Metformin prevents morphine-induced apoptosis in rats with diabetic neuropathy : a possible mechanism for attenuating morphine tolerance

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

Morphine is a drug of choice for the treatment of severe and chronic pain, but tolerance to the antinociceptive effect limits its use. The development of tolerance to morphine has recently been associated with neuronal apoptosis. In this study, our aim was to investigate the effects of metformin on morphine-induced neuronal apoptosis and antinociceptive tolerance in diabetic rats. Three days of cumulative dosing were administered to establish morphine tolerance in rats. The antinociceptive effects of metformin (50 mg/kg) and test dose of morphine (5 mg/kg) were considered at 30-min intervals by thermal antinociceptive tests. To induce diabetic neuropathy, streptozotocin (STZ, 65 mg/kg) was injected intraperitoneally. ELISA kits were used to measure caspase-3, bax, and bcl-2 levels from dorsal root ganglion (DRG) tissue. Semi-quantitative scoring system was used to evaluate apoptotic cells with the the terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) method. The findings suggest that co-administration of metformin with morphine to diabetic rats showed a significant increase in antinociceptive effect compared to morphine alone. The antinociceptive tests indicated that metformin significantly attenuated morphine antinociceptive tolerance in diabetic rats. In addition, metformin decreased the levels of apoptotic proteins caspase 3 and Bax in DRG neurons, while significantly increased the levels of antiapoptotic Bcl-2. Semi-quantitative scoring showed that metformin provided a significant reduction in apoptotic cell counts in diabetic rats. These data revealed that metformin demonstrated antiapoptotic activity in diabetic rat DRG neurons and attenuated morphine tolerance. The antiapoptotic activity of metformin probably plays a significant role in reducing morphine tolerance.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:395

Enthalten in:

Naunyn-Schmiedeberg's archives of pharmacology - 395(2022), 11 vom: 01. Nov., Seite 1449-1462

Sprache:

Englisch

Beteiligte Personen:

Avci, Onur [VerfasserIn]
Ozdemir, Ercan [VerfasserIn]
Taskiran, Ahmet Sevki [VerfasserIn]
Inan, Zeynep Deniz Sahin [VerfasserIn]
Gursoy, Sinan [VerfasserIn]

Links:

Volltext

Themen:

5W494URQ81
76I7G6D29C
9100L32L2N
Analgesics
Apoptosis
Bcl-2-Associated X Protein
Caspase 3
DNA Nucleotidylexotransferase
Diabetic neuropathy
Dorsal root ganglion
EC 2.7.7.31
EC 3.4.22.-
Journal Article
Metformin
Morphine
Morphine tolerance
Proto-Oncogene Proteins c-bcl-2
Streptozocin

Anmerkungen:

Date Completed 18.10.2022

Date Revised 02.11.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00210-022-02283-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM345678176