- Open Access
Chronic inflammatory injury results in increased coupling of delta opioid receptors to voltage-gated Ca2+ channels
Molecular Painvolume 9, Article number: 8 (2013)
Opioid receptors regulate a diverse array of physiological functions. Mu opioid receptor agonists are well-known analgesics for treating acute pain. In contrast, animal models suggest that chronic pain is more effectively relieved by delta opioid receptor agonists. A number of studies have shown that chronic pain results in increased function of delta opioid receptors. This is proposed to result from enhanced trafficking of the delta opioid receptor to the cell membrane induced by persistent tissue injury. However, recent studies have questioned this mechanism, which has resulted in some uncertainty as to whether delta opioid receptors are indeed upregulated in chronic pain states. To clarify this question, we have examined the effect of chronic inflammatory pain over time using both an ex vivo measure of delta function: receptor-Ca2+ channel coupling, and an in vivo measure; the relief of chronic pain by a delta opioid receptor agonist. In addition, as beta-arrestin 2 can regulate delta opioid receptor trafficking and signaling, we have further examined whether deleting this scaffolding and signal transduction molecule alters delta opioid receptor function.
We used the Complete Freund’s Adjuvant model of inflammatory pain, and examined the effectiveness of the delta agonist, SNC80, to both inhibit Ca2+ channels in primary afferent neurons and to attenuate mechanical allodynia. In naïve beta-arrestin 2 wildtype and knockout mice, SNC80 neither significantly inhibited voltage-dependent Ca2+ currents nor produced antinociception. However, following inflammatory pain, both measures showed a significant and long-lasting enhancement of delta opioid receptor function that persisted for up to 14 days post-injury regardless of genotype. Furthermore, although this pain model did not alter Ca2+ current density, the contribution of N-type Ca2+ channels to the total current appeared to be regulated by the presence of beta-arrestin 2.
Our results indicate that there is an upregulation of delta opioid receptor function following chronic pain. This gain of function is reflected in the increased efficacy of a delta agonist in both behavioral and electrophysiological measures. Overall, this work confirms that delta opioid receptors can be enhanced following tissue injury associated with chronic pain.
Opioid receptors regulate diverse physiological processes, including reward, pain, and stress (see [1, 2]). The mu opioid receptor (μOR) is the best characterized member of this family, and μOR agonists are some of the most clinically effective analgesics. However, there are a number of severe drawbacks with the use of μOR agonists such as respiratory depression, sedation, and constipation. Importantly, μOR agonists are also extremely addictive, as shown by the high abuse rates of the pharmaceutical opiates vicodin and oxycodone .
Drugs that activate the delta opioid receptors (δORs) do not result in these severe μOR-associated side-effects and so could offer a promising alternative for treatment of certain types of pain . Although δOR agonists are not highly efficacious in relieving acute pain, selective activation of these receptors has been shown to relieve chronic inflammatory [5–8] and neuropathic [5, 9, 10] pain in rodent models. These observations suggest that chronic pain is associated with a functional upregulation of δORs, proposed to be due to enhanced trafficking of δORs to the cell membrane. Electron microscopy studies propose that δORs are, for the most part, found in the sub-plasmalemmal space and that tissue injury relocates these receptors to the cell membrane [6, 11–18]. However, the specificity of the antibodies used to label δORs has recently been questioned ([19, 20] and see [21, 22]). In addition, mice expressing δORs fluorescently tagged with enhanced Green Fluorescent Protein (DOR-eGFP) in place of endogenous receptors indicate that δORs are normally found at the cell surface in the central and peripheral nervous systems [7, 8, 20, 23]. These results suggest that increased trafficking of δORs to the cell membrane following a painful insult may not be solely responsible for the increased functionality of these receptors. This controversy is further complicated by the known differences in resolution of standard confocal fluorescence vs. electron microscopy, and the possibility that a C-terminus eGFP tag may alter the cellular localization of δORs . These differences have led to some uncertainty as to how δORs are upregulated in chronic pain states.
Irrespective of the mechanism by which δOR function is altered in chronic pain, we have asked a fundamental question: does chronic pain induce a functional enhancement of δORs in dorsal root ganglia (DRG)? We have used two measures of δOR functionality; δOR inhibition of voltage-dependent Ca2+ currents (VDCCs) in acutely dissociated DRGs and the ability of SNC80 to relieve chronic pain, and compared the ability of a δOR agonist to alter these parameters in naive and chronic pain states. We focused on medium-large sized DRGs that have been shown to express the δOR and to modulate mechanical pain . Furthermore, as β-arrestin 2 has been shown to play a key role in δOR agonist-induced receptor trafficking and function , we examined whether β-arrestin 2 alters these parameters following CFA.
