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Vol. 281, Issue 1, 41-47, 1997
Department of Pharmacology and Toxicology, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, West Virginia
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Abstract |
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Chronic treatment of guinea pigs with morphine produces nonspecific subsensitivity (tolerance) of the longitudinal smooth muscle myenteric plexus (LM/MP) preparation of the guinea pig ileum to morphine, clonidine and 2-chloroadenosine correlated with a partial depolarization of myenteric S neurons. The purpose of our investigation was to gain further evidence regarding the cellular mechanism of tolerance. Either morphine or placebo pellets were implanted s.c. in guinea pigs 7 days before the experiment. Subsensitivity was confirmed by a marked decrease of the inhibitory effect of 0.1 µM morphine and 0.3 µM clonidine on neurogenically induced twitches in longitudinal smooth muscle myenteric plexus preparations from the morphine-pretreated guinea pigs. Intracellular microelectrode recording established that only myenteric S neurons that were hyperpolarized by morphine exhibited the depolarized state (difference of 7.2 mV), which occurred without a change in the threshold for initiation of action potentials. S neurons that were hyperpolarized by superfusion with solution containing morphine, 0.1 µM, were acutely hyperpolarized an equivalent amount (6-8 mV) by clonidine, 0.3 µM, or 2-chloroadenosine, 0.1 µM. Morphine and clonidine, but not 2-chloroadenosine, reduced input resistance. The hyperpolarizations and changes in conductance were not different between tolerant and control preparations for any agonist. It is concluded that 1) the receptors for the three agonists are colocalized on selected S neurons, 2) the transduction process for the hyperpolarizing effect of 2-chloroadenosine is different than that for morphine and clonidine, 3) cross-tolerance among the agonists is not a function of altered receptors or signal transduction processes and 4) the depolarized state is associated with tolerance of myenteric S neurons.
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Introduction |
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Chronic changes in the activity
of excitable cells induces homeostatic adaptations in responsiveness
(adaptive super- and subsensitivity, Fleming and Westfall, 1988
).
Chronic exposure of neurons to opioids leads to such adaptive changes,
demonstrable as tolerance and dependence (Collier, 1965
, 1966
; Johnson
and Fleming, 1989
; Fleming and Taylor, 1995
). Many of the acute effects of opioids result from membrane hyperpolarization (Duggan and North,
1984
; MacFadzean, 1988). Thus, continued exposure to opioids induces a
chronic decrease in cell activity leading to adaptive changes in
sensitivity (Johnson and Fleming, 1989
; Fleming and Taylor, 1995
).
The guinea pig ileum, particularly the LM/MP preparation, has been used
extensively to investigate tolerance to opioids at both the organ and
cellular level (see review by Johnson and Fleming, 1989
). Electrical
stimulation of the LM/MP induces muscle twitches via activation of the
motor neurons (Leedham et al., 1992
; Fleming and Taylor,
1995
). A number of agonists, including opioids, inhibit the neurogenic
twitches of the LM/MP preparation by an action directly on myenteric
neurons. Subcutaneous implantation of morphine-containing pellets
induces a slowly developing tolerance (subsensitivity) to the
inhibitory effects of µ-opioid receptor agonists,
-adrenoceptor agonists and 2-chloroadenosine (Schulz and Goldstein, 1973
; Taylor et al., 1988
; Leedham et al., 1989
; 1991
).
Furthermore, the subsensitivity to inhibitory agonists is accompanied
by supersensitivity to several excitatory agonists, including nicotine,
5-hydroxytryptamine and potassium ions (Schulz and Goldstein, 1973
;
Johnson et al., 1978
). Work from this laboratory has
established that such non-specific supersensitivity in other types of
excitable cells is correlated with a partial depolarization of the
cells, bringing the resting membrane potential closer to the threshold
for activation (Fleming and Westfall, 1975
; Goto et al.,
1978
; Abel et al., 1981
).
Most of the cells in guinea-pig myenteric ganglia can be classified
electrophysiologically either as "S" or "AH" neurons (Nishi and
North, 1973
, Hirst et al., 1974
). The cholinergic motor
neurons that innervate the smooth muscle of the intestine are S cells (Furness and Costa, 1987
). µ-Opioid-receptor agonists act on a select
subpopulation of S neurons that includes the motor neurons (Fleming and
Taylor, 1995
) inducing hyperpolarization via activation of potassium
channels (North and Tonini, 1977
; North and Williams, 1983
).
