“…We have previously shown that animals undergoing restraint stress were immunologically vulnerable if they were morphine-tolerant (Bayer et al, 1994;Mellon et al, 2001). Neuroadaptation that occurs during chronic opioid administration is thought to involve changes in levels of neurotransmitters such as norepinephrine and GABA (Jolas et al, 2000;Van Bockstaele et al, 2001), various receptors systems such as orphanin FQ, cholecystokinin, and aminopeptidases Laorden et al, 1997;Milanes et al, 1997;Yuan et al, 1999;Brundege and Williams, 2002;Irazusta et al, 2003), and expression of major second messenger signaling factors such as protein kinase C, adenylate cyclase, G protein-coupled receptors, and cAMP response element-binding protein (Parolaro et al, 1993;Lane-Ladd et al, 1997;Bernstein and Welch, 1998;Shen et al, 2000;Tso et al, 2000;Ma et al, 2001;Shichinohe et al, 2001;Ammer and Christ, 2002;Irazusta et al, 2003). It has been theorized that these central neuroadaptations may mediate sensitized responses to stressors and that relapse to drug-taking behavior may be due to this stress vulnerability (Self and Nestler, 1998;Houshyar et al, 2001a;Mutasa, 2001;Sarnyai et al, 2001;Weiss et al, 2001).…”