2014
DOI: 10.3389/fphar.2014.00280
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Opioid receptor desensitization: mechanisms and its link to tolerance

Abstract: Opioid receptors (OR) are part of the class A of G-protein coupled receptors and the target of the opiates, the most powerful analgesic molecules used in clinic. During a protracted use, a tolerance to analgesic effect develops resulting in a reduction of the effectiveness. So understanding mechanisms of tolerance is a great challenge and may help to find new strategies to tackle this side effect. This review will summarize receptor-related mechanisms that could underlie tolerance especially receptor desensiti… Show more

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Cited by 124 publications
(102 citation statements)
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References 202 publications
(360 reference statements)
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“…It not only displays a long-lasting opiate agonist profile, but also renders subsequent administration of heroin ineffectual (Allouche et al, 2014). As a consequence, we have proposed that a successful agonist therapy for cocaine addiction must have two basic properties, to wit: (1) a slow-onset long-lasting DAT inhibitor profile, to satisfy drug hunger, and (2) the ability to block subsequent cocaine action (Peng et al, 2010).…”
Section: Introductionmentioning
confidence: 99%
“…It not only displays a long-lasting opiate agonist profile, but also renders subsequent administration of heroin ineffectual (Allouche et al, 2014). As a consequence, we have proposed that a successful agonist therapy for cocaine addiction must have two basic properties, to wit: (1) a slow-onset long-lasting DAT inhibitor profile, to satisfy drug hunger, and (2) the ability to block subsequent cocaine action (Peng et al, 2010).…”
Section: Introductionmentioning
confidence: 99%
“…Desensitization and Internalization in Opioid Tolerance and Dependence. Development of opioid tolerance is partly dependent on a partial loss of capacity of the m receptor to signal to its intracellular effectors (Kieffer and Evans, 2002;Christie, 2008;Allouche et al, 2014). This "receptor tolerance" can be achieved by different mechanisms, primarily by decreased cell surface expression of m receptors and/or attenuation of coupling efficacy of the surface receptors.…”
Section: G Opioid-induced Neural Adaptationsmentioning
confidence: 99%
“…There are several mechanisms responsible for the development of opioid tolerance. These mechanisms might involve receptor desensitization, internalization, second messenger switch, receptor dimerization, changes in the endogenous opioid system and neuronal network functions, etc (Allouche et al, 2014;Crain and Shen, 1996;George et al, 2000;He and Lee, 1997;Jordan and Devi, 1999;Kiraly et al, 2006;Lee et al, 1980;Riba et al, 2002;Szentirmay et al, 2013;Tulunay et al, 1981).…”
Section: Introductionmentioning
confidence: 95%