Addiction to morphine and heroin can be blocked via brain's immune response

Published on August 15, 2012 at 2:01 PM · 1 Comment

In a major breakthrough, an international team of scientists has proven that addiction to morphine and heroin can be blocked, while at the same time increasing pain relief.

The team from the University of Adelaide and University of Colorado has discovered the key mechanism in the body's immune system that amplifies addiction to opioid drugs.

Laboratory studies have shown that the drug (+)-naloxone (pronounced: PLUS nal-OX-own) will selectively block the immune-addiction response.

The results - which could eventually lead to new co-formulated drugs that assist patients with severe pain, as well as helping heroin users to kick the habit - will be published tomorrow in the Journal of Neuroscience.

"Our studies have shown conclusively that we can block addiction via the immune system of the brain, without targeting the brain's wiring," says the lead author of the study, Dr Mark Hutchinson, ARC Research Fellow in the University of Adelaide's School of Medical Sciences.

"Both the central nervous system and the immune system play important roles in creating addiction, but our studies have shown we only need to block the immune response in the brain to prevent cravings for opioid drugs."

The team has focused its research efforts on the immune receptor known as Toll-Like receptor 4 (TLR4).

"Opioid drugs such as morphine and heroin bind to TLR4 in a similar way to the normal immune response to bacteria. The problem is that TLR4 then acts as an amplifier for addiction," Dr Hutchinson says.

"The drug (+)-naloxone automatically shuts down the addiction. It shuts down the need to take opioids, it cuts out behaviours associated with addiction, and the neurochemistry in the brain changes - dopamine, which is the chemical important for providing that sense of 'reward' from the drug, is no longer produced."

Senior author Professor Linda Watkins, from the Center for Neuroscience at the University of Colorado Boulder, says: "This work fundamentally changes what we understand about opioids, reward and addiction. We've suspected for some years that TLR4 may be the key to blocking opioid addiction, but now we have the proof.

"The drug that we've used to block addiction, (+)-naloxone, is a non-opioid mirror image drug that was created by Dr Kenner Rice in the 1970s. We believe this will prove extremely useful as a co-formulated drug with morphine, so that patients who require relief for severe pain will not become addicted but still receive pain relief. This has the potential to lead to major advances in patient and palliative care," Professor Watkins says.

The researchers say clinical trials may be possible within the next 18 months.

Source:

University of Adelaide

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Comments
  1. RSD_Pain_Suffer RSD_Pain_Suffer United States says:

    This article mostly describes how naloxone can be used with an opuate, such as morphine, to treat those who are addicted. There is a difference between addiction and dependence on a drug, such as an opiate. I take an extended-release formulation of synthetic morphine for RSD/CRPS. I actually HATE having to take any medication; however, since being diagnosed with CRPS, I have had to take opiates just to lower the pain of this most wicked syndrome. I have actually stopped my medications several times in an attempt to be medication-free. But, I cannot tolerate the pain, which feels like I am being burned alive. When off opiates, I am in be, curled up like a bug, and crying. Please tell me what sort of life this is? I have always had to return to my prescribed medication to lessen the pain enough to live a semi-normal life. I lost my ability to work. I miss almost all social functions. Everything I do (such as taking a shower) takes a lot more time than it used to before I was diagnosed with CRPS. Please tell me how naloxone can help significantly to reduce severe pain in patients who suffer from chronic severe pain. This sort of stuff irritates and angers me because I am not addicted to the opiates I don't even want to take. Because some people abuse whatever in their lives, groups and institutions believe all should suffer the consequences. I used to work in the health care field and knew the "textbook version" of RSD, but now I know the horror of having to live with it. AGAIN, PLEASE TELL ME HOW THIS STUDY MIGHT HELP THE MILLIONS WHO TRULY SUFFER FROM CHRONIC SEVERE PAIN. Thank you for reading this (which was written while in bed).

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