Abstract

Aim: To examine the effects of fentanyl, a potent mu-opioid receptor (MOR) agonist, on-air puff-evoked responses in Purkinje cells (PCs), and molecular layer interneurons (MLIs) using in vivo patch-clamp recordings in anesthetized mice.Methods: Male mice 6–8 weeks-old were anesthetized and fixed on a custom-made stereotaxic frame. The cerebellar surface was exposed and perfused with oxygenated artificial cerebrospinal fluid (ACSF). Patch-clamp recordings in the cell-attached mode were obtained from PCs and MLIs. Facial stimulation by air-puff of the ipsilateral whisker pad was performed through a pressurized injection system. Fentanyl citrate, CTOP, and H-89 dissolved in ACSF were perfused onto the cerebellar surface.Results: Fentanyl significantly inhibited the amplitude and area under the curve (AUC) of sensory stimulation-evoked inhibitory responses in PCs. Although fentanyl did not influence the frequency of simple spikes (SSs), it decreased the pause of SS. The IC50 of the fentanyl-induced suppression of the P1 response amplitude was 5.53 μM. The selective MOR antagonist CTOP abolished fentanyl-induced inhibitory responses in PCs. However, the application of CTOP alone increased the amplitude, AUC of P1, and the pause of SS. Notably, fentanyl significantly inhibited the tactile-evoked response of MLIs but did not affect their spontaneous firing. The fentanyl-induced decrease of inhibitory responses in PCs was partially prevented by a PKA inhibitor, H-89.Conclusions: These results suggest that fentanyl binds to MORs in MLIs to reduce GABAergic neurotransmission in MLI-PC projections and one potential mechanism is via modulation of the cAMP-PKA pathway.

Highlights

  • Fentanyl and fentanyl analogs are currently an emerging public health threat around the world

  • Fentanyl did not influence the frequency of simple spikes (SSs), it decreased the pause of SS

  • These results suggest that fentanyl binds to mu-opioid receptor (MOR) in molecular layer interneurons (MLIs) to reduce GABAergic neurotransmission in MLI-Purkinje cells (PCs) projections and one potential mechanism is via modulation of the cAMP-protein kinase A (PKA) pathway

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Summary

Introduction

Fentanyl and fentanyl analogs are currently an emerging public health threat around the world. During the treatment of chronic pain, fentanyl tolerance occurs when patients need a higher and/or more frequent amount of the drug to get the desired effects. Fentanyl is emerging as one of the leading causes of drug overdose lethality in America (Spencer et al, 2019). Lipophilic phenylpiperidine opioid agonist, fentanyl has a high affinity for μ-opioid receptors (MORs), which underlie major opioid-related pharmacological effects, including analgesia, sedation, and euphoria (Armenian et al, 2018). MORs in the nucleus accumbens and basolateral amygdala underlie euphoria, the incentive properties of rewarding stimuli, and drug abuse (Wang, 2019). The effects of MORs in the cerebellum are poorly understood

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