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Opioid–galanin receptor heteromers mediate the dopaminergic effects of opioids
Ning-Sheng Cai, … , Annabelle M. Belcher, Sergi Ferré
Ning-Sheng Cai, … , Annabelle M. Belcher, Sergi Ferré
Published March 26, 2019
Citation Information: J Clin Invest. 2019;129(7):2730-2744. https://doi.org/10.1172/JCI126912.
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Research Article Neuroscience

Opioid–galanin receptor heteromers mediate the dopaminergic effects of opioids

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Abstract

Identifying nonaddictive opioid medications is a high priority in medical science, but μ-opioid receptors (MORs) mediate both the analgesic and addictive effects of opioids. We found a significant pharmacodynamic difference between morphine and methadone that is determined entirely by heteromerization of MORs with galanin Gal1 receptors (Gal1Rs), rendering a profound decrease in the potency of methadone. This finding was explained by the weaker proficiency of methadone in activating the dopaminergic system as compared with morphine and predicted a dissociation of the therapeutic and euphoric effects of methadone, which was corroborated by a significantly lower incidence of self-reports of feeling “high” in methadone-medicated patients. These results suggest that μ-opioid–Gal1R heteromers mediate the dopaminergic effects of opioids. The results further suggest a lower addictive liability of some opioids, such as methadone, due to their selective low potency for the μ-opioid–Gal1R heteromer.

Authors

Ning-Sheng Cai, César Quiroz, Jordi Bonaventura, Alessandro Bonifazi, Thomas O. Cole, Julia Purks, Amy S. Billing, Ebonie Massey, Michael Wagner, Eric D. Wish, Xavier Guitart, William Rea, Sherry Lam, Estefanía Moreno, Verònica Casadó-Anguera, Aaron D. Greenblatt, Arthur E. Jacobson, Kenner C. Rice, Vicent Casadó, Amy H. Newman, John W. Winkelman, Michael Michaelides, Eric Weintraub, Nora D. Volkow, Annabelle M. Belcher, Sergi Ferré

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Figure 3

Weaker ability of methadone to stimulate the VTA-NAc dopaminergic system as compared with morphine, fentanyl, and DAMGO.

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Weaker ability of methadone to stimulate the VTA-NAc dopaminergic system...
Microdialysis experiments in rats. Values represent mean dopamine concentrations as a percentage of baseline ± SEM (average of 5 samples before MOR agonist administration). The lined and white rectangles in the x axis indicate the period of MOR agonist perfusion and M40 infusion, respectively; the arrows in D and F indicate the time point of systemic administration. (A and B) Effect of intra-VTA morphine (1–10 μM) or methadone (10–300 μM) on VTA dopamine. *P < 0.05 and ***P < 0.001 versus 1 μM morphine (A); *P < 0.05 and **P < 0.01 versus 10 μM methadone (B); 1-way ANOVA with Dunnett’s multiple comparisons, comparing the average of 8 samples after MOR agonist administration (n = 7–8 animals/group). (C) Effect of intra-NAc morphine (10 μM) or methadone (300 μM) on NAc dopamine. Results were nonsignificant in both cases; paired, 2-tailed t test, comparing the average of 8 samples after MOR agonist administration versus baseline values (n = 8 animals/group). (D) Effect of systemic administration (1 mg/kg, i.p.) of morphine or methadone on VTA and NAc dopamine in the VTA and contralateral NAc. *P < 0.05; paired, 2-tailed t test, comparing the average of 5 samples after MOR administration versus baseline values (n = 6–7 animals/group). (E) Effect of intra-VTA DAMGO (10 μM) or fentanyl (10 μM) on VTA dopamine, respectively (n = 7 and 9 animals/group). **P < 0.01; paired, 2-tailed t test, comparing the average of 8 samples after MOR agonist administration versus baseline values. (F) Effect of systemic administration (0.03 mg/kg, i.p.) of fentanyl on VTA and NAc dopamine in the VTA and contralateral NAc. **P < 0.01; paired, 2-tailed t test, comparing the average of 8 samples after MOR administration versus baseline values (n = 7 animals/group). DA, dopamine.

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