Delta-opioid receptor-mediated increase in cortical extracellular levels of cholecystokinin-like material by subchronic morphine in rats 
by
 
Becker C, Pohl M, Thiebot MH, Collin E, Hamon M, Cesselin F, Benoliel JJ 
INSERM U. 288, 
NeuroPsychoPharmacologie Moleculaire, 
Cellulaire et Fonctionnelle,
 C.H.U. Pitie-Salpetriere, 
Paris, France.
 becker@idf.jussieu.fr 
 
     Neuropharmacology 2000 Jan 4; 39(2):161-71
ABSTRACT
Numerous pharmacological data indirectly 
        support the idea that interactions between cholecystokinin (CCK) and 
        opioids participate in the development of tolerance to morphine. 
        Biochemical investigations were performed with the aim of directly 
        assessing the status of such interactions in morphine treated rats. 
        Tolerance to the alkaloid after s.c. implantation of morphine pellets 
        for three days was not associated with any change in the levels of both 
        CCK like-material (CCKLM) and proCCK mRNA in the frontal cortex. 
        However, microdialysis in the freely moving rat showed that this 
        morphine treatment produced a significant increase (+40%) of the 
        cortical spontaneous CCKLM outflow, which could be completely prevented 
        by intracortical infusion of naloxone (10 microM). The opioid receptors 
        responsible for morphine-induced cortical CCKLM overflow appeared to be 
        of the delta type because intracortical infusion of selective 
        delta-opioid receptor antagonists such as naltriben (10 microM) and 
        7-benzylidenenaltrexone (10 microM) also prevented the effect of 
        morphine, whereas CTOP (10 microM), a selective mu-opioid receptor 
        antagonist, and nor-binaltorphimine (10 microM), a selective K-opioid 
        receptor antagonist, were inactive. These data indicate that morphine 
        tolerance is associated with delta-opioid receptor mediated activation 
        of cortical CCKergic systems in rats.   
Pain
CREB
Reward
Morphine
Tramadol
Tolerance
Buprenorphine
Kappa agonists
Opioid receptors
Fentanyl and ketamine
Kappa upregulation and addiction

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