown in figure
6, A and B. Likewise, the lack of effect of chronic
morphine treatment on the baclofen EC50 was reflected in a
subset of TH-positive ARC neurons (fig. 7), an example
of which is shown in figure 6, C and D. Chronic morphine treatment did
not affect the resting Vm, Rin, membrane time
constant or firing rate of ARC neurons (table 3). In
addition, the opiate affected neither the
Vmax nor the
agonist-induced decrease in Rin for DAMGO or baclofen (table 4). These results show that in ARC neurons,
including A12 dopamine neurons, chronic morphine treatment
decreases the potency of the selective µ-opioid agonist DAMGO but
decreases neither the potency nor the efficacy of the selective
GABAB agonist baclofen.
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TABLE 2
Serum concentrations of morphine and conjugated metabolites M6G and M3G
in chronically treated animals
Values represent the mean ± S.E.M. of morphine, M6G and M3G
concentrations determined from placebo-treated (n = 17)
and morphine-treated (n = 46) animals.
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Fig. 3.
Composite cumulative dose-response curves for DAMGO
with placebo or morphine treatment. Cells from placebo-treated ( ) or morphine-treated ( ) animals were perfused with successively higher concentrations of DAMGO (10, 20, 50, 100, 200, 300 and 1000 nM, 4-7
min/dose; n = 15 for placebo, n = 48 for morphine). Curves were produced from logistic equations fitted
by computer to the data points. The mean DAMGO EC50 values
were 42.1 ± 4.0 nM for placebo and 134.7 ± 13.4 nM for
morphine (P < .05; Mann-Whitney test).
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Fig. 4.
Composite cumulative dose-response curves for
baclofen with placebo or morphine treatment. Cells from placebo-treated
( ) or morphine-treated ( ) animals were perfused with successively higher concentrations of baclofen (0.1, 0.3, 1, 2, 3, 5, 10, 20, 30, 40 and 100 µM, 4-7 min/dose; n = 10 for placebo,
n = 6 for morphine). Symbols and vertical lines are
means ± 2 S.E.M. of hyperpolarizations produced by a given dose,
which have been normalized to agonist-induced Vmax.
Curves were produced from logistic equations fitted by computer to the
data points. The mean baclofen EC50 values were 2.2 ± 0.7 µM for placebo and 2.1 ± 0.7 µM for morphine.
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Fig. 5.
Effect of chronic morphine treatment on DAMGO
potency in ARC neurons, including TH-positive ARC neurons. Columns and
vertical lines represent means and 1 S.E.M. of the DAMGO
EC50 in either placebo-treated (n = 15), morphine-treated (n = 48) or morphine-treated, TH-positive (TH+; n = 4) ARC neurons. *, Values
from morphine-treated and morphine-treated, TH-positive ARC neurons
that are significantly different (Kruskal-Wallis analysis of
variance/rank sum test; P < .05) from placebo-treated controls.
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Fig. 6.
Examples of double-labeled TH neurons from
morphine-treated animals that exhibit tolerance to µ-opioid receptor
agonists but not cross-tolerance to GABAB receptor
agonists. A, photomicrograph of the biocytin-streptavidin-fluorescein
isothiocyanate labeling of a large pyramidal neuron. This neuron
exhibited tolerance to the membrane-hyperpolarizing effect of the
µ-opioid receptor agonist DAMGO, as manifested by reduced potency
(EC50 = 111 nM). B, photomicrograph of the TH
immunoreactivity in the soma and fiber of the same cell as in A, as
visualized with CY-3. C, photomicrograph of the
biocytin-streptavidin-fluorescein isothiocyanate labeling of a fusiform
neuron. This neuron was tested with the GABAB receptor
agonist baclofen, and the baclofen EC50 was comparable to
that seen in placebo-treated controls. D, photomicrograph of the TH
immunoreactivity in the soma and proximal fiber of the same cell as in
C, as visualized with CY-3. Scale bar, 25 µm (for all
photomicrographs).
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Fig. 7.
Lack of effect of chronic morphine treatment on
baclofen potency in ARC neurons, including TH-positive ARC neurons.
Columns and vertical lines represent means and 1 S.E.M. of the baclofen EC50 in either placebo-treated (n = 10), morphine-treated (n = 6) or morphine-treated,
TH-positive (TH+; n = 3) ARC neurons.
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TABLE 3
Lack of effect of chronic morphine treatment on either the membrane
properties or the firing rate of ARC neurons
Values represent the mean ± S.E.M. of the resting Vm,
Rin, and firing rate of ARC neurons (n = 19-49) obtained from placebo- and morphine-treated animals.