A partial depolarization of S neurons, without a change in the
threshold for action potentials, coincides with the nonspecific sensitivity changes in myenteric neurons from animals chronically exposed to morphine (Leedham et al., 1992
). Consistent with
the working hypothesis that it is the altered resting membrane
potential, rather than changes in receptors or transduction processes,
which underlies the tolerance, the magnitude of the acute
hyperpolarization induced by morphine in individual S neurons was not
different between placebo preparations and preparations from animals
receiving morphine pellets. Further corollaries of the hypothesis are
that 1) S neurons that are not acutely hyperpolarized by morphine will not become partially depolarized by chronic treatment with morphine, 2)
the receptors for the hyperpolarizing effects of 2-chloroadenosine and
clonidine are colocalized on the same neurons as the µ-opioid receptors and 3) the hyperpolarizing effects of clonidine and 2-chloroadenosine will not be different between naive and tolerant S
neurons. The purpose of our work was to test these corollary hypotheses.
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Methods |
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Implantation of morphine pellets.
Adult male albino guinea
pigs (Hilltop laboratory Animals, Inc., Scottdale, PA) weighing 200 to
300g were used. Morphine (75 mg, as free base per pellet) or placebo
(lactose) pellets were implanted s.c. in guinea pigs anesthetized with
0.1 ml/100g body weight of Innovar (0.05 mg/ml of fentanyl citrate and
2.5 mg/ml of droperidol) administered s.c. One pellet was implanted in
each flank. Note that smaller animals and, thus, fewer pellets, were used than in previous studies (Johnson et al., 1978
; Taylor
et al., 1988
; Leedham et al., 1992
). With this
method of implantation there is low morbidity and mortality (<1%) and
subsensitivity to morphine and clonidine (as determined in organ bath
studies similar to those of Taylor et al., 1988
) was
equivalent to that obtained previously with four pellets in larger
animals. Guinea pigs were allowed to recover from the anesthesia and
given access to food and water until the time of the experiment (7 days
later). Animals implanted with placebo pellets and preparations or
cells from these animals are, henceforth, termed "naive" or
"placebo." Animals implanted with morphine pellets and preparations
or cells from these animals are termed "tolerant."
Electrophysiology.
Electrophysiological studies of myenteric
neurons were done similarly to past studies in this laboratory (Leedham
et al., 1992
) and others (Cherubini and North, 1984
; Johnson
et al., 1987
). Guinea pigs were killed by stunning and
exsanguination 7 days after the implantation of morphine or placebo
pellets. The terminal ileum was removed and approximately 10 cm of the
distal end discarded. The adjacent 10 cm of ileum were removed and
flushed with physiological saline. All tissues were kept free of
morphine from the time of removal from the animal until the recording
of responses. The continued presence of morphine has been shown to be
associated with an acute desensitization phenomenon that complicates
the long-lasting nonspecific tolerance (see discussion in Johnson and
Fleming, 1989
). Small pieces of ileum were pinned, mucosal side up, in
the electrophysiologic recording chamber. The mucosa and circular
muscle layers were carefully teased away. The exposed myenteric plexus
with underlying longitudinal muscle was observed by means of an Olympus
inverted microscope equipped with Normarski optics. Tissues were
superfused continuously with PSS maintained at 36 ± 1°C,
bubbled with 95% O2 and 5% CO2, at a flow
rate of 2 to 3 ml/min. The composition of the PSS was as follows (in
millimolar concentrations): NaCl, 117; KCl, 4.7; CaCl2,
2.5; KH2PO4, 1.2; MgSO4, 1.2;
NaHCO3, 25; and glucose, 11.5. Nicardipine (1-10 µM) was
added to the PSS to reduce or prevent muscle contractions. Drugs were
added by changing the perfusate from one without to one with the drug.
The equilibration time, consequent to dead space in the superfusion
system, was 1 to 2 min. Agonists were washed out promptly once a
plateau of response had been achieved.
20 mV) evoked by small hyperpolarizing electrotonic potentials.
Included in the results were cells that met all of the following
criteria: 1) the cell was identified as an S neuron; 2) the Em of the cell remained steady for at least 15 min; 3) the
stable resting potential was at least -30 mV; 4) the peak amplitude of the action potential elicited by intracellular current injection surpassed 0 mV and 5) the impalement could be held at least long enough
to apply morphine (0.1 µM) and determine the cell's response, if
any.
