Poster Session 2.M - Neurosciences
Galambos, Anna
RKOOXL
SE Department of Pharmacology and Pharmacotherapy
06306444796
galambosanna50@gmail.com
Glycine Transporter 1 Inhibitors Minimize the Analgesic Tolerance to Morphine in Rats
Anna Rita Galambos1, Nariman Essmat1, Péter P. Lakatos2, Imre Boldizsár, Jr.1, Dávid Á. Karádi1, Sarah Kadhim Abbood1, Kornél Király1, Pál Riba1, Tamás Tábi2, Laszlo G. Harsing, Jr.1, Ferenc Zádor1, Mahmoud Al-Khrasani1
1: SE Department of Pharmacology and Pharmacotherapy
2: SE Department of Pharmacodynamics
Poszter
Poster Session 2.M - Neurosciences
English
Neurosciences
Introduction: Opioid analgesics are a cornerstone in managing mild to severe acute and chronic pain, however their long term-application is limited by side effects. The majority of currently prescribed opioid analgesics target μ-opioid receptors (MORs). Prolonged use of MOR agonists develops analgesic tolerance, dose escalation is required to retain the opioid analgesic efficacy consequently increasing the side effects. Many attemts have been made to delay tolerance development, but none have proven clinically significant. Thus, exploring new treatment avenues is crucial for chronic pain patients. Recent research indicates that glycine transporter-1 (GlyT1) inhibitors have potential in halting neuropathic pain, which shares certain spinal mechanisms with opioid tolerance such as iNMDARs' activation.
Aims: Investigating the involvement of the spinal glycinergic system in morphine analgesic tolerance development and examining the impact of the selective GlyT1 inhibitor NFPS on opioid antinociceptive tolerance following repeated morphine administration.
Methods: In vivo and in vitro studies were applied to measure tolerance and NFPS effect. The rat tail-flick assay, a thermal pain model was utilized, where male Wistar rats (170-230g) received sc. morphine, NFPS or their combination for 10 days. Pain threshold was measured before and after treatment. After 10 days, cerebrospinal fluid (CSF) glycine levels were measured using capillary electrophoresis. Motor function was assessed by the rotarod test. Spinal cord MOR protein expression was measured by Western blot.
Results: Acute morphine treatment (10 mg/kg) produced in significant antinociceptive effects, but high degree of tolerance was measured after 10 days. NFPS failed to show antinociception alone but significantly delayed morphine tolerance when co-administered chronically at 0.6 mg/kg. CSF glycine levels increased following NFPS treatment. Chronic treatment with NFPS did not affect the motor function of the animals. MOR protein expression did not change significantly.
Conclusions: Co-administration of GlyT1 inhibitors and opioid analgesics maintains antinociceptive effect of opioids. The observed effect could be related to the regulation of glycine at the vicinity of spinal iNMDARs, in particular the extrasynaptic GluN2B which is implicated in the mechanism for opioid analgesic tolerance.
Fund: FK_138389
Semmelweis University
Dr. Al-Khrasani Mahmoud, Dr. Király Kornél
I do not give consent to the publication of my abstract on the website of the congress.
after finishing doctoral studies with absolutorium (PhD)
Szabad
elfogadva
poszter
nem rendelkezett róla
7404
18:18
18:21