Chronic inflammatory pain does not alter voltage-dependent Ca2+ channel function in medium-large sized DRGs but does result in mechanical allodynia
We first characterized the effect of chronic inflammatory pain, induced by Complete Freund’s Adjuvant injected into the hindpaw, on VDCCs and on mechanical sensitivity. Medium-large sized DRG neurons of equal capacitance and therefore cell size (naive; 61 ± 5, CFA; 64 ± 6 pF), were assessed by the whole cell patch clamp technique under voltage clamp conditions. CFA did not alter the current–voltage relationship (Table 1). Furthermore, Ca2+ channel conductance, assessed from the maximal tail-currents from these current–voltage recordings, showed no effect of CFA on the conductance-voltage relationship (Table 1). There was also no effect of CFA on the steady state inactivation of Ca2+ currents (Table 1). Furthermore CFA did not alter constitutive, voltage-dependent current inhibition, (Table 1), or the ability of an ubiquitously expressed G i/o GPCR, the GABAB receptor, to inhibit VDCCs (Table 1). However, CFA induced a hypersensitivity to mechanical stimulation, as observed by a decrease in the 50% withdrawal threshold as measured with manual von Frey hair stimulation (naive: 0.99 ± 0.03, CFA: 0.17 ± 0.01, p < 0.001, F (1,15) = 97.60). In summary, this model of chronic inflammatory pain did not alter the properties of voltage-dependent Ca2+ currents in medium-large DRG neurons but, as expected, resulted in mechanical hyperalgesia.
Delta opioid receptors show minimal functionality under basal conditions
We next examined δOR receptor function under basal conditions. As δORs are a member of the G i/o -coupled family of G-protein coupled receptors (GPCRs) and able to inhibit VDCCs in DRG neurons we assessed VDCC inhibition induced by SNC80, a specific δOR agonist. We found low levels of SNC80-VDCC inhibition, in medium-large sized DRG neurons from untreated mice (WT, 9.6 ± 2.8% and KO, 15.3 ± 2.7% , F1,41 = 1.66, Figure 1A). We also assessed whether SNC80 could alter the response to a mechanical stimulus in naïve mice but found no effect of SNC80 (Figure 1B). Together these parameters suggest that δORs are mostly quiescent under basal conditions.
Chronic inflammatory pain results in an increased efficacy of SNC80 to inhibit VDCCs and to relieve chronic pain
We then examined whether CFA alters δOR function. We found an increase in δOR-VDCC inhibition above basal levels 2, 3, 7 and 14 days after the CFA injection in DRGs from the ipsi-, but not contra-lateral sides to the CFA injection in WT mice (Figure 2A). These data reflect both an increase in SNC80-VDCC inhibition and an increase in the number of cells responding to SNC80, as assessed by the percentage of cells in which SNC80 inhibited VDCCs by more than 10%. Using this criterion, 31% of the DRGs from the naive group responded to SNC80 compared to 100% of DRGs from all time points following CFA injury. Reflecting these ex vivo data, SNC80 significantly attenuated CFA-induced mechanical allodynia 2, 3, 7 and 14 days after CFA injection (Figure 2B).
SNC80 inhibits VDCCs and relieves pain in CFA-treated β-arrestin 2 knockout mice
SNC80-VDCC inhibition demonstrated a similar effect in β-arrestin 2 knockout (KO) neurons, increasing above basal levels 2, 3, 7 and 14 days after CFA injection (F(4,58) = 9.83, Figure 3). The number of neurons showing >10% response to SNC80 reflected these levels of inhibition, increasing from 63% in naive DRGs to 100% in DRGs taken from mice 3 days post-CFA. Similar to WT mice, SNC80 reversed CFA-induced mechanical allodynia 2, 3, 7 and 14 days after CFA injection in KO mice (Figure 3A).
Deleting β-arrestin 2 does not alter current density but does reduce the contribution of N-type Ca2+ channels in β-arrestin 2 KO DRGs
Although we found no affect of CFA on Ca2+ current density in naive vs. CFA-treated medium-large size DRGs (Table 1), we further assessed the effect of genotype, KO vs WT, on current density. Supporting our previous findings (Table 1), we found no effect of CFA on the current density of DRGs from ipsi- vs. contra-leral sides. In addition, there was also no effect of genotype (Figure 4A and B). As N-type Ca2+ channels are the prevalent form of Ca2+ channels coupled to G i/o GPCRs in DRG neurons , we then determined the contribution of N-type currents to the total current by assessing the effect of the N-type inhibitor, ϖ -Conotoxin GV1A (10 μM) on total current amplitude. In WT mice, the N-type contribution was equivalent in DRGs from both CFA and non-CFA sides (Figure 4C). However, DRGs from the CFA side of β-arrestin 2 KO mice showed less N-type contribution to the total current than seen in neurons from the non-CFA side (Figure 4D).
