Blockade of the nociceptin/orphanin FQ/NOP receptor system in the rat ventrolateral periaqueductal gray potentiates DAMGO analgesia
Introduction
Nociceptin/orphanin FQ (N/OFQ), a heptadecapeptide derived from ppN/OFQ, is the endogenous ligand of the NOP receptor similar in sequence to the MOP, DOP and KOP receptors [22], [25], [34]. Despite this homology, the NOP receptor shows low affinity for opioid agonists and antagonists [12].
In analogy with opioid receptors, NOP is widely distributed through the CNS in those regions involved in pain transmission processing [28]. Pharmacological studies, examining the N/OFQ effect on nociception, have generated conflicting results depending on the dose and the site of administration [28]. When supraspinally administered, the peptide may produce hyperalgesia, allodynia, and, in some circumstances, naloxone-reversible analgesia [15]. There is no doubt, instead, that N/OFQ interferes with the supraspinal analgesia induced by opioids [26]. Intracerebroventricular (i.c.v.) injection of N/OFQ, indeed, reverses the tail-flick inhibition induced by morphine [14], selective opioid receptor agonists [27], [37] and opioid-mediated stress- and electroacupuncture-induced analgesia [26], [38].
However, the real site or sites of action for this physiological antagonism are not known. In vitro and in vivo experiments suggest that a likely area of this action could be the midbrain periaqueductal gray (PAG) matter, divided, at its rostrocaudal axis, into dorsomedial, dorsolateral, lateral and ventrolateral columns [3]: the ventrolateral columns are those proposed as integrating the behavioral nociceptive response [32]. PAG activation inhibits, through the projection to the rostral ventral medulla (RVM), the neuron activity of the spinal dorsal horn and the behavioral response to pain stimulation [24], [2].
Electrophysiological and anatomical studies have demonstrated that opioid receptors exist on some PAG neurons projecting into the RVM [41], and it is well known that local administration of opioid peptides in this region induces pain relief [19], [23]. In particular, opioid analgesia in the PAG appears to be especially dependent on the MOP receptor, given the effectiveness of morphine and DAMGO [36], [4] microinjections in this area, blocked by the MOP antagonist naloxonazine [4].
Immunohistochemical studies have shown a high density of NOP receptors, localized with opioid receptors, within the PAG [1] where a high concentration of ppN/OFQ mRNA has also been found [18]. Microinjection of N/OFQ in the vlPAG decreases the withdrawal latency to heat and loading [6], in addition the peptide in the PAG can increase rat pain sensitivity and antagonize acupuncture analgesia [42].
The biological activities of N/OFQ, including pain modulation, can be better elucidated blocking N/OFQ signaling. Recently, Calo et al. [7] synthesized a peptidergic NOP receptor antagonist [Nphe1,Arg14,Lys15]N/OFQ-NH2 (UFP-101) exhibiting high affinity (pKi 10.2) and selectivity (∼3000-fold over classical opioid receptors) to the human recombinant NOP receptor expressed in CHO cells [8].
The aim of our work was to clarify the effect of N/OFQ on the descending system of pain modulation and to determine if the vlPAG could be the site of N/OFQ functional antagonism toward MOP analgesia in the rat. To achieve this objective and get new information on this relationship, we evaluated the effect of vlPAG N/OFQ on the MOP selective agonist DAMGO; we also assessed N/OFQ signaling interruption, by examining the effect of vlPAG UFP-101 on a subanalgesic dose of the opioid peptide.
Section snippets
Animals
Male Sprague–Dawley rats (Morini, S. Polo d’Enza, RE, Italy), weighing 180–200 g, were used. The animals were kept at a constant room temperature (25 ± 1 °C) under a 12:12 h light and dark cycle, with free access to food and water. Each rat was used for only one experiment. All tests were performed between 09:00 and 14:00. Experimental procedures were approved by the local ethical committee, Institutional Animal Care and Use Committee (IACUC) and conducted in accordance with International Guidelines
Effect of i.vlPAG UFP-101 on N/OFQ hyperalgesia
Intra vlPAG injection of N/OFQ, at the same dose previously [37] used for i.c.v. experiments, 10 nmol/rat, decreased the nociceptive latency following thermal stimulation (tail-flick), causing a hyperalgesic effect (Fig. 1). Compared with the group of rats receiving a microinjection of saline, N/OFQ reduced TFLs with the maximal effect after 10 min when the mean of the baseline TFL decreased from 3.5 ± 0.4 s to 2.06 ± 0.3 s. Moreover, the percentage changes from basal level of TFL (MAUC in 60 min of
Discussion
In our study we have shown that i.vlPAG N/OFQ significantly decreased tail withdrawal latency to thermal stimulation and that the N/OFQ peptidic antagonist UFP-101 reversed this effect, demonstrating the involvement of the NOP receptor. Moreover, these results show how a microinjection of N/OFQ into the vlPAG blocked analgesia mediated by MOP receptor stimulation, while UFP-101 enhanced the effect of the MOP agonist given at a very weak analgesic dose, strongly suggesting that N/OFQ can act as
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