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NEUROPHARMACOLOGY
Center for Substance Abuse Research, Temple University School of Medicine, Philadelphia, Pennsylvania
Received August 10, 2007; accepted September 25, 2007.
| Abstract |
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and tumor necrosis factor (TNF)-1
(Pacifici et al., 2000
-endorphin during lipopolysaccharide (LPS) and endogenous pyrogen-induced fever (Carr et al., 1982Because of the discovery that the opioid system has many diverse effects on the immune system and that it is involved in the pathogenesis of fever, targeting this system has represented a promising therapeutic approach. A prominent component of the acute phase reaction to immune and inflammatory stimuli is the development of fever. Although fever is an important indicator for the severity of the inflammation, no one has investigated and/or linked this parameter with the opioid system during neuroinflammation. Using a model of acute neuroinflammation, we sought to determine the effects of the genetic deletion of the µ-opioid receptor on the fever by i.c.v. injection of LPS.
| Materials and Methods |
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Surgery Procedures. Mice were anesthetized with an i.p. injection of a mixture of ketamine hydrochloride (100–150 mg/kg) and acepromazine maleate (0.2 mg/kg). An incision 0.5 cm in length was made along the linea alba, and the underlying tissue was dissected and retracted. A transmitter (model E-4000; Mini-Mitter Co. Inc., Sunriver, OR) was then implanted in the i.p. space. After the transmitter was passed through the incision, the abdominal musculature and dermis were sutured independently (Benamar et al., 2005
). On the same day as the surgery, each animal was placed into a stereotaxic instrument (Cunningham Mouse and Neonatal Rat Adaptor; Stoelting, Wood Dale, IL). The position of the head was adjusted so that the height of skull surface at bregma and lambda was the same. A sterilized stainless steel C315-GS-4 cannula guide (26-gauge; Plastics One, Roanoke, VA) was implanted i.c.v. Stereotaxic coordinates were as follows: –0.5 mm anterior to bregma, 1 mm from midline, and 3 mm ventral to the dura mater (Paxinos and Franklin, 2001
). A C315DCS cannula dummy (Plastics One) of identical length was inserted into the guide tube to prevent its occlusion. The animals were returned to individual cages in the environmental room.
Microinjection and Measurement of Body Temperature. At 1 week postsurgery, the mice were tested in an environmental room (22 ± 0.3°C ambient temperature and 52% ± 2 relative humidity). After 1 h of adaptation, two readings were averaged to determine the baseline. During the recording period (pre- and postinjection), the body temperature was measured at 15-min intervals. The body temperature and circadian body temperature were measured by a biotelemetry system using calibrated transmitters. Signals from the transmitter were delivered through a computer-linked receiver. This method minimized stress to animals during the body temperature reading. Thus, the body temperature was monitored continuously and recorded without restraint or any disturbance to the animal. Either saline or drug was microinjected i.c.v. in a volume of 3 µl. With aseptic procedures, the C315IS-4 internal cannula (33-gauge; Plastics One) was connected by polyethylene tubing to a 10-µl Hamilton syringe. The mice were placed into individual plastic cages in an environmental room kept at 21 ± 0.3°C with 52 ± 2% relative humidity.
Statistical and Histology Analysis. All results were expressed as mean ± S.E.M. Statistical analysis of differences between groups was determined by analysis of variance followed by Dunnett's test. A value of P less than 0.05 was considered statistically significant. Cannula placement was confirmed by checking the location of the tip by 1% Evans blue injection after the experiment according to standard procedures in our laboratory (Xin et al., 1997a
).
Drugs. Morphine sulfate and the selective µ-opioid receptor agonist [D-Ala2,N-Me-Phe4,Gly5-ol]-enkephalin (DAMGO) (supplied by the National Institute on Drug Abuse, Bethesda, MD) were dissolved in sterile pyrogen-free saline. LPS was a phenol-extracted preparation of Escherichia coli (0111:B4), and it was obtained from Sigma-Aldrich (St. Louis, MO) and dissolved in pyrogen-free saline.
| Results |
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Effect of LPS on Body Temperature. To verify that the transfer of LPS from the central nervous system into the periphery is not responsible for the fever after i.c.v. administration, we administered LPS (0.1–4 µg i.p.) at doses ranging from 0.1 to 4 µg/kg to WT. As can be seen in Table 1, these doses did not alter WT body temperature compared with saline controls.