These data demonstrate that inflammatory pain induced by CFA results in increased functionality of δORs in DRG neurons. This is shown by an increased inhibition of Ca2+ channels by the δOR agonist, SNC80, which mirrored an enhanced efficacy of SNC80 to inhibit mechanical allodynia. These data indicate that, regardless of the trafficking events that may or may not be involved, chronic inflammatory pain produces an enhanced responsivity of δORs.
In this study, we used δOR-VDCC coupling in DRGs as an ex vivo measure of δOR function that correlates with the pain-relieving effects of δOR agonists. We found that in a naïve, injury-free state the δOR agonist SNC80 did not alter the response threshold to von Frey filaments. However, following induction of inflammatory pain SNC80 potently inhibited CFA-induced allodynia. This in vivo gain of function was mirrored by an increased efficacy of SNC80 to inhibit Ca2+ channels within the DRGs. These results reflect previous work which has shown that compared to μ agonists, δ agonists are poor analgesics in acute pain  yet, they are highly effective in chronic inflammatory and neuropathic pain, likely due to an induction of δ receptor function following chronic pain [6, 28–31]. Further, the pain-relieving effects of δOR agonists has been previously shown to be mediated at the level of primary afferent neurons , supporting the notion that changes in Ca2+ channel coupling within the primary afferents would reflect behavioral responding. In addition, we had also shown a similar correlation following chronic use of δOR agonists, where uncoupling of δORs from VDCCs were observed following analgesic tolerance . However, as δOR-VDCC coupling in DRGs is one of several pathways activated by δOR agonists [32–34], it is likely that the analgesic effects of δOR agonists reflect the co-operative influence of these different signaling cascades that may include δOR inhibition of Ca2+ channels.
δORs are a member of the G i/o -coupled family of G-protein coupled receptors (GPCRs) and, although able to inhibit VDCCs in DRG neurons, δOR agonists have not been shown to produce significant VDCC inhibition in the basal state (Figure one, ). Chronic inflammatory pain increased δOR-VDCC inhibition which could have been a result of several factors. Likely candidates include; an increase in the number of receptor-complexes available for ligand activation; changes in the number or kinetics of Ca2+ channel recruitment by these activated receptors; or an altered signaling pathway by which δORs inhibit VDCCs. CFA has been shown previously to reduce Ca2+ channel density in small to medium sized (<40 μM) DRG neurons . However, we did not observe any effect of CFA on the voltage-dependent properties of Ca2+ currents in medium to large-sized DRG neurons. It is also unlikely that CFA induced an increase in receptor transcript and protein levels as neither have been reported to occur previously [18, 37]. However, as δORs have been found as signalosomes associated with their cognate G-proteins and other signaling molecules , it is possible that CFA altered the composition of these signalosomes. This may be in addition to, or independent of, an increase in the number of receptors on the cell membrane as previously suggested [6, 18, 39, 40]. Interestingly other paradigms such as treatment with bradykinin, chronic morphine, hypoxia and alcohol have also been shown to increase δOR function [33, 41–46] suggesting that δOR upregulation may have a number of clinically useful roles .
Internalized δORs are primarily targeted for degradation [7, 48–51] but some receptors may also be recycled  through the slow recycling, Rab11-dependent pathway . Several lines of evidence indicate that β-arrestin 2 mediates this trafficking of δORs following receptor internalization [25, 52] suggesting that we may have observed an altered response in β-arrestin 2 KOs. However, we found no effect of deleting β-arrestin 2 on the analgesic profile of SNC80, or on the enhanced δOR-VDCC coupling or VDCC density following CFA. However, we did observe that β-arrestin 2 plays a role in the contribution of N-type Ca2+ channels to the total Ca2+ current following CFA. Of the different types of VDCCs that contribute to the high voltage-activated currents in DRGs, the N-type normally contributes ~50% of the current . In KO neurons, this decreased to ~35% suggesting an increase in the contribution of R or P/Q type channels so as to maintain total current density. This raises an intriguing possibility that β-arrestins may regulate the contribution of Ca2+ channels to the total current following CFA.
In summary, our results indicate that chronic inflammatory pain results in an enhancement of δOR function, both at the level of behavioral responding and at the level of Ca2+ channel coupling in dorsal root ganglia neurons. This increased functionality may be due to changes in receptor trafficking or differences in receptor-effector complexes already at the cell membrane. This study shows that δ opioid receptors are responsive following tissue injury, and may become a promising target for the treatment of chronic pain.
β-arrestin 2 mutant mice were generously provided by Dr. Lefkowitz (Duke University). β-arrestin 2 (KO) and wild-type (WT) mice for both electrophysiology and behavioral experiments were obtained through heterozygous pairings. Both male and female mice were used between 8–24 weeks of age. All animal experiments were conducted in accordance with the AALAC Guide for the Care and Use of Laboratory Animals and followed institutionally approved animal care and use protocols; OARO: 2010-025-03B and 1999-179-41.
