1986
DOI: 10.1126/science.3016896
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Psychotomimesis Mediated by κ Opiate Receptors

Abstract: The kappa opioid agonists are analgesics that seem to be free of undesired morphine-like effects. Their dysphoric actions observed with the kappa agonist cyclazocine are thought to be mediated by an action at sigma-phencyclidine receptors. The benzomorphan kappa agonist MR 2033 is inactive at sigma-phencyclidine receptors. In male subjects, the opiate-active (-)-isomer, but not the (+)-isomer, elicited dose-dependent dysphoric and psychotomimetic effects that were antagonized by naloxone. Thus, kappa opiate re… Show more

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Cited by 787 publications
(588 citation statements)
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“…However, opiate exposure increases both dynorphin expression and that of its cognate receptor, KOR. Thus, in addition to MOR signaling, KOR pathways are also stimulated by these drugs, and have been shown to mediate, depressive and dysphoric states in these individuals (Pfeiffer et al, 1986 andCarlezon et al, 1998) and in Dyn−/− mice (Wittmann et al, 2009). As outlined herein, such an opiate-mediated increase in dynorphin signaling would also act to stimulate NPY expression within the hypothalamus and with it suppression of bone formation.…”
Section: Discussionmentioning
confidence: 81%
See 1 more Smart Citation
“…However, opiate exposure increases both dynorphin expression and that of its cognate receptor, KOR. Thus, in addition to MOR signaling, KOR pathways are also stimulated by these drugs, and have been shown to mediate, depressive and dysphoric states in these individuals (Pfeiffer et al, 1986 andCarlezon et al, 1998) and in Dyn−/− mice (Wittmann et al, 2009). As outlined herein, such an opiate-mediated increase in dynorphin signaling would also act to stimulate NPY expression within the hypothalamus and with it suppression of bone formation.…”
Section: Discussionmentioning
confidence: 81%
“…However, opiate exposure increases both dynorphin expression and that of its cognate receptor, KOR. Thus, in addition to MOR signaling, KOR pathways are also stimulated by these drugs, and have been shown to mediate, depressive and dysphoric states in these individuals (Pfeiffer et al, 1986;Fig. 6.…”
Section: Discussionmentioning
confidence: 99%
“…These results suggest that repeated stress exposure induced the release of endogenous dynorphins that activate kappa opioid receptors and subsequently enhanced the rewarding properties of cocaine. As kappa receptor activation is aversive in rats (Shippenberg and Herz 1986) and produces dysphoria in humans (Pfeiffer et al 1986), we rationalize these results by hypothesizing that the dysphoria produced by stressinduced dynorphin release enhances the rewarding properties by increasing the euphorigenic valence of cocaine.…”
Section: Introductionmentioning
confidence: 85%
“…There is emerging experimental evidence that delta and kappa opioid receptors can provide plausible alternative targets for alleviating painful diabetic neuropathy [46] and recent clinical trials with oxycodone, a mixed mu and kappa opioid receptor agonist [47,48] also support this approach. Asimadoline may provide a local therapeutic approach to treating diabetic painful neuropathy that avoids the sedation and dysphoria occurring with KOR agonists that penetrate the central nervous system [49] and also avoids the respiratory depression and potential for abuse associated with mu opioid agonists [50].…”
Section: Discussionmentioning
confidence: 99%