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Tolerance to Opioids and Cannabinoids: a Novel Role for MicroRNA. Jürgen Kraus. Summer School Bologna 26.6.2014. Tolerance. Pharmacology: Decreased effectiveness of a drug upon repeated application >>> higher doses. Tolerance. Tolerance.
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Tolerance to Opioids and Cannabinoids: a Novel Role for MicroRNA Jürgen Kraus Summer School Bologna 26.6.2014
Tolerance Pharmacology: Decreased effectiveness of a drug upon repeated application >>> higher doses
Tolerance Pharmacology: Decreased effectiveness of a drug upon repeated application >>> higher doses Decreased amount of functional membrane-bound receptors for this drug
Tolerance Decreased amount of membrane-bound receptors 1. Phosphorylation/internalization of receptors resulting in decreased effectiveness 2. Downregulation of receptors resulting in deceased amounts
P P Ligand-Induced Phosphorylation and Internalization Localization in Cellmembrane Ligand-Induced Phosphorylation Internalization Recycling Degradation
P P Localization and Ligand-Induced Regulation of µ-Opioid Receptors in Jurkat T Cells
Tolerance - „internalizing drugs“ (e. g. fentanly or methadone) cause the same tolerance as „non-internalizing drugs“ (e. g. morphine) - tolerance develops within a range of minimum 12 hours up to several days
Tolerance Decreased amount of membrane-bound receptors 1. Phosphorylation/internalization of receptors resulting in decreased effectiveness 2. Downregulation of receptors resulting in deceased amounts
MOR mRNA is NOT Downregulated by Opioids
microRNA DNA > RNA > Protein
MOR mRNA is NOT Downregulated by Opioids
? Does µRNA regulate MOR and CB1
µ Opioid Receptor Cannabinoid Receptor 1 Structure Effects Expression Cross-Tolerance
Functional Analysis of MOR and CB1 - Stimulation of cells with MOR and CB1 ligands results in phosphorylation of the mitogen activated protein kinase p42/44 - Stimulation of cells with MOR and CB1 ligands results in a decrease in intracellular cAMP due to inhibition of adenylyl cyclase
µRNA MOR CB1 µRNA miR-98, let-7a, let-7d, miR-23b MOR CB1
Overexpression of µRNA Inhibits Ligand-Induced Formation of Phospho-MAPK µRNA MOR CB1 SH SY5Y
µRNA MOR CB1 Overexpression of µRNA Inhibits Ligand-Induced Inhibition of cAMP Formation
µRNA MOR CB1 Overexpression of µRNA Inhibits Ligand-Induced Inhibition of cAMP Formation
Summary miR-98, let-7a, let-7d MOR
µRNA MOR CB1 Overexpression of µRNA Inhibits Ligand-Induced Inhibition of cAMP Formation
µRNA MOR CB1 Overexpression of µRNA Inhibits Ligand-Induced Inhibition of cAMP Formation
Summary miR-98, let-7a, let-7d, miR-23b MOR CB1
Summary let-7d MOR CB1
And Now for Something (Completely) Different ... - Tolerance - Crosstolerance (some colums are missing, but you will see them later)
And Now for Something (Completely) Different ... - Tolerance - Crosstolerance
Tolerance on a cellular level looks very much the same as the effect of µRNA overexpression
? Does µRNA regulate MOR and CB1 ? Do opioids and cannabinoids regulate µRNA
Upregulation of Dicer, Drosha and Argonaute2 in Response to Morphine in Jurkat T Cells
Upregulation of Drosha and Argonaute2 in Response to Morphine in Neuronal SH SY5Y Cells
Upregulation of Dicer and Drosha in Response to MAEA in U87 Glia Cells
Direct Upregulation of µRNA in Response to Opioids and Cannabinoids Must be shown by µRNA Sequencing
? How can we demonstrate functional induction of let7-d by opioids and cannabinoids
Upregulation of µRNA in Response to Opioids and Cannabinoids
? What about tolerance, when we inhibit let7-d µRNA
Human let-7d Inhibits Human and Rat MOR Expression
MAEA morphine let-7d MOR CB1 MAEA morphine let-7d MOR CB1
MAEA morphine let-7d MOR CB1 µRNA is Likely to Produce Tolerance to Opioids and Cannabinoids
µRNA is Likely to Produce Tolerance to Opioids and Cannabinoids
So far, so good, but tolerance is not a cellular event (even when many people say so)
Can Antagomirs Against let-7d Inhibit Tolerance to Opioids in Mice? Antagomirs = Antagonists to µRNAs RNA oligonucleotides protected chemically against rapid degradation Are linked to cholesterol to get into the cells Designed for use in animals (and humans!) Were applied icv in our experiments 4 times 8µg (in 4 µl) were injected, 3 days before testing analgesia
Antagomirs against let-7d Inhibit Tolerance to Opioids in Mice