Synergy between μ opioid ligands: Evidence for functional interactions among μ opioid receptor subtypes Journal Article


Authors: Bolan, E. A.; Tallarida, R. J.; Pasternak, G. W.
Article Title: Synergy between μ opioid ligands: Evidence for functional interactions among μ opioid receptor subtypes
Abstract: Pharmacological differences among μ opioid drugs have been observed in in vitro and in vivo preclinical models, as well as clinically, implying that all μ opioids may not be working through the same mechanism of action. Here we demonstrate analgesic synergy between L-methadone and several μ opioid ligands. Of the compounds examined, L-methadone selectively synergizes with morphine, morphine-6β-glucuronide, codeine, and the active metabolite of heroin, 6-acetylmorphine. Morphine synergizes only with L-methadone. In analgesic assays, D-methadone was inactive alone and did not enhance morphine analgesia when the two were given together, confirming that L-methadone was not acting through N-methyl-D-aspartate mechanisms. Both L-methadone and morphine displayed only additive effects when paired with oxymorphone, oxycodone, fentanyl, alfentanyl, or meperidine. Although it displays synergy in analgesic assays, the L-methadone/morphine combination does not exhibit synergy in the gastrointestinal transit assay. This analgesic synergy of L-methadone with selective μ opioid drugs and the differences in opioid-mediated actions suggest that these drugs may be acting via different mechanisms. These findings provide further evidence for the complexity of the pharmacology of μ opioids.
Keywords: controlled study; unclassified drug; drug potentiation; nonhuman; mouse; animals; mice; animal experiment; animal model; dose-response relationship, drug; drug receptor binding; drug synergism; pethidine; drug mechanism; ligands; methadone; morphine; analgesics, opioid; pain measurement; analgesia; mu opiate receptor; receptors, opioid, mu; fentanyl; morphine 6 acetate; morphine 6 glucuronide; gastrointestinal transit; oxycodone; receptor subtype; codeine; oxymorphone; n methyl dextro aspartic acid; alfentanil; levomethadone; male; priority journal; article; dextro methadone
Journal Title: Journal of Pharmacology and Experimental Therapeutics
Volume: 303
Issue: 2
ISSN: 0022-3565
Publisher: American Society for Pharmacology and Experimental Therapeutics  
Date Published: 2002-11-01
Start Page: 557
End Page: 562
Language: English
DOI: 10.1124/jpet.102.035881
PUBMED: 12388636
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 14 November 2014 -- Source: Scopus
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  1. Elizabeth A Bolan
    18 Bolan
  2. Gavril W Pasternak
    414 Pasternak