Role of Peripheral Sensory Neuron mu-Opioid Receptors in Nociceptive,
Inflammatory, and Neuropathic Pain
Abstract
Background and Purpose: The role of peripheral mu-opioid receptors
(MOPs) in chronic pain conditions is not well understood. Here, we used
a combination of mouse genetics, behavioral assays, and pharmacological
interventions to investigate the contribution of MOPs on primary
afferent neurons to nociceptive, inflammatory, and neuropathic pain as
well as to opioid analgesia. Experimental Approach: We generated
conditional knockout mice in which MOPs were selectively deleted in
primary sensory neurons. Inflammatory and neuropathic pain states were
induced in mutant and control wild-type mice and their behavioral
responses to noxious stimuli compared. Gross motor function was also
evaluated. Immunohistochemistry was used to assess MOP expression in the
dorsal root ganglia, periaqueductal gray, and small intestine.
Behavioral assays and whole-cell patch-clamp recordings were used to
evaluate the inhibitory effects of mu-opioid agonists, DALDA and
morphine, on pain behavior and neurophysiologic effects in DRG neurons,
respectively. Key Results: Conditional MOP knockouts and control mice
exhibited similar behavioral responses to acute nociceptive stimuli and
developed similar inflammation-induced hypersensitivity. Nerve injury in
animals lacking peripheral MOPs induced enhanced, bilateral mechanical
allodynia. DALDA administered subcutaneously was unable to decrease the
hypersensitivity induced by inflammation and nerve injury in MOP
knockout animals, and morphine’s antinociceptive effects were
significantly attenuated in the absence of peripheral MOPs. Conclusion
and Implication: MOPs in primary sensory neurons contribute to the
modulation of neuropathic pain behavior and opioid analgesia. Our
observations highlight the clinical potential of peripherally acting
opioid agonists in the management of chronic inflammatory and
neuropathic pain.