Abstract

Opioids in skin function during stress response, regeneration, ageing and, particularly in regulating sensation. In chronic pruritus, topical treatment with Naltrexone changes μ-opioid receptor (μ-OR) localization to relieve itch. The molecular mechanisms behind the effects of Naltrexone on μ-OR function in reduction of itching behavior has not been studied. There is an immediate need to understand the endogenous complexity of μ-OR dynamics in normal and pathological skin conditions. Here we evaluate real-time behavior of μ-OR-Endomorphine complexes in the presence of agonist and antagonists. The μ-OR ligand Endomorphine-1 (EM) was conjugated to the fluorescent dye Tetramethylrhodamine (TAMRA) to investigate the effects of agonist and antagonists in N/TERT-1 keratinocytes. The cellular localization of the EM-TAMRA was followed through time resolved confocal microscopy and population analysis was performed by flow cytometry. The in vitro analyses demonstrate fast internalization and trafficking of the endogenous EM-TAMRA-μ-OR interactions in a qualitative manner. Competition with Endomorphine-1, Naltrexone and CTOP show both canonical and non-canonical effects in basal and differentiated keratinocytes. Acute and chronic treatment with Naltrexone and Endomorphine-1 increases EM-TAMRA binding to skin cells. Although Naltrexone is clinically effective in relieving itch, the mechanisms behind re-distribution of μ-ORs during clinical treatments are not known. Our study has given insight into cellular mechanisms of μ-OR ligand-receptor interactions after opioid agonist and antagonist treatments in vitro. These findings potentially offer opportunities in using novel treatment strategies for skin and peripheral sensory disorders.

Highlights

  • Pharmacological compounds targeting opioid receptors (ORs) have been used as effective anti-nociceptive drugs

  • The conjugated product was characterized using Electrospray Ionization (ESI) mass spectroscopy to determine the molecular mass of EM-TAMRA

  • We reported a potential role for Naltrexone in relieving the itch sensation by increasing the functional presence of μ-opioid receptor (μ-OR) in skin keratinocytes within two weeks of topical treatment [20]

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Summary

Introduction

Pharmacological compounds targeting opioid receptors (ORs) have been used as effective anti-nociceptive drugs. Monitoring μ-opioid receptor-ligand dynamics in skin cells. ORs are G protein-coupled receptors (GPCR), which upon binding of a ligand undergo conformational changes and activate an associated inhibitory Gi/o protein. This can result in multiple responses including inhibition of adenylyl cyclase, attenuation of the influx of calcium, increase in potassium channel conductance and activation of mitogen-activated protein kinases[1]. Neuropeptides, the opioidergic system, are one of the components coordinating this stress response to modulate nociceptive and inflammatory pathways in skin homeostasis and differentiation [4]

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