Delta receptor inhibition of VDCCs was assessed in acutely dissociated L4-L6 DRGs from untreated adult mice or mice that had undergone Complete Freund’s Adjuvant injection to induce chronic inflammation in the left paw. The DRGs were collected in Complete Saline Solution (CSS; in mM, NaCl: 137, KCl: 5.3, MgCl2:1, Sorbitol: 25, HEPES: 10, CaCl2: 3) and incubated in collagenase (1.25U of TH, Roche, Indianopolis, IN), 250 nm EDTA for 20 min at 32 C, transferred to fresh CSS containing collagenase (1.25U of TM, Roche) with 250 nm EDTA and 0.25U papain (Roche) and incubated for 10 min at 32 C. After 2 washes and physical trituration through a series of graded Pasteur pipettes, the cells were spun (1000 rpm, 3 min) and plated in Neurobasal /B27/Glumax/Antibiotic/Antimycotic (Life Technologies, Grand Island, NY) supplemented with 10 ng/ml NGF (Life Technologies). All recordings were performed within 5–24 h after plating.
VDCCs were recorded from medium-large sized DRG neurons (30–100 pF) under whole-cell voltage-clamp conditions as previously described [54, 55]. The cells were perfused with an external solution containing 10 mM CaCl2, 130 mM tetraethylammonium chloride, 5 mM HEPES, 25 mM d-glucose and 0.2 μM tetrodotoxin at pH 7.35 (Sigma). The patch electrode was filled with an internal solution composed of 105 mM CsCl, 40 mM HEPES, 5 mM d-glucose, 2.5 mM MgCl2, 10 mM EGTA, 2 mM Mg-ATP and 0.5 mM GTP at pH 7.2 (Sigma). Episodic recordings were obtained using an Axopatch 200B patch-clamp amplifier set at a gain of 1.0, β = 0.1 and 2 kHz filter. Capacitance and series resistance were corrected and series resistance compensated by 80 to 90% and included a 10 μs lag. Leak currents were subtracted using a P/6 protocol. Recorded signals were acquired and analyzed using Axon pCLAMP v9 or 10 software (Axon Instruments, Foster City, CA).
The properties of voltage-dependent Ca2+ currents
Ca2+ currents were evoked every 20 sec by 100 ms voltage steps from −80 to +10 mV. Ca2+ channel density and conductance was assessed by evoking Ca2+ currents from −100 to + 40 mV in 10 mV increments with a 500 ms hyperpolarizing pre-pulse to 120 mV. Steady state inactivation was assessed by a test voltage pulse from −80 to +10 mV preceded by pulses of increasing voltage from −120 mV to +10 mV in 10 mV increments. The presence of constitutively coupled channels was measured by a 2-pulse protocol in which a 40 ms depolarizing pre-pulse from −120 to +40 mV preceded the 40 ms test pulse from −80 to +10 mV.
Ca2+ channel conductance from individual cells was fitted with the Boltzman equation; G/Gmax = [1 + exp(V-V1/2/slope)-1 where G is the conductance of the test pulse, Gmax is the maximal conductance, V is the voltage of the test pulse and V1/2 is the potential corresponding to the half-activation of the current. A modified Boltzman equation was used to assess steady-state inactivation; I/Imax = [1 + exp(V1/2-V/slope)-1 where I is the peak current of the test pulse and Imax is the maximal current . Further analysis between groups was assessed by two-way ANOVA with repeated measures (Prism v5.0). Constitutive activity was determined by comparing the amplitude of the test pulse in the absence (P1) or presence of the pre-pulse (P2), expressed as a ratio (P1/P2) and analyzed by the Student’s t-Test (Prism v5.0).
Once 3–4 stable recordings were obtained, external solution containing SNC80 1 μM, R&D, Minneapolis, MN) or Baclofen (50 μM, Sigma) was applied to the cell until maximum inhibition was obtained, and then washed off using either the delta antagonist, ICI 174,864 (0.5 μM, R&D) for SNC80-treated cells, or extracellular solution for Baclofen-treated cells. This was followed by the extracellular solution until stable basal currents were obtained.
Mean Ca2+ current amplitudes were measured (pCLAMP 9.0) 5–10 ms after the depolarizing step and basal Ca 2+ currents assessed after 4–5 stable recordings were obtained. To control for changes in current amplitude over time, the current amplitude measured before and after drug application was fitted by a linear function to obtain the slope of the basal currents over time. This linear equation was solved for x being the timepoint, or sweep number, at which the drug was applied, so as to obtain the basal current amplitude at the same timepoint as the applied drug. The current amplitude in the presence of the drug was then expressed as a percentage of the basal current amplitude. This was subtracted from 100 to obtain the inhibition in the presence of the drug and expressed as a percentage of the basal current. Data were compared using ANOVA with a posthoc Tukey’s test (Analyse-it-for Microsoft Excel) with significance accepted at p < 0.05 and are expressed as mean ± SEM. Except for recordings that exhibited marked rundown (>30%), all recordings were included in the dataset.
