2006
DOI: 10.1523/jneurosci.2530-06.2006
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Primary Afferent NMDA Receptors Increase Dorsal Horn Excitation and Mediate Opiate Tolerance in Neonatal Rats

Abstract: EPSC (mEPSC) frequency in contrast to a decrease in mEPSC frequency produced by NMDA in opiate-naive slices. Finally, NMDAR antagonists inhibit the expression of opiate tolerance both in inhibiting EPSCs in spinal slices and in inhibiting behavioral nociceptive responses to heat.NMDAR antagonists have been reported in many studies to inhibit morphine analgesic tolerance. Our studies suggest that an increase in primary afferent NMDAR expression and activity mediates a hypersensitivity to noxious stimuli and cau… Show more

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Cited by 63 publications
(83 citation statements)
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“…We therefore speculate that persistent inflammatory nociception leads to an upregulation of NMDA receptors on the terminals of SPcontaining afferents to RVM neurons, providing a means by which synaptically-released glutamate can cause a concomitant release of SP and activation of postsynaptic NK1 receptors. This idea has support in the literature with the finding that NMDA receptors are upregulated on SP-containing afferents in the dorsal horn under conditions of opioid tolerance (Zeng et al 2006).…”
Section: Mechanisms Of Facilitation In Type 1 and Type 2 Neuronssupporting
confidence: 54%
“…We therefore speculate that persistent inflammatory nociception leads to an upregulation of NMDA receptors on the terminals of SPcontaining afferents to RVM neurons, providing a means by which synaptically-released glutamate can cause a concomitant release of SP and activation of postsynaptic NK1 receptors. This idea has support in the literature with the finding that NMDA receptors are upregulated on SP-containing afferents in the dorsal horn under conditions of opioid tolerance (Zeng et al 2006).…”
Section: Mechanisms Of Facilitation In Type 1 and Type 2 Neuronssupporting
confidence: 54%
“…Added to this complexity of presynaptic regulation mechanisms is the presynaptic NMDA receptor reported recently by us and others. Endogenous activation of NMDA receptors in the central terminals of primary afferents is critical to the increased glutamate release from primary afferent terminals triggered by peripheral sensory input in neuropathic rats (6) or in rats with morphine tolerance (74). These studies indicate that regulation of presynaptic receptor activities offers a powerful means of dynamically regulating excitatory transmission in the spinal dorsal horn.…”
Section: Discussionmentioning
confidence: 99%
“…Repeated or continuous exposure to morphine causes a decrease in the antinociceptive effect of drug in many different paradigms, a phenomenon termed "tolerance." In parallel, responses of individual neurons to MOR agonists in several areas of the central nervous system (CNS) that are of instrumental importance for nociception (Connor et al, 1999;Hack et al, 2003;Zeng et al, 2006;Fyfe et al, 2010) have been shown to be decreased after long-term morphine treatment, a phenomenon described as "desensitization." Thus, there has been a tendency to equate desensitization to the effects of the drug (tolerance) to desensitization/down-regulation of the receptor per se.…”
Section: Introductionmentioning
confidence: 99%