Negative allosteric modulation of CB1 cannabinoid receptor signaling suppresses opioid-mediated tolerance and withdrawal without blocking opioid antinociception

IF 4.6 2区 医学 Q1 NEUROSCIENCES
Vishakh Iyer , Shahin A. Saberi , Romario Pacheco , Emily Fender Sizemore , Sarah Stockman , Abhijit Kulkarni , Lucas Cantwell , Ganesh A. Thakur , Andrea G. Hohmann
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引用次数: 0

Abstract

The direct blockade of CB1 cannabinoid receptors produces therapeutic effects as well as adverse side-effects that limit their clinical potential. CB1 negative allosteric modulators (NAMs) represent an indirect approach to decrease the affinity and/or efficacy of orthosteric cannabinoid ligands or endocannabinoids at CB1. We recently reported that GAT358, a CB1-NAM, blocked opioid-induced mesocorticolimbic dopamine release and reward via a CB1-allosteric mechanism of action. Whether a CB1-NAM dampens opioid-mediated therapeutic effects such as analgesia or alters other unwanted opioid side-effects remain unknown. Here, we characterized the effects of GAT358 on nociceptive behaviors in the presence and absence of morphine in male rats. We examined the impact of GAT358 on formalin-evoked pain behavior and Fos protein expression, a marker of neuronal activation, in the lumbar spinal cord. We also assessed the impact of GAT358 on morphine-induced slowing of colonic transit, tolerance, and withdrawal behaviors in male mice. GAT358 attenuated morphine antinociceptive tolerance without blocking acute antinociception and reduced morphine-induced slowing of colonic motility without impacting fecal boli production. GAT358 also produced antinociception in the presence and absence of morphine in the formalin model of inflammatory nociception and reduced the number of formalin-evoked Fos protein-like immunoreactive cells in the lumbar spinal cord. Finally, GAT358 mitigated the somatic signs of naloxone-precipitated, but not spontaneous, opioid withdrawal following chronic morphine dosing. Our results support the therapeutic potential of CB1-NAMs as novel drug candidates aimed at preserving opioid-mediated analgesia while preventing their unwanted side-effects. Our studies also uncover previously unrecognized antinociceptive properties associated with an arrestin-biased CB1-NAM.

Abstract Image

对 CB1 大麻受体信号的负异位调节可抑制阿片介导的耐受性和戒断,而不会阻断阿片的抗痛觉作用。
直接阻断 CB1 大麻受体既会产生治疗效果,也会产生不良副作用,从而限制其临床应用潜力。CB1 负性异位调节剂(NAMs)是一种间接方法,可降低正交型大麻素配体或内源性大麻素在 CB1 上的亲和力和/或药效。我们最近报告说,CB1-NAM GAT358 可通过 CB1-allosteric 作用机制阻断阿片诱导的皮质中层多巴胺释放和奖赏。CB1-NAM 是否会抑制阿片类药物介导的治疗效果(如镇痛)或改变阿片类药物的其他不良副作用仍是未知数。在此,我们研究了 GAT358 在有吗啡存在和没有吗啡存在的情况下对雄性大鼠痛觉行为的影响。我们研究了 GAT358 对福尔马林诱发的疼痛行为和腰部脊髓中神经元激活标记物 Fos 蛋白表达的影响。我们还评估了 GAT358 对吗啡诱导的雄性小鼠结肠转运减慢、耐受性和戒断行为的影响。GAT358 可减轻吗啡的抗痛觉耐受性,但不会阻断急性抗痛觉,还可减少吗啡引起的结肠运动减慢,但不会影响粪便的产生。在炎性痛觉的福尔马林模型中,GAT358 还能在吗啡存在和不存在的情况下产生抗痛觉作用,并减少福尔马林诱发的腰脊髓 Fos 蛋白样免疫反应细胞的数量。最后,GAT358 能减轻纳洛酮诱发的躯体症状,但不能减轻长期服用吗啡后阿片类药物自发戒断的症状。我们的研究结果支持了 CB1-NAMs 作为新型候选药物的治疗潜力,其目的是保留阿片类药物介导的镇痛作用,同时防止其不必要的副作用。我们的研究还发现了以前未认识到的与基于停滞素的 CB1-NAM 相关的抗痛觉特性。
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来源期刊
Neuropharmacology
Neuropharmacology 医学-神经科学
CiteScore
10.00
自引率
4.30%
发文量
288
审稿时长
45 days
期刊介绍: Neuropharmacology publishes high quality, original research and review articles within the discipline of neuroscience, especially articles with a neuropharmacological component. However, papers within any area of neuroscience will be considered. The journal does not usually accept clinical research, although preclinical neuropharmacological studies in humans may be considered. The journal only considers submissions in which the chemical structures and compositions of experimental agents are readily available in the literature or disclosed by the authors in the submitted manuscript. Only in exceptional circumstances will natural products be considered, and then only if the preparation is well defined by scientific means. Neuropharmacology publishes articles of any length (original research and reviews).
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