Inflammatory pain model
All experiments were performed between 8:00–16:00 h. In all cases mice were habituated to the testing area for 20 minutes daily for 2 days prior to baseline testing. For mechanical responses, the threshold for responses to punctate mechanical stimuli (mechanical allodynia) was tested according to the up-and-down method . In this case, the plantar surface of the hindpaw was stimulated with a series of eight von Frey filaments (bending force ranging from 0.01 to 2 g). A response was defined as a lifting or shaking of the paw upon stimulation. Inflammatory pain was induced by injecting Complete Freund’s Adjuvant (CFA, 1 mg Mycobacterium tuberculosis (H37Ra, ATCC 25177)/ml of emulsion in 85% paraffin oil and 15% mannide manooleate - Sigma) into the paw. Prior to the injection of CFA baseline mechanical responses (dashed line) were determined. Inflammation was induced by injecting 15 μl of CFA into the plantar surface of the paw, and animals were subsequently tested at different time points post-injection . SNC80 was dissolved in 0.9% saline (pH 5.5). SNC80 was administered intraperitoneally in a volume of 10 ml/kg. On the test days (i.e. days 2, 3, 7 and 14 post - CFA) mice were injected with SNC80 or vehicle and tested 45 minutes later. Separate groups of animals were used for days 2, 3 and 7, post-CFA. For day 14, the same group of mice as assayed on day 7 was used.
For all behavioral experiments data were analyzed using 2-way ANOVA (Sigmastat) and expressed as mean ± SEM.
((+)-4-[(αR)-α-((2S,5R)-4-Allyl-2,5-di methyl-1-piperazinyl)-3-methoxybenzyl]-N,N-diethyl benzamide
Complete freund’s adjuvant
Voltage dependent Ca2+ current
Delta opioid receptor
Mu opioid receptor
Kieffer BL, Gaveriaux-Ruff C: Exploring the opioid system by gene knockout. Prog Neurobiol 2002, 66(5):285–306. 10.1016/S0301-0082(02)00008-4
Al-Hasani R, Bruchas MR: Molecular mechanisms of opioid receptor-dependent signaling and behavior. Anesthesiology 2011, 115(6):1363–1381.
Administration, SAaMHS NSDUH Series H-41,HHS. In Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings. Publication No. (SMA)114658. Rockville, MD: US DEPARTMENT OF HEALTH AND HUMAN SERVICES, Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality; 2011.
Pradhan AA, Befort K, Nozaki C, Gaveriaux-Ruff C, Kieffer BL: The delta opioid receptor: an evolving target for the treatment of brain disorders. Trends Pharmacol Sci 2011, 32(10):581–590. 10.1016/j.tips.2011.06.008
Petrillo P, Angelici O, Bingham S, Ficalora G, Garnier M, Zaratin PF, Petrone G, Pozzi O, Sbacchi M, Stean TO, Upton N, Dondio GM, Scheideler MA: Evidence for a selective role of the delta-opioid agonist [8R-(4bS*,8aalpha,8abeta, 12bbeta)]7,10-Dimethyl-1-methoxy-11-(2-methylpropyl)oxycarbonyl 5,6,7,8,12,12b-hexahydro-(9H)-4,8-methanobenzofuro[3,2-e]pyrrolo[2,3-g]isoquinoli ne hydrochloride (SB-235863) in blocking hyperalgesia associated with inflammatory and neuropathic pain responses. J Pharmacol Exp Ther 2003, 307(3):1079–1089. 10.1124/jpet.103.055590
Cahill CM, Morinville A, Hoffert C, O’Donnell D, Beaudet A: Up-regulation and trafficking of delta opioid receptor in a model of chronic inflammation: implications for pain control. Pain 2003, 101(1–2):199–208.
Pradhan AA, Becker JA, Scherrer G, Tryoen-Toth P, Filliol D, Matifas A, Massotte D, Gaveriaux-Ruff C, Kieffer BL: In vivo delta opioid receptor internalization controls behavioral effects of agonists. PLoS One 2009, 4(5):e5425. 10.1371/journal.pone.0005425
Pradhan AA, Walwyn W, Nozaki C, Filliol D, Erbs E, Matifas A, Evans C, Kieffer BL: Ligand-directed trafficking of the delta-opioid receptor in vivo: two paths toward analgesic tolerance. J Neurosci 2010, 30(49):16459–16468. 10.1523/JNEUROSCI.3748-10.2010
Kabli N, Cahill CM: Anti-allodynic effects of peripheral delta opioid receptors in neuropathic pain. Pain 2007, 127(1–2):84–93.
