Opiates regulation

Opiates Regulates chemokine receptor-transduced signal Reduces chemokine-induced migration in vitro... 

The locus cemleus is important for the regulation of attentional states and autonomic nervous system activity. It has also been implicated in the autonomic and stress-like effects of opiate withdrawal. A noradrenergic pathway originating from the locus cemleus which descends into the spinal cord is part of the descending inhibitory control system, which has an inhibitory effect on nociceptive transmission in the dorsal horn. 

In the trans Golgi compartment the peptide is sorted via secretory vesicles into a regulated pathway. In contrast to vesicles of the constitutive pathway, vesicles of the regulated pathway are stored in the cytoplasm until their stimulated release. Membrane depolarisation as well as a wide range of substances such as intracellular mediators, neuropeptides, neurotransmitters, classical hormones, cytokines, growth factors, ions and nutrients induce somatostatin secretion. General inhibitors of somatostatin release are opiates, GABA, leptin and TGF- 3. 

Woody GE, Luborsky L, McLellan AT, et al Psychotherapy for opiate addicts does it help Arch Gen Psychiatry 40 639—645, 1983 Woody GE, McLellan AT, Luborsky L, et al Severity of psychiatric symptoms as a predictor of benefits from psychotherapy the Veterans Administration-Penn study. Am J Psychiatry 141 1172—1177, 1984 Woody GE, McLellan AT, Luborsky L, et al Twelve-month follow-up of psychotherapy for opiate dependence. Am J Psychiatry 144 590-596, 1987 Yabaluri N, Medzihradsky F Down-regulation of mu-opioid receptor by full but not partial agonists is independent of G protein coupling. Mol Pharmacol 52 896-902, 1997... 

The aforementioned results are consistent with the view that the rat brain PCP/"sigma opiate" high-affinity receptor is associated with the voltage-regulated, non inactivating K channels in the pre-synaptic terminals. Thus, we reasoned that the elucidation of the molecular composition of this PCP "receptor" might provide direct information about the subunit composition of these K channels. 

Blume A. Interaction of ligands with the opiate receptors of brain membranes regulation by ions and nucleotides. Proc Natl Acad Sci USA 1978 ... 

The multiplicity of G proteins coupled to opiate receptors may explain how different opiates can bind to the same receptor yet induce different cellular responses. For example, morphine binds to the cloned rat fi receptor expressed in HEK 293, CHO and COS-7 cells and inhibits cAMP accumulation [80-82]. Morphine can be continuously applied to the cells for up to 16 h, and the potency and magnitude of morphine inhibition of adenylyl cyclase does not diminish [80, 81]. In contrast, the opiate sufentanil can bind to the same cloned fi receptor in HEK 293 cells to inhibit cAMP accumulation. However, sufentanil s actions rapidly desensitize [83]. Since both compounds bind to the same receptor, and the fi receptor is the only receptor these drugs can interact with in these cells, the ability of these two full agonists to differentially regulate the fi receptor must be due to their abilities to affect separate adaptive processes in these cells. 

Buprenorphine does not cause dependence in humans [96]. Unbke morphine, buprenorphine desensitizes the /< receptor coupling to adenylyl cyclase [80]. The desensitization occurs in the absence of any receptor internalization or downregu-lation [80]. The desensitization of the /x receptor may be the underlying basis for why buprenorphine does not cause a heightened adenylyl cyclase activity in // receptor-responsive cells. Buprenorphine s unique cellular regulation of the // receptor may explain its ability to be a non-addictive analgesic as well as its usefulness in treating opiate dependence. 

Mutagenesis studies have established that the C-terminal region of the // and S receptors is not essential for the receptors to couple to adenylyl cyclase [131, 132]. The remaining intracellular domains of the opiate receptors have almost identical amino acid sequences. As a consequence, it is likely that the intracellular loops are the main regions of the opiate receptor involved in G protein coupling and effector system regulation. 

Cvejic et al. [133] and Trapaidze et al. [134] have reported that the C-terminus of the 8 receptor is essential for the internalization and downregulation of the receptors. Truncation of the 8 receptor attenuates receptor internalization. Residue Thr353 seems to be selectively involved in the internalization of the receptor, since mutation of this amino acid blocks the internalization process. Recent studies by Chu et al. [135] not only confirm the role of the C-terminus in internalizing the 8 receptor but have shown that clathrin-coated pits are involved in the internalization since a K44I mutant of dynamin I blocks the rapid internalization of the 8 receptor. These studies have identified a structural basis for the differential regulation of the three opiate receptors. 

Decreased sensitivity to a drug, or tolerance, is seen with some drugs such as opiates and usually requires repeated administration of the drug. Tachyphylaxis, in contrast, is tolerance that develops rapidly, often after a single injection of a drug. In some cases, this may be due to what is termed as the dawn regulation of a drug receptor, in which the number of receptors becomes decreased. 

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