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TABLE 4
Lack of effect of chronic morphine treatment on either the
Vmax or the Rin elicited by DAMGO or baclofen
Cells from placebo-treated or morphine-treated animals were perfused
with successively higher concentrations of either DAMGO (10, 20, 50, 100, 200, 300 and 1000 nM, 4-7 min/dose; n = 15 for placebo, n = 48 for morphine) or baclofen (0.1, 0.3, 1, 2, 3, 5, 10, 20, 30, 40 and 100 µM, 4-7 min/dose; n = 10 for placebo, n = 6 for morphine). Values from the
second column represent the mean ± S.E.M. of the Vmax
produced by either DAMGO or baclofen in placebo- and morphine-treated
animals. The agonist-induced decrease in Rin ( Rin)
was calculated by subtracting the ratio of the slopes of the post- and
predrug V/I plots between 60 and 80 mV from unity and multiplying
the resultant number by 100. Values from the third column represent the
mean ± S.E.M. of the Rin obtained from 4 to 18 cells.
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Discussion |
The results of the present study demonstrate for the first time
that chronic morphine treatment produces tolerance to the direct
effects of µ-opioid receptor agonists on central dopamine neurons.
This conclusion is based on the observation that chronic morphine
exposure decreases the potency of the µ-opioid receptor agonist DAMGO
in a subset of TH-positive ARC neurons, recorded in the presence of TTX
to block neuronal firing and synaptic input. The A12
dopamine neurons are the principal inhibitory modulators of prolactin
secretion and are different from other central dopamine (e.g., nigrostriatal or mesolimbic) neurons in that they are
neurosecretory in nature. These results also indicate that in ARC
neurons, including A12 dopamine neurons, chronic morphine
treatment does not produce cross-tolerance to GABAB
receptor agonists. This observation is based on the observation that
chronic morphine exposure decreases neither the potency nor the
efficacy of the GABAB receptor agonist baclofen.
Baclofen and DAMGO act at different receptor sites that converge at the
same effector (Loose et al., 1991
; Kelly et al.,
1992
). Chronic exposure to sedative/hypnotic drugs of abuse such as
ethanol, barbiturates and benzodiazepines, all of which act at
different modulatory sites on the GABAA
receptor/Cl
ionophore, has been postulated to produce
cross-tolerance (Cox, 1990
). However, little cross-tolerance has been
observed between agonists that activate µ- and
-opioid receptors,
which converge at the same effector (Cox, 1990
). In the present study,
chronic morphine treatment elicited a 3.2-fold reduction in the potency of DAMGO to hyperpolarize ARC neurons and was without effect on the
efficacy of the hyperpolarizing response. A comparable reduction in the
potency of DAMGO to produce outward K+ current as a result
of chronic morphine treatment has been observed in locus coeruleus
neurons (Christie et al., 1987
). Those authors also showed
that chronic morphine treatment resulted in a decreased maximal outward
current produced by the partial opioid agonist normorphine but not by
the full agonist DAMGO. As described in the present study, chronic
morphine treatment failed to elicit a reduction in either the potency
or the efficacy of baclofen to hyperpolarize ARC neurons. Similarly,
the maximal outward current produced by activation of
alpha-2 adrenergic receptors, which couple to the same
inwardly rectifying K+ channel as do µ-opioid receptors
in locus coeruleus neurons, was unchanged by chronic morphine treatment
(Christie et al., 1987
). In addition, chronic morphine
exposure in vitro attenuates µ-opioid but not
alpha-2 receptor-mediated inhibition of N-type Ca++ current in SH-SY5Y cells (Kennedy and Henderson,
1991
).
Receptor desensitization as a result of prolonged acute exposure to
µ-opioid agonists has been proposed as the first step in the
development of tolerance associated with chronic opiate exposure
(Harris and Williams, 1991
). This phenomenon is manifested by decreased
amplitude and/or decay of the agonist response (Harris and Williams,
1991
; Kovoor et al., 1995
). In oocyte expression systems,
heterologous desensitization has been shown between µ-opioid and
5-hydroxytryptamine1A receptors coupling to the same
inwardly rectifying K+ channels (Kovoor et al.,
1995
). In the present study, chronic morphine exposure did not affect
the efficacy of DAMGO or baclofen, and there were no signs of
desensitization with the range of agonist doses used (10 nM to 1 µM
for DAMGO and 0.1-100 µM for baclofen). Furthermore, in rat locus
coeruleus, desensitization caused by a 5-min application of 30 µM
Met-enkephalin was primarily homologous, with very little heterologous
desensitization being observed between µ-opioid and
alpha-2 adrenergic agonists (Harris and Williams, 1991
). The
results from the present study and other studies (Christie et
al., 1987
; Cox, 1990
) indicate that cross-tolerance does not develop between µ-opioid receptors and other G protein-coupled receptors modulating a common effector. This suggests that, in the
mammalian central nervous system, homologous desensitization may
underlie the development of tolerance and the selective uncoupling of
the µ-opioid receptor from its effector as a result of chronic morphine exposure.
