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Publication : Activation of TREK-1 by morphine results in analgesia without adverse side effects.

First Author  Devilliers M Year  2013
Journal  Nat Commun Volume  4
Pages  2941 PubMed ID  24346231
Mgi Jnum  J:226219 Mgi Id  MGI:5696499
Doi  10.1038/ncomms3941 Citation  Devilliers M, et al. (2013) Activation of TREK-1 by morphine results in analgesia without adverse side effects. Nat Commun 4:2941
abstractText  Morphine is the gold-standard pain reliever for severe acute or chronic pain but it also produces adverse side effects that can alter the quality of life of patients and, in some rare cases, jeopardize the vital prognosis. Morphine elicits both therapeutic and adverse effects primarily through the same mu opioid receptor subtype, which makes it difficult to separate the two types of effects. Here we show that beneficial and deleterious effects of morphine are mediated through different signalling pathways downstream from mu opioid receptor. We demonstrate that the TREK-1 K(+) channel is a crucial contributor of morphine-induced analgesia in mice, while it is not involved in morphine-induced constipation, respiratory depression and dependence-three main adverse effects of opioid analgesic therapy. These observations suggest that direct activation of the TREK-1 K(+) channel, acting downstream from the mu opioid receptor, might have strong analgesic effects without opioid-like adverse effects.
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