Blockade of orexin receptor 1 attenuates the development of morphine tolerance and
physical dependence in rats
Elaheh Erami
a
, Hassan Azhdari-Zarmehri
b, c,
⁎, Abolfazl Rahmani
b, c
, Elmira Ghasemi-Dashkhasan
b, c
,
Saeed Semnanian
d
, Abbas Haghparast
e
a
Physiology- Pharmacology Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
b
Cellular and Molecular Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
c
Department of Physiology, Qazvin University of Medical Sciences, Qazvin, Iran
d
Department of Physiology, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
e
Neuroscience Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
abstract article info
Article history:
Received 7 February 2012
Received in revised form 12 August 2012
Accepted 15 August 2012
Available online 27 August 2012
Keywords:
Morphine
Orexin receptor 1
Tolerance
Dependence
Withdrawal syndrome
Rat
The goals of this study were to evaluate the effects of pretreatment by orexin receptor-1 antagonist on the
development of morphine tolerance and physical dependence in rat. Animals were rendered dependent on
morphine by subcutaneous (SC) injection of morphine sulfate (10 mg/kg) at set intervals of 12 h for
10 days. Just before the morphine administration, the animals received SB-334867, a selective orexin recep-
tor 1 (OXR1) antagonist. To assess morphine tolerance, the antinociceptive responses of morphine were mea-
sured using the warm-water tail immersion test before and after its administration. On day 11, naloxone was
injected 2 h after morphine administration and the physical dependence evaluated by quantifying/scoring
naloxone-precipitated withdrawal signs for 30 min. The effect of chronic SB-334867 on locomotion was
carried out by calculating the number of grid crossings as a measure of locomotor activity. Our findings dem-
onstrated that although morphine-tolerance tended to develop in response to repeated injections of mor-
phine, pre-treatment of OXR1 antagonist prevented this effect, causing a delay in the development of
morphine-tolerance. Moreover, co-administration of orexin receptor 1 antagonist with morphine significant-
ly decreased the somatic signs of withdrawal including diarrhea, teeth chattering, jumping, and defecation.
Administration of SB-334867 alone or in a chronic co-administration with morphine failed to change
locomotor activity. These results suggest that the activation of OXR1 might be involved in the development
of morphine tolerance and dependence.
© 2012 Elsevier Inc. All rights reserved.
1. Introduction
Morphine is one of the strongest analgesics widely used for the re-
lief of severe pain, however; the drawback on repeated administra-
tion of morphine that induces a physical dependence is highly
limited to the use of opium. Development of morphine tolerance
and physical dependence start with adaptive mechanisms which
result in short-term as well as long-term alterations in the
opioid-sensitive neural functions and networks (Williams et al.,
2001). It has been reported that orexins (hypocretins) are important
neuropeptides with a wide variety of functions such as the regulation
of appetite (Sakurai et al., 1998), neuroendocrine functions (Date et
al., 1999; Russell et al., 2001), involvement in arousal (Chemelli et
al., 1999; Lin et al., 1999), pain modulation (Bingham et al., 2001;
Azhdari Zarmehri et al., 2008, 2011) and that OX1R is also involved
in stress-induced analgesia (Watanabe et al., 2005; Sofi-Abadi et al.,
2011). Moreover, orexin cells were demonstrated to be involved in
motivated behaviors for rewards and addiction to morphine
(Georgescu et al., 2003; Narita et al., 2006; Sharf et al., 2008; Li et
al., 2010).
Orexin-A (ORXA, a cyclic 33-amino acid peptide, also known as
hypocretin-1) and orexin-B (ORXB, or hypocretin-2, a linear
28-amino acid peptide) are produced from the precursor protein
(prepro-orexin) in neurons which are restricted to a few regions of
the lateral hypothalamus (LH) (Peyron et al., 1998; Sakurai et al.,
1998). ORXA and ORXB activate two G-protein coupled receptors,
the orexin receptor 1 (OX1R) and orexin receptor 2 (OX2R)
(Sakurai et al., 1998). Orexin receptors and orexinergic projections
are localized in the regions previously shown to play a role in mor-
phine dependence and tolerance (Peyron et al., 1998; Mondal et al.,
1999). Although the orexinergic system plays an important role in
the expression of withdrawal signs in animals dependent on mor-
phine (Georgescu et al., 2003; Sharf et al., 2008; Azizi et al., 2010),
the involvement of orexins and their receptors in the development
Pharmacology, Biochemistry and Behavior 103 (2012) 212–219
⁎ Corresponding author at: Cellular and Molecular Research Center, Department of
Physiology, Qazvin University of Medical Sciences, Iran. Tel./fax: +98 281 3336005.
E-mail address: hasan.azhdari@gmail.com (H. Azhdari-Zarmehri).
0091-3057/$ – see front matter © 2012 Elsevier Inc. All rights reserved.
http://dx.doi.org/10.1016/j.pbb.2012.08.010
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