Morphine has been shown to alter gene expression of the major histocompatibility complex, class II (MHC-II) in circulating rat immunocytes. Here, we demonstrate that a single morphine injection (10 mg/kg) reduces basal MHC-II protein expression on circulating B lymphocytes by 33%, while also impairing the ability of B lymphocytes to increase MHC-II upon interleukin-4 induction. As these data implicate opioids in the regulation of antigen presentation, studies were undertaken to examine the potential mechanisms through which morphine exerts this suppressive effect. Central injection studies utilized Tyr-D-Ala-Gly-(me) Phe-Gly-ol (DAMGO), an opioid receptor agonist, which mimicked morphine's effect on MHC-II, while D-Phe-Cys_Tyr-D-Trp-Orn-Thr-Pen-Thr-NH2 (CTOP) pretreatment, prior to morphine, blocked the suppression of MHC-II. As central opioid receptor activation results in the activation of the hypothalamic-pituitary-adrenal axis, thereby, signaling increased circulating corticosterone levels, we examined whether MHC-II expression was suppressed after incubation with corticosterone at concentrations similar to those observed after morphine. Interestingly, corticosterone dramatically decreased basal MHC-II (88%) expression while completely preventing the induction of MHC-II. Additionally, MHC-II suppression was absent in morphine-treated adrenalectomized animals. Since prolonged morphine exposure has previously been shown to result in tolerance to both the steroidogenic and immunosuppressive effects of morphine, the effect of prolonged morphine exposure on MHC-II was also examined. Interestingly, MHC-II expression is no longer suppressed after chronic morphine, while morphine withdrawal results in both a renewed increase in circulating corticosterone levels and a renewed suppression of MHC-II in previously tolerant animals. Taken together, these data strongly implicate corticosterone in mediating the suppressive effects of morphine on circulating B-lymphocyte MHC-II expression. Morphine suppresses immunity in both humans and animal models, with studies demonstrating that a single morphine injection induces lymphopenia and alters normal immune function (e.g., lymphocyte proliferation, antibody production, natural killer cell activity) (Bayer et al. 1990;Lockwood et al. 1994). To better understand the effect of morphine on immunity, previous studies conducted by our group examined morphineinduced gene expression changes in circulating rat leukocytes. Results indicated that morphine altered the expression of several genes related to antigen presentation, specifically genes coding for proteins associated with the major histocompatibility complex, class II (MHC-II) (Beagles et al. 2004). MHC-II molecules are important regulators of both immune cell development and function. Studies of MHC-II knockout mice demonstrate that the loss of MHC-II produces a marked reduction in CD4 + T-lymphocyte number (Madsen et al. 1999). In addition, MHC-II is a key molecule involved in immune cell development, activation, and s...