Sigma-1 receptor antagonism as a promising strategy for postoperative pain treatment: A study in laparotomized mice - 20/07/25
, M. Carmen Ruiz-Cantero d
, Hannah K. Mayr e
, Miguel Á. Huerta a, b, c
, Makeya A. Hasoun a, b, c
, María Robles-Funes a, b
, Amada Puerto-Moya a, b
, Shane J.F. Cronin e
, Rafael González-Cano a, b, c, ⁎
, Enrique J. Cobos a, b, c, f, ⁎ 
Abstract |
Postoperative pain remains a major clinical challenge, as it often persists despite analgesic treatment even with opioids. We studied the effects of sigma-1 receptor antagonists (BD-1063 and S1RA), administered alone or in combination with the µ-opioid morphine, on three key aspects of postoperative pain in mice with a transverse laparotomy: tactile allodynia, pain at rest, and movement-induced pain. Sigma-1 antagonism and morphine induced antiallodynic effects sensitive to peripheral opioid antagonism by naloxone methiodide, although only sigma-1 antagonism was sensitive to the sigma-1 agonist PRE-084. The antiallodynic effect of sigma-1 antagonism was also reversed by the μ-opioid antagonist cyprodime and by depletion of neutrophils, which express high levels of proopiomelanocortin, the precursor of the µ-opioid agonist ß-endorphin. Morphine, but not sigma-1 antagonism, reversed pain at rest, and none of the drugs tested improved movement-induced pain. Notably, the combination of S1RA and morphine at doses ineffective when administered alone, fully reversed tactile allodynia, pain at rest, and movement-induced pain, and in a manner sensitive to PRE-084 and naloxone methiodide, indicating the simultaneous participation of both sigma-1 and peripheral opioid receptors. Therefore, sigma-1 antagonism boosts the actions of endogenous opioid peptides from neutrophils only to reverse tactile allodynia, but when combined with morphine, it enhances peripheral opioid analgesia to reverse all aspects of postoperative pain. Finally, S1RA did not enhance morphine-induced inhibition of gastrointestinal transit or rewarding effects. Modulation of opioid analgesia by sigma-1 receptors might have potential clinical application to increase the therapeutic range of opioids in the treatment of postoperative pain.
El texto completo de este artículo está disponible en PDF.Graphical Abstract |
Highlights |
• | Sigma-1 antagonism reverses postoperative tactile allodynia in mice. |
• | Sigma-1 antagonism does not reverse pain at rest or movement-induced pain. |
• | Morphine reverses tactile allodynia and pain at rest but not movement-induced pain. |
• | Combination of S1RA and morphine reverses all aspects of postoperative pain. |
• | Sigma-1 antagonism does not potentiate opioid-induced side effects in mice. |
Keywords : Postoperative pain, Sigma-1 receptor, Neutrophil, Morphine, Abuse potential, Opioid-induced constipation
Esquema
Vol 189
Artículo 118298- août 2025 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.
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