The development of tolerance resulting from chronic morphine exposure
is associated with increased activity of adenylate cyclase, increased
intracellular levels of cAMP and increased activity of cAMP-dependent
protein kinase (Rasmussen et al., 1990
; Wang et
al., 1994
), suggesting that protein phosphorylation may be involved in the development of morphine tolerance. Whereas protein kinase inhibitors have been reported to decrease DAMGO binding to
µ-opioid receptors in cerebellar membranes (Aloyo, 1995
), they also
have been shown to block antinociceptive morphine tolerance (Narita
et al., 1994
). It is possible that, in ARC neurons, chronic morphine treatment enhances protein phosphorylation, thereby uncoupling µ-opioid receptors from their inwardly rectifying K+
channels. Indeed, cAMP-dependent protein kinase treatment decreases the
functional coupling of purified µ-opioid receptors reconstituted with
purified Gi protein, as measured by agonist-stimulated,
low-Km GTPase activity (Harada
et al., 1989
, 1990
). Studies are underway to determine
whether protein kinase inhibition prevents the development of tolerance
to µ-opioid agonists in these neurons.
Despite the importance of opioid receptor-mediated regulation of the
hypothalamus, few studies have examined the effects of chronic morphine
exposure on processes regulated by this brain region. Tolerance to the
inhibitory effects of morphine on oxytocin release from magnocellular
neurons in the supraoptic nucleus, and from parvocellular neurons in
the paraventricular nucleus, has been reported (Russell et
al., 1992
). Acute exposure to µ-opioid agonists hyperpolarizes
dopamine neurons in the ARC in vitro (Loose et
al., 1990
) and increases dopamine turnover in incertohypothalamic neurons in vivo (Tian et al., 1992
). On the other
hand, chronic morphine treatment does not alter the turnover of
dopamine in neurons terminating in the rostral hypothalamus or the
mediobasal hypothalamus, neuronal systems thought to be important in
regulating sexual behavior (Clark et al., 1988
). On the
basis of these studies, it appears that tolerance develops to the
effects of opioids on hypothalamic dopaminergic neuronal systems
because of chronic morphine treatment. Indeed, in the present study we
show that ARC A12 dopamine neurons develop tolerance to the
hyperpolarizing effects of µ-opioids, manifested by a reduction in
µ-opioid receptor agonist potency. This would account for the
observed tolerance to the prolactin-releasing effects of morphine with
chronic exposure (Deyo et al., 1980
). We also showed
previously that ARC
-endorphin neurons are even more sensitive to
the effects of chronic morphine treatment, exhibiting cellular
tolerance in the form of prominent reductions in µ-opioid receptor
agonist potency and efficacy (Zhang et al., 1996
). The ARC
contains a heterogeneous mixture of neuronal phenotypes (Zoli et
al., 1993
), which ultimately affect a diverse array of behavioral
processes by regulating the secretion of a multitude of pituitary
hormones and by interacting with other brain nuclei. The present study
clearly identifies an ARC phenotype that exhibits tolerance but not
cross-tolerance due to chronic morphine administration. In conclusion,
the results presented in this study reveal that, in ARC neurons,
cross-tolerance does not develop between µ-opioid and
GABAB receptor agonists as a result of chronic morphine
exposure, suggesting that coupling to a common effector is not a
sufficient criterion for establishing cross-tolerance between receptor
systems.
The authors thank Matthew J. Cunningham and Barry Naylor for
outstanding technical assistance.
Accepted for publication October 21, 1996.
Received for publication August 5, 1996.
aCSF, artificial cerebrospinal fluid;
ARC, arcuate;
cAMP, cyclic adenosine monophosphate;
DAMGO, D-Ala2,N-Me-Phe4,Gly-ol5-enkephalin;
GABA,
-aminobutyric acid;
M3G, morphine-3-
-glucuronide;
M6G, morphine-6-
-glucuronide;
Rin, input resistance;
TH, tyrosine hydroxylase;
TTX, tetrodotoxin;
V/I, voltage-current;
Vm, membrane potential;
Vmax, maximal
steady-state hyperpolarization.