Pharmacology of morphine and morphine-3-glucuronide at opioid, excitatory amino acid, GABA and glycine binding sites

Pharmacol Toxicol. 1994 Aug;75(2):73-81. doi: 10.1111/j.1600-0773.1994.tb00327.x.

Abstract

Morphine in high doses and its major metabolite, morphine-3-glucuronide, cause CNS excitation following intrathecal and intracerebroventricular administration by an unknown mechanism. This study investigated whether morphine and morphine-3-glucuronide interact at major excitatory (glutamate), major inhibitory (GABA or glycine), or opioid binding sites. Homogenate binding assays were performed using specific radioligands. At opioid receptors, morphine-3-glucuronide and morphine caused an equipotent sodium shift, consistent with morphine-3-glucuronide behaving as an agonist. This suggests that morphine-3-glucuronide-mediated excitation is not caused by an interaction at opioid receptors. Morphine-3-glucuronide and morphine caused a weak inhibition of the binding of 3H-MK801 (non-competitive antagonist) and 125I-ifenprodil (polyamine site antagonist), but at unphysiologically high concentrations. This suggests that CNS excitation would not result from an interaction of morphine-3-glucuronide and high-dose morphine with these sites on the NMDA receptor. Morphine-3-glucuronide and morphine inhibited the binding of 3H-muscimol (GABA receptor agonist). 3H-diazepam and 3H-flunitrazepam (benzodiazepine agonists) binding very weakly, suggesting the excitatory effects of morphine-3-glucuronide and high-dose morphine are not elicited through GABAA receptors. Morphine-3-glucuronide and high-dose morphine did not prevent re-uptake of glutamate into presynaptic nerve terminals. In addition, morphine-3-glucuronide and morphine did not inhibit the binding of 3H-strychnine (glycine receptor antagonist) to synaptic membranes prepared from bovine spinal cord. It is concluded that excitation caused by high-dose morphine and morphine-3-glucuronide is not mediated by an interaction with postsynaptic amino acid receptors.

MeSH terms

  • Animals
  • Brain / drug effects
  • Brain / metabolism*
  • Male
  • Morphine / pharmacology*
  • Morphine Derivatives / pharmacology*
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Amino Acid / drug effects*
  • Receptors, Amino Acid / metabolism
  • Receptors, GABA / drug effects
  • Receptors, GABA / metabolism
  • Receptors, Glutamate / drug effects
  • Receptors, Glutamate / metabolism
  • Receptors, Glycine / drug effects
  • Receptors, Glycine / metabolism
  • Receptors, Opioid / drug effects*
  • Receptors, Opioid / metabolism

Substances

  • Morphine Derivatives
  • Receptors, Amino Acid
  • Receptors, GABA
  • Receptors, Glutamate
  • Receptors, Glycine
  • Receptors, Opioid
  • Morphine
  • morphine-3-glucuronide