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| Discussion |
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In the second series of experiments, we used an experimental model of fever associated with brain inflammation, in which mice received an i.c.v. injection of LPS, to investigate the role of µ-opioid receptors in LPS-induced fever. Using pharmacological approaches, it has been shown that µ-opioid antagonists (naloxone or D-Phe-Cys-Tyr-D-Trp-Arg-Thr-Pen-Thr-NH2) block the LPS-induced fever (Blatteis et al., 1991
; Benamar et al., 2000
), indicating that the opioid system is involved in the pathogenesis of fever. With gene deletion of µ-opioid receptors, we have recently confirmed that the µ-opioid receptor mediated the fever induced by systemic administration of LPS (Benamar et al., 2005
). The purpose of the present study was to determine whether such an effect occurs when LPS is given centrally. The injection of LPS, an endotoxin derived from the cell wall of Gram-negative bacteria, directly into the brain has been used as an animal model for the study of neuroinflammation. The present studies show that the i.c.v. injection of LPS (50–100 ng) produced a dose-dependent, significant elevation in body temperature in WT during the 360-min recording period. However, the administration of LPS (100 ng i.c.v.) to MOP-KO did not evoke any increase in body temperature during the same recording period, indicating that the µ-opioid receptors are critical for the development of fever induced by central administration of LPS in mice. One study has suggested that transfer of LPS from the central nervous system into the periphery in significant amounts is what accounts for the observed effects of i.c.v. LPS (Cunningham et al., 2005
). In our study, it is highly unlikely that the small amount of LPS (100 ng) injected via the i.c.v. route evoked fever through its leakage into the system compartment, because the same amount of LPS, when injected peripherally, did not evoke fever, even at a dose 10 times higher. Our results suggest that an inflammatory response occurs in the brain following the administration of LPS i.c.v., manifested by increases in body temperature.
It has been shown that i.c.v. administration of LPS caused a rapid and prolonged elevation of IL-1 throughout the brain (Quan et al., 1997
). Microglial cells readily produce detectable IL-1 (Cunningham et al., 2005
) and intense immunoreactivity to IL-1
in hypothalamic microglial cells (Gonzalez et al., 2004
) after i.c.v. stimulation. The in vivo stereotaxic injection of LPS into the brain has been reported to lead to a rapid production by microglial cells of proinflammatory factors, such as TNF-
(Kalehua et al., 2000
). Previous experimental data strongly suggest the important roles of IL-1
, IL-6, TNF-
, and macrophage inflammatory protein-1 in fever induced by LPS (Blatteis, 2006
), and recent results showed that microinjection of a selective µ-opioid-receptor antagonist centrally prevents the fever produced by interleukin-1
, TNF-
, MIP-1
, IL-6, and LPS (Xin et al., 1997b
; Handler et al., 1998
; Benamar et al., 2000
, 2002
), indicating that µ-opioid receptors are involved in the pathogenesis of fever induced by these endogenous and exogenous pyrogens. µ-Opioids have also been shown to alter the release of cytokines important for both host defense and the inflammatory response (Chao et al., 1993
; Lysle et al., 1993
). Cells involved in neuroinflammation, astrocytes and microglia, as well as neurons, express µ-opioid receptors (Ruzicka et al., 1995
). Furthermore, µ-opioid-receptor mRNA has been observed in various regions in the brain, including the preoptic anterior hypothalamus (Mansour et al., 1995
), the main area involved in fever and thermoregulation. In view of these findings, an interaction between the cytokine/chemokine and the µ-opioid systems could take place under neuroinflammatory conditions.
Although a large part of the response to LPS-induced fever has been attributed to the action of cytokines, NO, a proinflammatory mediator in the immune system with both antiviral (Lowenstein et al., 1996
) and antibacterial (Nathan and Hibbs, 1991
) actions, is one of the mediators produced following brain inflammation (Zamora et al., 2000
). It is also considered to be an important mediator of LPS-induced fever (Roth et al., 1998
). In addition, we have shown that NO produced by neuronal nitric-oxide synthase mediates morphine-induced hyperthermia (Benamar et al., 2001
, 2003
). Another explanation of our data is that by deleting the µ-opioid receptor, it is possible that the NO release decreases, leading to a decline in cumulative NO levels and therefore absence of LPS-induced fever mediated by endogenous NO.
The current report demonstrates a role of µ-opioid receptors in an animal model of acute neuroinflammation, pointing out their critical role in the fever induced by central administration of LPS. The realization that the µ-opioid system plays a key role in the control of the process of neuroinflammation is a new concept and may well lead to a fruitful approach to identify novel therapies for neuroinflammatory conditions. For example, it may be possible to use a µ-opioid antagonist as a therapeutic strategy to prevent and treat brain diseases associated with neuroinflammation (e.g., multiple sclerosis, Alzheimer's disease). In addition, these studies confirm that the µ-opioid system is involved in bacterial LPS-induced fever. In uncontrolled conditions, fever can threaten cellular homeostasis and survival. Treating such dysregulation of body temperature would be aided by an understanding of the role of µ-opioid system in the pathogenesis of fever. In addition, these results provide direct genetic evidence that µ-opioid receptors play a predominant role in morphine-induced hyperthermia and reinforce our earlier pharmacological findings.
| Acknowledgements |
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| Footnotes |
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Article, publication date, and citation information can be found at http://jpet.aspetjournals.org.
ABBREVIATIONS: IL, interleukin; LPS, lipopolysaccharide; MOP-KO, µ-opioid receptor knockout mice; WT, wild type; DAMGO, [D-Ala2,N-Me-Phe4,Gly5-ol]-enkephalin; TNF, tumor necrosis factor.
Address correspondence to: Dr. Khalid Benamar, Center of Substance Abuse Research, Temple University School of Medicine, 3400 N. Broad St., Philadelphia, PA 19140. E-mail: kbenamar{at}temple.edu
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