Gaveriaux-Ruff C, Nozaki C, Nadal X, Hever XC, Weibel R, Matifas A, Reiss D, Filliol D, Nassar MA, Wood JN, Maldonado R, Kieffer BL: Genetic ablation of delta opioid receptors in nociceptive sensory neurons increases chronic pain and abolishes opioid analgesia. Pain 2011, 152(6):1238–1248. 10.1016/j.pain.2010.12.031
Zhang X, Bao L, Ma GQ: Sorting of neuropeptides and neuropeptide receptors into secretory pathways. Prog Neurobiol 2011, 90(2):276–283.
Bao L, Jin SX, Zhang C, Wang LH, Xu ZZ, Zhang FX, Wang LC, Ning FS, Cai HJ, Guan JS, Xiao HS, Xu ZQ, He C, Hokfelt T, Zhou Z, Zhang X: Activation of delta opioid receptors induces receptor insertion and neuropeptide secretion. Neuron 2003, 37(1):121–133. 10.1016/S0896-6273(02)01103-0
Zhao B, Wang HB, Lu YJ, Hu JW, Bao L, Zhang X: Transport of receptors, receptor signaling complexes and ion channels via neuropeptide-secretory vesicles. Cell Res 2011, 21(5):741–753. 10.1038/cr.2011.29
Cahill CM, Morinville A, Lee MC, Vincent JP, Collier B, Beaudet A: Prolonged morphine treatment targets delta opioid receptors to neuronal plasma membranes and enhances delta-mediated antinociception. J Neurosci 2001, 21(19):7598–7607.
Patwardhan AM, Berg KA, Akopain AN, Jeske NA, Gamper N, Clarke WP, Hargreaves KM: Bradykinin-induced functional competence and trafficking of the delta-opioid receptor in trigeminal nociceptors. J Neurosci 2005, 25(39):8825–8832. 10.1523/JNEUROSCI.0160-05.2005
Guan JS, Xu ZZ, Gao H, He SQ, Ma GQ, Sun T, Wang LH, Zhang ZN, Lena I, Kitchen I, Elde R, Zimmer A, He C, Pei G, Bao L, Zhang X: Interaction with vesicle luminal protachykinin regulates surface expression of delta-opioid receptors and opioid analgesia. Cell 2005, 122(4):619–631. 10.1016/j.cell.2005.06.010
Cahill CM, Holdridge SV, Morinville A: Trafficking of delta-opioid receptors and other G-protein-coupled receptors: implications for pain and analgesia. Trends Pharmacol Sci 2007, 28(1):23–31. 10.1016/j.tips.2006.11.003
Gendron L, Lucido AL, Mennicken F, O’Donnell D, Vincent JP, Stroh T, Beaudet A: Morphine and pain-related stimuli enhance cell surface availability of somatic delta-opioid receptors in rat dorsal root ganglia. J Neurosci 2006, 26(3):953–962. 10.1523/JNEUROSCI.3598-05.2006
Pasquini F, Bochet P, Garbay-Jaureguiberry C, Roques BP, Rossier J, Beaudet A: Electron microscopic localization of photoaffinity-labelled delta opioid receptors in the neostriatum of the rat. J Comp Neurol 1992, 326(2):229–244. 10.1002/cne.903260206
Scherrer G, Imamachi N, Cao YQ, Contet C, Mennicken F, O’Donnell D, Kieffer BL, Basbaum AI: Dissociation of the opioid receptor mechanisms that control mechanical and heat pain. Cell 2009, 137(6):1148–1159. 10.1016/j.cell.2009.04.019
Wang HB, Zhao B, Zhong YQ, Li KC, Li ZY, Wang Q, Lu YJ, Zhang ZN, He SQ, Zheng HC, Wu SX, Hokfelt TG, Bao L, Zhang X: Coexpression of delta- and mu-opioid receptors in nociceptive sensory neurons. Proc Natl Acad Sci U S A 2010, 107(29):13117–13122. 10.1073/pnas.1008382107
Gupta A, Mulder J, Gomes I, Rozenfeld R, Bushlin I, Ong E, Lim M, Maillet E, Junek M, Cahill CM, Harkany T, Devi LA: Increased abundance of opioid receptor heteromers after chronic morphine administration. Sci Signal 2010, 3(131):ra54. 10.1126/scisignal.2000807
Poole DP, Pelayo JC, Scherrer G, Evans CJ, Kieffer BL, Bunnett NW: Localization and regulation of fluorescently labeled delta opioid receptor, expressed in enteric neurons of mice. Gastroenterology 2011, 141(3):982–991. e1–8 10.1053/j.gastro.2011.05.042
Wang HB, Guan JS, Bao L, Zhang X: Distinct subcellular distribution of delta-opioid receptor fused with various tags in PC12 cells. Neurochem Res 2008, 33(10):2028–2034. 10.1007/s11064-008-9678-9
Qiu Y, Loh HH, Law PY: Phosphorylation of the delta-opioid receptor regulates its beta-arrestins selectivity and subsequent receptor internalization and adenylyl cyclase desensitization. J Biol Chem 2007, 282(31):22315–22323. 10.1074/jbc.M611258200
Rusin KI, Moises HC: Mu-Opioid receptor activation reduces multiple components of high-threshold calcium current in rat sensory neurons. J Neurosci 1995, 15(6):4315–4327.