Nerve-muscle preparations.
In parallel with the
electrophysiological studies, LM/MP preparations from the same animals
were regularly set up in organ bath experiments (for methods see Taylor
et al., 1988
; Leedham et al., 1989
) to confirm
the existence of tolerance in these experiments. One end of the
muscle-nerve preparation was attached to a force displacement
transducer (Grass, FT.03) and the signal led to a Grass polygraph
(model 7) for measurement of tension development. An initial tension of
1g was placed on each preparation and a period of 1 hr for
equilibration allowed during which the PSS was changed at 10- to 15-min
intervals. The preparations were continuously stimulated via platinum
ring electrodes using square wave pulses of supra-maximal voltage, 0.5 msec duration, delivered once every 10 sec from a Grass stimulator. The
neurogenic contractions maintain a constant amplitude over several
hours in the absence of drug treatment. Responses to agonists were
measured as percent inhibition of the neurogenic contractions
("twitches").
Drugs and statistical evaluations.
Morphine sulfate,
morphine pellets and placebo pellets were obtained from Mr. K. H. Davis, Jr. (Research Triangle Institute, Research Triangle Park, NC ).
All other drugs were obtained from Sigma Chemical Co. (St. Louis, MO).
The concentrations of morphine (0.1 µM), clonidine (0.3 µM) and
2-chloroadenosine (0.1 µM) were chosen because, in organ bath
experiments with the LM/MP preparation, these concentrations produce 50 to 70% inhibition of twitches in placebo preparations but minimal
inhibition in tolerant preparations (Taylor et al., 1988
).
Statistical evaluations were made using Student's t tests
for unpaired samples and a probability level of 0.05 or less was
accepted as significant.
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Results |
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Multiple cells from 37 placebo guinea pigs and 36 guinea pigs implanted with morphine pellets (henceforth, termed "tolerant" animals) were impaled. Neurons identified as AH were rejected. Morphine (0.1 µM) was applied to 44 S neurons from placebo animals, inducing hyperpolarizations in 23 (52%) of them. The same concentration of morphine was applied to 50 S cells from tolerant animals, inducing hyperpolarizations in 35 (70%) of them. The remaining cells were either unaffected by morphine or slightly depolarized. A few of the hyperpolarizing cells did not achieve stable membrane potentials and were excluded, leaving 18 placebo and 28 tolerant neurons for quantitative determinations.
Mean resting membrane potentials as well as the effects of morphine (0.1 µM) on S cells from those groups are presented in table 1. The cells from the tolerant animals were significantly depolarized by a mean of 7.2 mV (table 1), in comparison with cells from placebo animals. However, the threshold membrane potential for firing action potentials did not differ between S neurons from naive (-21.5 ± 1.9 mV) vs. tolerant preparations (-22.8 ± 1.5 mV). The magnitude of the hyperpolarizations and resistance changes induced by morphine, 0.1 µM were not significantly different between the groups (table 1). In contrast, S cells that did not hyperpolarize in response to morphine did not differ in resting potential between naive and tolerant preparations (48.9 ± 1.4 mV, n = 21 vs. 49.8 ± 1.1 mV, n = 15).
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Clonidine (0.3 µM) was superfused during the recording from 8 placebo
and 16 tolerant cells from among the cells included in table 1. All of
those cells were hyperpolarized by both clonidine and morphine. Figure
1 presents tracings from typical experiments. Table
2 indicates the magnitude of the effects of morphine and clonidine when both were applied sequentically to the same cells. The
responses to morphine and clonidine did not differ from each other nor
did cells from placebo or tolerant preparations differ in response to
either agonist. As expected, the hyperpolarizing effects of morphine
and clonidine were accompanied by reductions in input resistance, in
this respect also, placebo and tolerant cells did not differ
significantly (compare resistance in tables 1 and 2).
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2-Chloroadenosine was superfused during the recording from seven cells each from placebo and tolerant preparations from among the cells included in table 1. A comparison of the effects of morphine and 2-chloroadenosine is presented in table 3. The mean hyperpolarizing effects of the drugs did not differ from each other nor did placebo and tolerant preparations differ in the magnitude of the hyperpolarizing response to the two agonists. 2-Chloroadenosine had variable effects on resistance, causing small increases in resistance in some cells and small decreases in others. The mean effects on resistance, therefore, did not differ significantly from zero in either placebo or tolerant preparations.
