Abstract

The innate immune system modulates opioid-induced effects within the central nervous system and one target that has received considerable attention is the toll-like receptor 4 (TLR4). Here, we examined the contribution of TLR4 in the development of morphine tolerance, hyperalgesia, and physical dependence in two inbred mouse strains: C3H/HeJ mice which have a dominant negative point mutation in the Tlr4 gene rendering the receptor non-functional, and B10ScNJ mice which are TLR4 null mutants. We found that neither acute antinociceptive response to a single dose of morphine, nor the development of analgesic tolerance to repeated morphine treatment, was affected by TLR4 genotype. Likewise, opioid induced hyperalgesia and opioid physical dependence (assessed by naloxone precipitated withdrawal) were not altered in TLR4 mutant or null mice. We also examined the behavioural consequence of two stereoisomers of naloxone: (−) naloxone, an opioid receptor antagonist, and (+) naloxone, a purported antagonist of TLR4. Both stereoisomers of naloxone suppressed opioid induced hyperalgesia in wild-type control, TLR4 mutant, and TLR4 null mice. Collectively, our data suggest that TLR4 is not required for opioid-induced analgesic tolerance, hyperalgesia, or physical dependence.

Highlights

  • Morphine and related opioids are among the most potent and widely prescribed drugs for treating moderate to severe pain

  • The present study examined the role of toll-like receptor 4 (TLR4) in the development of morphineinduced analgesia, analgesic tolerance, hyperalgesia, and physical dependence using TLR4 null and TLR4 mutant mice

  • Based on previous reports [17,31,38], we predicted that morphine antinociception would be augmented in TLR4 mutant mice

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Summary

Introduction

Morphine and related opioids are among the most potent and widely prescribed drugs for treating moderate to severe pain. Their hallmark analgesia is predominantly mediated by activation of Gi/o protein-coupled mu opioid receptors [1,2], which are expressed throughout the central nervous system. Growing evidence suggests mu opioid receptors expressed on microglia are causally implicated in the sequelae of opioid analgesic tolerance, physical dependence, and paradoxical pain (opioid induced hyperalgesia) [9,10,11,12,13] These negative side effects are major barriers that limit the effective management of pain with opioid drugs

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