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J Neurophysiol 95: 3086-3096, 2006. First published February 8, 2006; doi:10.1152/jn.01343.2005
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Loss of TRPV1-Expressing Sensory Neurons Reduces Spinal µ Opioid Receptors But Paradoxically Potentiates Opioid Analgesia

Shao-Rui Chen1 and Hui-Lin Pan1,2

1Departments of Anesthesiology and 2Neural and Behavioral Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania

Submitted 20 December 2005; accepted in final form 8 February 2006

Systemic administration of resiniferatoxin (RTX), an ultrapotent capsaicin analogue, removes transient receptor potential vanilloid type 1 (TRPV1)-expressing afferent neurons and impairs thermal but not mechanical nociception in adult animals. In this study, we determined how loss of TRPV1-expressing sensory neurons alters the antinociceptive effect of µ opioids and µ opioid receptors in the spinal cord. The effect of morphine and (D-Ala2,N-Me-Phe4,Gly-ol5)-enkephalin (DAMGO) was measured by testing the paw mechanical withdrawal threshold in rats treated with RTX or vehicle. RTX treatment deleted TRPV1-immunoreactive dorsal root ganglion neurons and nerve terminals in the spinal dorsal horn. Also the µ opioid receptor immunoreactivity was markedly reduced in the superficial dorsal horn of RTX-treated rats. However, RTX treatment did not affect the dorsal horn neurons labeled with both TRPV1- and µ opioid receptor-immunoreactivity. Surprisingly, intrathecal morphine or DAMGO produced a greater increase in the withdrawal threshold in RTX- than in vehicle-treated rats. The duration of the effect of intrathecal morphine and DAMGO in RTX-treated rats was also profoundly increased. Furthermore, the antinociceptive effect of systemic morphine was significantly potentiated in RTX-treated rats. The BMAX (but not KD) of [3H]-DAMGO binding and DAMGO-stimulated [35S]GTP{gamma}S activity in the dorsal spinal cord were significantly reduced in the RTX group. This study provides novel information that loss of TRPV1 afferent neurons eliminates presynaptic µ opioid receptors present on TRPV1-expressing afferent neurons but paradoxically potentiates the analgesic effect of µ opioid agonists. Mechano-nociception, transmitted through non-TRPV1 sensory neurons, is subject to potent modulation by µ opioid agonists.


Address for reprint requests and other correspondence: H.-L. Pan, Dept. of Anesthesiology and Pain Medicine, Div. of Anesthesiology and Critical Care, University of Texas-M.D. Anderson Cancer Center, 1400 Holcombe Blvd, Unit 409, Houston, TX 77030-4009 (E-mail: huilinpan{at}mdanderson.org)




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