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Parallel organ bath experiments were conducted using LM/MP preparations
from ilea from some of the same animals used for the electrophysiological experiments. Figure 2 demonstrates
the subsensitivity to morphine and clonidine in preparations from
animals receiving morphine pellets. In placebo preparations, morphine,
0.1 µM, and clonidine, 0.3 µM, induced similar degrees of
inhibition of the twitch (70-80%). In contrast, in preparations from
tolerant guinea pigs, either agonist induced only 10 to 15% inhibition
of the twitch. 2-Chloroadenosine was not tested in the LM/MP
preparations, since previous work (Taylor et al., 1988
) had
established that the subsensitivity to it was similar to the
subsensitivity to morphine and clonidine.
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Discussion |
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Adaptive supersensitivity in smooth muscle has been known for many
years to be nonspecific in nature (see review by Fleming et
al., 1973
). That is, the adaptation process results in
supersensitivity to several pharmacologically unrelated agonists. It
has been established that nonspecific supersensitivity to excitatory
agonists, in several smooth muscles, is the result of a partial
depolarization, i.e., a reduction in the resting
transmembrane potential difference (Fleming and Westfall, 1975
; Abel
et al., 1981
; Rogers et al., 1993
; Hershman
et al., 1995
).
Consideration of the specificity of adaptive changes in neurons is a
relatively neglected area. The first evidence that the adaptation of
myenteric neurons to long-term exposure to opioids resulted in
nonspecific changes in sensitivity came from the work of Schulz and
Goldstein (1973)
. They demonstrated that the implantation of morphine
pellets in guinea pigs resulted in both tolerance (subsensitivity) to
the inhibitory action of morphine in LM/MP preparations of the guinea
pig ileum and supersensitivity to the stimulatory action of
5-hydroxytryptamine. Subsequent experiments with the LM/MP preparation
(Johnson et al., 1978
; Taylor et al., 1988
)
established that morphine pellets led to supersensitivity to three
separate stimulatory agonists (5-hydroxytryptamine, nicotine and
potassium) and subsensitivity to three separate classes of inhibitory
agonists (µ-opioid receptor agonists,
2-adrenoceptor agonists and 2-chloroadenosine). The excitatory substances from that
list are all known to depolarize myenteric S neurons whereas µ-opioid
and
2-adrenoceptor agonists hyperpolarize those neurons (see review by Fleming and Taylor, 1995
). The electrophysiologic effects of 2-chloroadenosine on myenteric neurons has not been investigated previously.
The postganglionic, cholinergic motor neurons to ileal smooth muscle
are myenteric S neurons (see reviews by Furness and Costa, 1987
;
Johnson and Fleming, 1989
and Fleming and Taylor, 1995
). Thus
electrical or pharmacological stimulation of those neurons leads to
contraction of the muscle in the LM/MP preparation and hyperpolarization of those neurons provides a plausible basis for
inhibition of the electrically induced twitches of the muscle (North
and Williams, 1983
; North and Egan, 1983
).
Given the above information, an hypothesis was developed that the
adaptive mechanism involves a partial depolarization of myenteric S
neurons such as to reduce the difference between resting potential and
the threshold for firing action potentials. That hypothesis was
strongly supported by previous work from this laboratory (Leedham
et al., 1992
). Myenteric S neurons from guinea pigs
implanted with morphine pellets were depolarized by 7-9 mV relative to
comparable neurons from placebo animals. In the same neurons, the
threshold potential at which the neurons fired action potentials was
not different in the two groups of preparations.
A corollary to the hypothesis is that the amount of hyperpolarization
of individual neurons by an opioid such as morphine would be unchanged
in tolerant myenteric ganglia. The tolerance (subsensitivity) would be
the result of the lower starting point (resting membrane potential),
not an altered response, per se. The experiments of Leedham et
al. (1992)
established that morphine, 0.1 µM, produced similar
hyperpolarizations in S neurons from placebo and morphine-pellet
implanted guinea pigs. This finding was particularly important because
0.1 µM morphine produced 50 to 70% inhibition of the electrically
induced twitch of LM/MP preparations from placebo animals but less than
10% inhibition in preparations from tolerant guinea pigs (Taylor
et al., 1988
). Thus, the overall hypothesis of these studies
is that the ability of morphine,
2-adrenoceptor agonists
and 2-chloroadenosine to prevent excitation in morphine-tolerant
myenteric neurons is reduced, not because of an altered response of the
neurons, but because the preexisting depolarization of the neurons
results in a lower total membrane potential (resting potential + agonist-induced hyperpolarization) in the presence of the agonists as
compared to naive neurons.