Gallantine EL, Meert TF: A comparison of the antinociceptive and adverse effects of the mu-opioid agonist morphine and the delta-opioid agonist SNC80. Basic Clin Pharmacol Toxicol 2005, 97(1):39–51. 10.1111/j.1742-7843.2005.pto_97107.x
Fraser GL, Gaudreau GA, Clarke PB, Menard DP, Perkins MN: Antihyperalgesic effects of delta opioid agonists in a rat model of chronic inflammation. Br J Pharmacol 2000, 129(8):1668–1672. 10.1038/sj.bjp.0703248
Nadal X, Banos JE, Kieffer BL, Maldonado R: Neuropathic pain is enhanced in delta-opioid receptor knockout mice. Eur J Neurosci 2006, 23(3):830–834. 10.1111/j.1460-9568.2006.04569.x
Gaveriaux-Ruff C, Karchewski LA, Hever X, Matifas A, Kieffer BL: Inflammatory pain is enhanced in delta opioid receptor-knockout mice. Eur J Neurosci 2008, 27(10):2558–2567. 10.1111/j.1460-9568.2008.06223.x
Hurley RW, Hammond DL: The analgesic effects of supraspinal mu and delta opioid receptor agonists are potentiated during persistent inflammation. J Neurosci 2000, 20(3):1249–1259.
Pacheco Dda F, Pacheco CM, Duarte ID: Peripheral antinociception induced by delta-opioid receptors activation, but not mu- or kappa-, is mediated by Ca(2)(+)-activated Cl(−) channels. Eur J Pharmacol 2012, 674(2–3):255–259.
Zhang Z, Pan ZZ: Signaling cascades for delta-opioid receptor-mediated inhibition of GABA synaptic transmission and behavioral antinociception. Mol Pharmacol 2012, 81(3):375–383. 10.1124/mol.111.076307
Walwyn W, Maidment NT, Sanders M, Evans CJ, Kieffer BL, Hales TG: Induction of delta opioid receptor function by up-regulation of membrane receptors in mouse primary afferent neurons. Mol Pharmacol 2005, 68(6):1688–1698.
Walwyn W, John S, Maga M, Evans CJ, Hales TG: Delta receptors are required for full inhibitory coupling of mu-receptors to voltage-dependent Ca(2+) channels in dorsal root ganglion neurons. Mol Pharmacol 2009, 76(1):134–143. 10.1124/mol.109.055913
Lu SG, Zhang XL, Luo ZD, Gold MS: Persistent inflammation alters the density and distribution of voltage-activated calcium channels in subpopulations of rat cutaneous DRG neurons. Pain 2010, 151(3):633–643. 10.1016/j.pain.2010.08.030
Obara I, Parkitna JR, Korostynski M, Makuch W, Kaminska D, Przewlocka B, Przewlocki R: Local peripheral opioid effects and expression of opioid genes in the spinal cord and dorsal root ganglia in neuropathic and inflammatory pain. Pain 2009, 141(3):283–291. 10.1016/j.pain.2008.12.006
Georganta EM, Agalou A, Georgoussi Z: Multi-component signaling complexes of the delta-opioid receptor with STAT5B and G proteins. Neuropharmacology 2010, 59(3):139–148. 10.1016/j.neuropharm.2010.04.010
Morinville A, Cahill CM, Kieffer B, Collier B, Beaudet A: Mu-opioid receptor knockout prevents changes in delta-opioid receptor trafficking induced by chronic inflammatory pain. Pain 2004, 109(3):266–273. 10.1016/j.pain.2004.01.011
Gendron L, Pintar JE, Chavkin C: Essential role of mu opioid receptor in the regulation of delta opioid receptor-mediated antihyperalgesia. Neuroscience 2007, 150(4):807–817. 10.1016/j.neuroscience.2007.09.060
Rowan MP, Ruparel NB, Patwardhan AM, Berg KA, Clarke WP, Hargreaves KM: Peripheral delta opioid receptors require priming for functional competence in vivo. Eur J Pharmacol 2009, 602(2–3):283–287.
