“…Several mechanisms have been proposed to account for persistent inflammation-induced changes in opioid potency, including upregulation of glutamate receptors in the RVM (24,25), increased MOR expression and second messenger coupling in the lumbar dorsal root ganglia (51,60), and increased release of endogenous opioids in several supraspinal sites, including the PAG and RVM (27,53,59). These results together suggest that in males, multiple mechanisms contribute to persistent pain-induced changes in opioid potency.…”