Chavkin and Goldstein (1984)
conducted experiments in the LM/MP that
led to the conclusion that opioid-induced tolerance was associated with
a reduction in µ-opioid receptor reserve. There is no conflict
between the above hypothesis and the conclusion of Chavkin and
Goldstein (1984)
. There are three types of change in cellular function
that could produce the result they obtained. 1) There could be a
decrease in the density of receptors. 2) There could be a reduced
transduction process after receptor occupation. 3) There could be an
altered physiological parameter, such that the drug would need to
occupy more receptors and initiate a greater magnitude of transduction
to compensate for the altered parameter. Our data are inconsistent with
1) and 2) but completely consistent with 3). Due to the partially
depolarized state of the tolerant neurons, the hyperpolarizing agent,
e.g., morphine, would need to produce a greater
hyperpolarization to achieve similar twitch inhibition as in naive
preparations. Simply put, the inhibition is a function of the membrane
potential in the presence of the drug (i.e., resting
potential plus the hyperpolarizing effect of the drug). To achieve
equal twitch inhibition, the inhibitory drug would need to activate a
larger portion of available receptors to produce the greater
hyperpolarization needed to compensate for the lesser resting
potential.
Our experiments were undertaken to extend the findings of Leedham
et al. (1992)
and directly test the basic hypotheses.
Somewhat smaller (younger) guinea pigs were used. Preliminary
experiments established that the implantation of two pellets in the
smaller animals produced tolerance in the LM/MP equivalent to that
produced by four pellets in the larger animals. Routine experiments
with morphine dose-response curves in LM/MP from the same ilea used for
electrophysiology confirmed that the animals receiving morphine pellets
were tolerant.
The electrophysiological experiments concentrated on S neurons that
were hyperpolarized by morphine. Those include the neurons that
directly innervate the smooth muscle. Furthermore, based on the
hypothesis, only neurons that are acutely inhibited by morphine should
be the ones that are made tolerant by the chronic exposure to morphine.
Of S neurons acutely exposed to morphine, 0.1 µM, 52% of those in
placebo preparations and 70% of those in tolerant preparations were
hyperpolarized. The percentages agree well with those of Leedham
et al. (1992)
, who reported 67 and 76%, respectively, and
with the literature on control S neurons (see for example, Johnson and
Pillai, 1990
; Pillai and Johnson, 1991
). Of particular importance, the
percentages establish that tolerance is not associated with a decline
in the fraction of S neurons that respond to morphine. An important new
finding is that the resting membrane potential of S neurons, which were
not acutely hyperpolarized by morphine, did not differ, in resting membrane potential, between naive and tolerant preparations. This observation is consistent with the hypothesis that only neurons acutely
responsive to morphine will exhibit the adaptation associated with
tolerance.
The remaining discussion emphasizes results obtained with S neurons
shown to be hyperpolarized by morphine. The mean resting membrane
potential in S neurons from placebo animals was 46.8 ± 0.8 and in
S neurons from tolerant animals was 39.6 ± 1.5 mV, a significant
mean depolarization of 7.2 mV. These numbers also compare favorably
with those of Leedham et al. (1992)
; 52.1 ± 1.9, 43.4 ± 1.8 and 8.7 mV, respectively. Thus, the present results confirm the conclusion of Leedham et al. (1992)
that
tolerance is associated with a partially depolarized state of
morphine-sensitive S neurons. The depolarization occurs without
detectable changes in the calculated input resistance or the threshold
for action potential generation (Leedham et al., 1992
; our
data). Morphine, 0.1 µM, acutely induced a mean hyperpolarization of
approximately 6 mV in both placebo and tolerant preparations,
indicating that the effect of morphine on individual S neurons is not
altered in the tolerant state. The importance of this concentration of morphine rests on the fact that it produced approximately 80% inhibition of the electrically induced twitch of control LM/MP preparations and only about 15% inhibition in tolerant preparations, as shown in figure 2. Again, this finding is nearly identical to that
reported by Leedham et al. (1992)
.
