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Molecular mechanisms of opioid tolerance: From opioid receptors to inflammatory mediators (Review)

  • Authors:
    • Jie Zhou
    • Ruijie Ma
    • Ying Jin
    • Junfan Fang
    • Junying Du
    • Xiaomei Shao
    • Yi Liang
    • Jianqiao Fang
  • View Affiliations / Copyright

    Affiliations: Department of Acupuncture and Moxibustion, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310005, P.R. China, Department of Rehabilitation in Traditional Chinese Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang 310000, P.R. China, The Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, P.R. China, Key Laboratory of Acupuncture and Neurology of Zhejiang Province, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, P.R. China
    Copyright: © Zhou et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 1004
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    Published online on: July 15, 2021
       https://doi.org/10.3892/etm.2021.10437
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Abstract

Opioids are considered the most effective analgesics for the treatment of both acute and chronic pain. However, prolonged opioid use can induce a certain level of tolerance to its analgesic effects, leading to a reduction in its effectiveness, addiction and abuse. A better understanding of the mechanisms underlying opioid tolerance may provide insights into this phenomenon and aid in the development of novel methods to combat the side effects of opioid tolerance. The present review focused on two major contributors to tolerance, opioid receptors and inflammatory mediators. The molecular mechanisms involved in the desensitization of the opioid receptors were briefly described, including their phosphorylation, internalisation and recycling. Subsequently, the effects of Toll like receptor 4/NOD‑like receptor family pyrin domain containing 3‑mediated proinflammatory responses in opioid tolerance were discussed, aiming in supporting the identification of novel therapeutic targets.
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Copy and paste a formatted citation
Spandidos Publications style
Zhou J, Ma R, Jin Y, Fang J, Du J, Shao X, Liang Y and Fang J: Molecular mechanisms of opioid tolerance: From opioid receptors to inflammatory mediators (Review). Exp Ther Med 22: 1004, 2021.
APA
Zhou, J., Ma, R., Jin, Y., Fang, J., Du, J., Shao, X. ... Fang, J. (2021). Molecular mechanisms of opioid tolerance: From opioid receptors to inflammatory mediators (Review). Experimental and Therapeutic Medicine, 22, 1004. https://doi.org/10.3892/etm.2021.10437
MLA
Zhou, J., Ma, R., Jin, Y., Fang, J., Du, J., Shao, X., Liang, Y., Fang, J."Molecular mechanisms of opioid tolerance: From opioid receptors to inflammatory mediators (Review)". Experimental and Therapeutic Medicine 22.3 (2021): 1004.
Chicago
Zhou, J., Ma, R., Jin, Y., Fang, J., Du, J., Shao, X., Liang, Y., Fang, J."Molecular mechanisms of opioid tolerance: From opioid receptors to inflammatory mediators (Review)". Experimental and Therapeutic Medicine 22, no. 3 (2021): 1004. https://doi.org/10.3892/etm.2021.10437
Copy and paste a formatted citation
x
Spandidos Publications style
Zhou J, Ma R, Jin Y, Fang J, Du J, Shao X, Liang Y and Fang J: Molecular mechanisms of opioid tolerance: From opioid receptors to inflammatory mediators (Review). Exp Ther Med 22: 1004, 2021.
APA
Zhou, J., Ma, R., Jin, Y., Fang, J., Du, J., Shao, X. ... Fang, J. (2021). Molecular mechanisms of opioid tolerance: From opioid receptors to inflammatory mediators (Review). Experimental and Therapeutic Medicine, 22, 1004. https://doi.org/10.3892/etm.2021.10437
MLA
Zhou, J., Ma, R., Jin, Y., Fang, J., Du, J., Shao, X., Liang, Y., Fang, J."Molecular mechanisms of opioid tolerance: From opioid receptors to inflammatory mediators (Review)". Experimental and Therapeutic Medicine 22.3 (2021): 1004.
Chicago
Zhou, J., Ma, R., Jin, Y., Fang, J., Du, J., Shao, X., Liang, Y., Fang, J."Molecular mechanisms of opioid tolerance: From opioid receptors to inflammatory mediators (Review)". Experimental and Therapeutic Medicine 22, no. 3 (2021): 1004. https://doi.org/10.3892/etm.2021.10437
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