The role of nitric oxide in the development of opioid withdrawal induced by naloxone after acute treatment with mu- and kappa-opioid receptor agonists

Eur J Pharmacol. 1998 Oct 23;359(2-3):127-31. doi: 10.1016/s0014-2999(98)00684-0.

Abstract

The present study investigated the possible role of nitric oxide (NO) in the development of the withdrawal contractures of guinea pig isolated ileum after acute activation of mu- and kappa-opioid receptors. After a 4-min in vitro exposure to morphine (mu-opioid receptor preferring, but not selective, agonist), [D-Ala2-N-methyl-Phe4-Gly5-ol-]enkephalin (DAMGO; highly selective mu-opioid receptor agonist), or trans(+/-)-3,4-dichloro-N-methyl-N-2(1-pyrrolidynyl)cyclohexyl-ben zeneacetamide (U50-488H; highly selective kappa-opioid receptor agonist), the guinea-pig isolated ileum exhibited a strong contracture after the addition of naloxone. L-N(G)-nitro arginine methyl ester (3-300 microM) injected 10 min before the opioid receptor agonists was able dose dependently to reduce the naloxone-induced contraction after exposure to mu- and kappa-opioid receptor agonists whereas D-N(G)-nitro arginine methyl ester at the same concentrations did not affect it. The inhibitory effect of L-N(G)-nitro arginine methyl ester on morphine, DAMGO and U50-488H withdrawal was dose dependently reversed by L-arginine (3-300 microM) but not by D-arginine. Finally, glyceryl trinitrate on its own (3-300 microM) significantly increased the naloxone-induced contraction after exposure to mu- and kappa-opioid receptor agonist and it was also able to reverse the inhibition of opioid withdrawal caused by L-N(G)-nitro arginine methyl ester. These results provide evidence that NO has a role in the development of opioid withdrawal and that mu- or kappa-opioid receptors are involved.

MeSH terms

  • 3,4-Dichloro-N-methyl-N-(2-(1-pyrrolidinyl)-cyclohexyl)-benzeneacetamide, (trans)-Isomer / adverse effects
  • Acetylcholine / pharmacology
  • Analgesics, Non-Narcotic / adverse effects
  • Analgesics, Opioid / adverse effects
  • Animals
  • Dose-Response Relationship, Drug
  • Electric Stimulation
  • Enkephalin, Ala(2)-MePhe(4)-Gly(5)-
  • Enkephalins / adverse effects
  • Enzyme Inhibitors / pharmacology
  • Enzyme Inhibitors / therapeutic use
  • Guinea Pigs
  • Ileum / drug effects
  • Ileum / physiology
  • In Vitro Techniques
  • Male
  • Morphine / adverse effects
  • Muscle Contraction / drug effects
  • NG-Nitroarginine Methyl Ester / pharmacology
  • NG-Nitroarginine Methyl Ester / therapeutic use
  • Naloxone / adverse effects
  • Naloxone / pharmacology*
  • Narcotic Antagonists / adverse effects
  • Narcotic Antagonists / pharmacology*
  • Narcotics / adverse effects*
  • Nitric Oxide / physiology*
  • Nitroglycerin / pharmacology
  • Receptors, Opioid, kappa / agonists*
  • Receptors, Opioid, mu / agonists*
  • Substance Withdrawal Syndrome / etiology*
  • Substance Withdrawal Syndrome / prevention & control
  • Vasodilator Agents / pharmacology

Substances

  • Analgesics, Non-Narcotic
  • Analgesics, Opioid
  • Enkephalins
  • Enzyme Inhibitors
  • Narcotic Antagonists
  • Narcotics
  • Receptors, Opioid, kappa
  • Receptors, Opioid, mu
  • Vasodilator Agents
  • Enkephalin, Ala(2)-MePhe(4)-Gly(5)-
  • Nitric Oxide
  • Naloxone
  • 3,4-Dichloro-N-methyl-N-(2-(1-pyrrolidinyl)-cyclohexyl)-benzeneacetamide, (trans)-Isomer
  • Morphine
  • Nitroglycerin
  • Acetylcholine
  • NG-Nitroarginine Methyl Ester