An important characteristic of tolerance in the LM/MP is that the
subsensitivity to µ-opioid receptor agonists is accompanied by
subsensitivity to the inhibitory effects of other agonists, including
alpha2-adrenoceptor agonists and 2-chloroadenosine (Taylor et al., 1988
). µ-opioid receptors and
2
adrenoceptors are known to be colocalized on S neurons and to induce
hyperpolarization by increases in potassium conductance, probably via
the same population of potassium channels (Surprenant and North, 1985
).
However, there have been no previous studies of the
electrophysiological effects of 2-chloroadenosine on S neurons.
In our work, the colocalization of
2 adrenoceptors with
mu receptors on S neurons is reconfirmed. Clonidine (an
2-adrenoceptor selective agonist), 0.3 µM, was
superfused during intracellular recording from a total of 24 S neurons
which had been shown to hyperpolarize in response to morphine, 0.1 µM. All 24 neurons hyperpolarized in response to clonidine by an
amount similar to that induced by morphine. Furthermore, both drugs
induced decreases in input resistance (i.e., increases in
conductance) of similar magnitude. Neither the hyperpolarization nor
the decrease in resistance induced by clonidine differed between
placebo and tolerant S neurons. The concentrations of the two drugs
were chosen on the basis that they produced equivalent inhibition of
the electrically induced twitch in naive LM/MP preparations
(i.e., from animals implanted with placebo pellets) and
minimal inhibition in preparations from morphine-tolerant preparations
(Taylor et al., 1988
; our data).
A total of 14 S neurons that were hyperpolarized by morphine were
exposed to 2-chloroadenosine, 0.1 µM. This concentration of the
adenosine analog also inhibits the twitch approximately 60% in naive
and 10% in tolerant LM/MP preparations (Taylor et al.,
1988
). All 14 neurons were hyperpolarized by 2-chloroadenosine to a
magnitude equivalent to that induced by morphine, 0.1 µM. Thus, the
adenosine receptors upon which this agonist acts are extensively
co-localized with mu-opioid receptors and, by inference, with
alpha2 adrenoceptors. The equivalent hyperpolarizations of the same population of S neurons by morphine, clonidine and
2-chloroadenosine is consistent with the hyperpolarization of these
neurons being responsible for the inhibition of the
electrically-induced twitch in the LM/MP (North and Williams, 1983
;
North and Egan, 1983
; Johnson and Fleming, 1989
; Fleming and Taylor,
1995
). Thus, an action of 2-chloroadenosine in the LM/MP occurs at the
level of the soma of S neurons.
In contrast to the effects of morphine and clonidine, the
hyperpolarizations induced by 2-chloroadenosine were not accompanied by
significant changes in input resistance. This indicates that, whatever
is the mechanism by which 2-chloroadenosine causes hyperpolarization of
S neurons, it is not by opening potassium channels. In other words, the
transduction process for 2-chloroadenosine is different from that of
morphine and clonidine. This is the first report of the effects of
2-chloroadenosine on the electrophysiology of S neurons. Although a
hyperpolarization without a measurable decrease in resistance is an
unusual finding, such a dissociation has been observed in other neurons
and potential cellular mechanisms discussed (Siggins and Gruol, 1986
;
Bloom, 1988
).
When the effects of morphine, clonidine and 2-chloroadenosine were
compared in tolerant vs. naive preparations, there were no
differences in the amount of hyperpolarization or the induced changes
in input resistance produced by any one of the agonists. This finding
strongly supports the conclusion of Leedham et al. (1992)
that the tolerance (subsensitivity) of the myenteric plexus to these
agonists induced by the implantation of morphine pellets is not due to
changes in the receptors or transduction processes through which they
act. Three different receptor systems and two clearly different
transduction processes are involved in the responses to these three
substances. However, subsensitivity of the electrically induced twitch
in the LM/MP to each of the three is not accompanied by altered
responses of the individual neurons on which they act.
As already noted, the S neurons on which these agonists have direct
effects are partially depolarized without a change in the threshold
potential for firing action potentials (Leedham et al.,
1992
, our study). Combined with the evidence that receptors and
transduction processes are not altered, the hypothesis that the
partially depolarized state is responsible for the tolerant state in
the LM/MP induced by implantation of morphine pellets in the animals,
is strongly supported.
