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Morphine hyperalgesia gated through microglia-mediated disruption of neuronal Cl- homeostasis

by: Francesco Ferrini, Tuan Trang, Theresa-Alexandra M. Mattioli, Sophie Laffray, Thomas Del'Guidice, Louis-Etienne Lorenzo, Annie Castonguay, Nicolas Doyon, Wenbo Zhang, Antoine G. Godin, Daniela Mohr, Simon Beggs, Karen Vandal, Jean-Martin Beaulieu, Catherine M. Cahill, Michael W. Salter, Yves De Koninck
Nat Neurosci, Vol. 16, No. 2. (06 February 2013), pp. 183-192, doi:10.1038/nn.3295  Key: citeulike:11975778

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Abstract

Treatment of pain with morphine leads to paradoxical hyperalgesia. The authors provide evidence that morphine-induced hyperalgesia is a result of downregulation of the chloride transporter KCC2 in spinal lamina I neurons. Microglial expression of P2X4 receptors and release of BDNF may underlie this change in neuronal chloride homeostasis and morphine-induced hyperalgesia.


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