Ma J, Zhang Y, Kalyuzhny AE, Pan ZZ: Emergence of functional delta-opioid receptors induced by long-term treatment with morphine. Mol Pharmacol 2006, 69(4):1137–1145. 10.1124/mol.105.019109
Chieng B, Christie MJ: Chronic morphine treatment induces functional delta-opioid receptors in amygdala neurons that project to periaqueductal grey. Neuropharmacology 2009, 57(4):430–437. 10.1016/j.neuropharm.2009.06.034
van Rijn RM, Brissett DI, Whistler JL: Emergence of functional spinal delta opioid receptors after chronic ethanol exposure. Biol Psychiatry 2012, 71(3):232–238. 10.1016/j.biopsych.2011.07.015
Gao CJ, Niu L, Ren PC, Wang W, Zhu C, Li YQ, Chai W, Sun XD: Hypoxic preconditioning attenuates global cerebral ischemic injury following asphyxial cardiac arrest through regulation of delta opioid receptor system. Neuroscience 2011, 202: 352–362.
Cayla C, Labuz D, Machelska H, Bader M, Schafer M, Stein C: Impaired nociception and peripheral opioid antinociception in mice lacking both kinin B1 and B2 receptors. Anesthesiology 2012, 116(2):448–457. 10.1097/ALN.0b013e318242b2ea
Feng Y, He X, Yang Y, Chao D, Lazarus LH, Xia Y: Current research on opioid receptor function. Curr Drug Targets 2012, 13(2):230–246. 10.2174/138945012799201612
Malatynska E, Wang Y, Knapp RJ, Waite S, Calderon S, Rice K, Hruby VJ, Yamamura HI, Roeske WR: Human delta opioid receptor: functional studies on stably transfected Chinese hamster ovary cells after acute and chronic treatment with the selective nonpeptidic agonist SNC-80. J Pharmacol Exp Ther 1996, 278(3):1083–1089.
Trapaidze N, Keith DE, Cvejic S, Evans CJ, Devi LA: Sequestration of the delta opioid receptor. Role of the C terminus in agonist-mediated internalization. J Biol Chem 1996, 271(46):29279–29285. 10.1074/jbc.271.46.29279
Ko JL, Arvidsson U, Williams FG, Law PY, Elde R, Loh HH: Visualization of time-dependent redistribution of delta-opioid receptors in neuronal cells during prolonged agonist exposure. Brain Res Mol Brain Res 1999, 69(2):171–185. 10.1016/S0169-328X(99)00094-7
Whistler JL, Enquist J, Marley A, Fong J, Gladher F, Tsuruda P, Murray SR, Von Zastrow M: Modulation of postendocytic sorting of G protein-coupled receptors. Science 2002, 297(5581):615–620. 10.1126/science.1073308
Zhang X, Wang F, Chen X, Chen Y, Ma L: Post-endocytic fates of delta-opioid receptor are regulated by GRK2-mediated receptor phosphorylation and distinct beta-arrestin isoforms. J Neurochem 2008, 106(2):781–792. 10.1111/j.1471-4159.2008.05431.x
Archer-Lahlou E, Audet N, Amraei MG, Huard K, Paquin-Gobeil M, Pineyro G: Src promotes delta opioid receptor (DOR) desensitization by interfering with receptor recycling. J Cell Mol Med 2009, 13(1):147–163.
Walwyn W, Evans CJ, Hales TG: Beta-arrestin2 and c-Src regulate the constitutive activity and recycling of mu opioid receptors in dorsal root ganglion neurons. J Neurosci 2007, 27(19):5092–5104. 10.1523/JNEUROSCI.1157-07.2007
Pradhan AA, Walwyn W, Nozaki C, Filliol D, Erbs E, Matifas A, Evans C, Kieffer BL: Ligand-directed trafficking of the delta-opioid receptor in vivo: two paths toward analgesic tolerance. J Neurosci 2011, 30(49):16459–16468.
Rola R, Szulczyk PJ, Witkowski G: Voltage-dependent Ca2+ currents in rat cardiac dorsal root ganglion neurons. Brain Res 2003, 961(1):171–178. 10.1016/S0006-8993(02)03950-1
Chaplan SR, Bach FW, Pogrel JW, Chung JM, Yaksh TL: Quantitative assessment of tactile allodynia in the rat paw. J Neurosci Methods 1994, 53(1):55–63. 10.1016/0165-0270(94)90144-9
Abbadie C, Lindia JA, Cumiskey AM, Peterson LB, Mudgett JS, Bayne EK, DeMartino JA, MacIntyre DE, Forrest MJ: Impaired neuropathic pain responses in mice lacking the chemokine receptor CCR2. Proc Natl Acad Sci U S A 2003, 100(13):7947–7952. 10.1073/pnas.1331358100
This work was supported by NIH grants DA05010 (AP, WW and CJE), RO3DA30866 (WW) and K99DA031243 (AP) and the Stefan and Shirley Hatos Center for Neuropharmacology. Thanks are due to Dr Lefkowitz for the β-arrestin 2 mice.
The authors declare that they have no competing interests.
AP, MS, and BM carried out the behavioral pain tests and WW performed the electrophysiology experiments. AP, WW and CJE wrote the manuscript. All authors read and approved the final manuscript.