The depolarization that accompanies nonspecific adaptive changes in
sensitivity of smooth muscle cells is related to reduced electrogenic
activity and reduced content of subunit protein of the Na+,
K+ pump (Gerthoffer et al., 1979
; Abel et
al., 1981
; Hershman et al., 1993
; Rogers et
al., 1993
; Hershman et al., 1995
). An investigation of
a possible role of the Na+, K+ pump in the
adaptive depolarization in morphine-tolerant guinea pig myenteric
neurons is underway. (Kong et al., 1997
) Such studies will
begin to address the molecular level at which cellular adaptation occurs in response to chronic drug treatment and provide insight into
the cellular basis for the development of tolerance.
In parallel studies, our laboratory has been characterizing tolerance
in neurons of the nTS of the guinea-pig as induced by implantation of
morphine pellets (Malanga et al., 1997
). Extracellular recording has established that spontaneous firing of nTS neurons, in
slices from morphine-pretreated guinea pigs, is subsensitive to
inhibition by morphine, clonidine, 2-chloroadenosine or muscimol and
supersensitive to excitation by potassium. Thus, the pattern of
nonspecific adaptation originally found in the LM/MP is found in the
nTS neurons of the same species.
Work has been underway in other laboratories on opioid tolerance and
dependence in the rat brain, with important results particularly in the
LC and nucleus accumbens. Microiontophoretic administration of morphine
depresses the firing rate of LC neurons. Opioids, acting on µ-opioid
receptors, hyperpolarize LC neurons by activation of a potassium
conductance (North and Williams, 1983
; Williams and North, 1984
).
Agonists such as norepinephrine and clonidine also hyperpolarize and
inhibit LC neurons via coupling to the same potassium channels as
µ-opioid receptors (North and Williams, 1983
; Andrade and Aghajanian,
1985
).
In the LC, µ-opioids are coupled separately by G-proteins to changes
in potassium conductance and to cyclic AMP (see review by Johnson and
Fleming, 1989
). More recently, Alreja and Aghajanian (1993)
have
presented evidence that met-enkephalin suppresses a cAMP-dependent
resting sodium current in LC neurons. It should be noted that the
suppression of the sodium current was demonstrated with concentrations
of met-enkephalin that were 100 to 200 times greater than the maximum
concentration required to increase potassium conductance.
Implantation of morphine pellets in rats readily induces both tolerance
and dependence in LC neurons that can be demonstrated either in
vivo or in slices (Aghajanian, 1978
; Andrade et al., 1983
; Kogan et al., 1992
). In contrast to the guinea pig
LM/MP and nTS, the tolerance induced is specific for opioids. That is, it is neither accompanied by subsensitivity to the
-adrenoceptor agonist, clonidine, nor by supersensitivity to the stimulatory effect
of glutamate.
There is evidence of an up-regulated cyclic AMP system in the rat LC.
Thus, chronic administration of opioids induces increases in the
-subunits of the G-proteins, Gi and Go
(Nestler et al., 1989
), adenyly cyclase (Duman et
al., 1988
), cyclic AMP-dependent protein kinase (Nestler and
Tallman, 1988
) and several cyclic AMP-dependent phosphoproteins
(Guitart and Nestler, 1989
). Nestler (1992)
has proposed that
opioid-induced up-regulation of the cAMP system contributes to opioid
tolerance, dependence and withdrawal.
Preliminary work with the guinea pig LC in our laboratory (Meng
et al., 1996
) indicates that tolerance in those neurons is similar in character to the tolerance in the guinea pig LM/MP and nTS.
Thus it appears very likely that there is a major species difference
between the rat and guinea pig regarding the characteristics and
cellular mechanisms of tolerance and dependence.
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Acknowledgments |
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The technical assistance of Ms. Kathleen Thayne is gratefully recognized.
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Footnotes |
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Accepted for publication December 13, 1996.
Received for publication December 4, 1995.
1 This work was supported, in part, by a grant from the National Institute of Drug Abuse, 5R01 DA03773.
Send reprint requests to: Dr. William W. Fleming, Professor and Mylan Chair of Pharmacology and Toxicology, PO Box 9223, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown WV 26506-9223.
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Abbreviation |
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LM/MP, longitudinal muscle/myenteric plexus; PSS, physiological salt solution; nTS, nucleus tractus solitarius; LC, locus ceruleus; AMP, adenosine monophosphate.
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References |
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