Abstract
This work investigates the receptor acted upon by imidazoline compounds in the modulation of morphine analgesia. The effects of highly selective imidazoline ligands on the supraspinal antinociception induced by morphine in mice were determined.
Intracerebroventricular (i.c.v.) or subcutaneous (s.c.) administration of ligands selective for the I2-imidazoline receptor, 2-BFI, LSL 60101, LSL 61122 and aganodine, and the non selective ligand agmatine, increased morphine antinociception in a dose-dependent manner. Neither moxonidine, a mixed I1-imidazoline and α2-adrenoceptor agonist, RX821002, a potent α2-adrenoceptor antagonist that displays low affinity at I2-imidazoline receptors, nor the selective non-imidazoline α2-adrenoceptor antagonist RS-15385-197, modified the analgesic responses to morphine.
Administration of pertussis toxin (0.25 μg per mouse, i.c.v.) 6 days before the analgesic test blocked the ability of the I2-imidazoline ligands to potentiate morphine antinociception.
The increased effect of morphine induced by I2-imidazoline ligands (agonists) was completely reversed by idazoxan and BU 224. Identical results were obtained with IBI, which alkylates I2-imidazoline binding sites. Thus, both agonist and antagonist properties of imidazoline ligands at the I2-imidazoline receptors were observed.
Pre-treatment (30 min) with deprenyl, an irreversible inhibitor of monoamine oxidase B (IMAO-B), produced an increase of morphine antinociception. Clorgyline, an irreversible IMAO-A, given 30 min before morphine did not alter the effect of the opioid. At longer intervals (24 h) a single dose of either clorgyline or deprenyl reduced the density of I2-imidazoline receptors and prevented the I2-mediated potentiation of morphine analgesia.
These results demonstrate functional interaction between I2-imidazoline and opioid receptors. The involvement of Gi-Go transducer proteins in this modulatory effect is also suggested.
Keywords: Imidazoline receptors, potentiation of morphine-effects, agonists -antagonists at I2-imidazoline receptors, supraspinal antinociception, GTP-binding proteins
Introduction
Various imidazol(ine)-guanidine compounds, such as clonidine or idazoxan, elicit central and peripheral effects through their binding to non-adrenoceptor sites, the imidazoline receptors (Bousquet et al., 1984; Regunathan & Reis 1996). Decarboxylated arginine, agmatine, is proposed as an endogenous ligand for these receptors (Li et al., 1994; Piletz et al., 1995). On the bases of pharmacological profiles and tissue and subcellular distributions, the imidazoline receptors were initially divided into two main types: I1-receptors labelled by [3H]-clonidine and their derivatives (Molderings et al., 1993), and I2-receptors which show high affinity for [3H]-idazoxan (Michel & Insel, 1989; Ernsberger, 1992). I1-imidazoline receptors show a discrete distribution in the brain and appear to regulate the release of prostaglandins and the influx of Ca2+ ions (Regunathan et al., 1991). I2-imidazoline receptors, however, are widely distributed in the brain and are found in both neurones and glial cells (Regunathan et al., 1993; Ruggiero et al., 1998) although their functional role is still to be fully established. In vitro studies have suggested possible structural and functional relationships between I2-imidazoline receptors and monoamine oxidase A and B (MAOs), two mitochondrial enzymes involved in the oxidate deamination of neurotransmitters (Tesson et al., 1995; Raddatz et al., 1995).
Besides the well-known influence of α2-adrenoceptors on opioid analgesia and tolerance, imidazoline receptors have also been implicated in certain morphine effects. Administration of agmatine prevents or attenuates the development of tolerance to morphine and to other opioid agonists in the mouse (Kolesnikov et al., 1996). In addition, the concurrent chronic administration of idazoxan -or of more selective-potent I2-imidazoline receptor ligands- and morphine attenuates the development of tolerance to the opioid in rats (Boronat et al., 1998a).
The presence of imidazoline receptors has recently been described in brain areas involved in perception and response to painful stimuli (Ruggiero et al., 1998). It might be the neural substrate acted upon by agmatine to enhance dose-dependently morphine antinociception in mice (Kolesnikov et al., 1996). However, agmatine binds with poor selectivity to both α2-adrenoceptors and imidazoline (l1 and l2) receptors (Li et al., 1994). It is therefore difficult to ascribe its modulatory activity on morphine antinociception to its binding to one of these receptor types -more selective ligands are required. The present paper investigates the participation of l1-l2 imidazoline receptors in the increase of morphine antinociception produced by imidazoline compounds. Besides agmatine and idazoxan, the highly selective and potent l2-imidazoline ligands such as [2-(2-benzofuranyl)-2-imidazoline], 2-BFI (Lione et al., 1996; Alemany et al., 1997), [2-(2-benzofuranyl) imidazole HCl], LSL 60101 (Alemany et al., 1995), [2-styryl-2-imidazoline HCl, valldemossine], LSL 61122 (Ozaita et al., 1997), [2-(4,5-dihydroimidazol-2yl)-quinoline HCl], BU 224 (Hudson et al., 1996), aganodine, a guanidine compound displaying nanomolar affinity for l2-imidazoline receptors (Alemany et al., 1997), and the irreversible l2-imidazoline ligand (isothiocyanatobenzyl imidazoline), IBI (Boronat et al., 1998b), were included in the study. The effects of moxonidine, l1-imidazoline receptor ligand (Ernsberger et al., 1993; Likungu et al., 1996), [2-methoxy idazoxan], RX 821002, potent α2-adrenoceptor antagonist that displays low affinity for l2-imidazoline receptors (Galitzky et al., 1990; Miralles et al., 1993) and ((8aR, 12aS, 13aS)-3-methoxy-12-methane sulphonyl-5,6,8a,9,10,11,12,12a,13,13a-decahydro-8H-isoquino [2, 1-g]-naphthyridine), RS-15385-197, highly potent and selective non-imidazoline α2-adrenoceptor antagonist (Brown et al., 1993), were also evaluated.
Methods
Animals and injection techniques
Male albino mice CD-1 (Charles River, Barcelona, Spain) weighing 22–25 g, were used throughout. The animals were housed in groups of 10 in a temperature- (22°C) and humidity-controlled environment for 4–5 days before experimentation, under a 12-h light-dark cycle (08.00–20.00 h). Food and water were provided ad libitum. Mice were housed and used strictly in accordance with the guidelines of the European Community on the Care and Use of Laboratory Animals (Council Directive 86-609-EEC). To reduce the possibility of interference from spinal events, all substances were injected i.c.v. in 4 μl volumes into the right lateral ventricle as previously described (Sánchez-Blázquez et al., 1995). Briefly, mice were lightly anaesthetized with ether and injections were given with a 10 μl Hamilton syringe. Animals received either the vehicle (saline) or the drug of study 30 min before the injection of morphine. When two drugs were injected, administrations were performed at 5 or 10 min intervals. All compounds were dissolved in distilled water, except for moxonidine which was dissolved in 20 mM HCl and 9.25 mM NaOH. Solutions were made up immediately before use.
Mice were i.c.v. injected with 0.25 μg pertussis toxin and the effect of l2-ligands on morphine antinociception was evaluated 6 days later (Sánchez-Blázquez & Garzón, 1988). In another series of assays, animals were i.c.v. injected with either 40 μg of the irreversible l2-imidazoline ligand IBI, or 10 μg clorgyline or deprenyl. At 24 h the effects of 2-BFI, LSL 61122 and aganodine were evaluated on morphine antinociception.
Thermal antinociceptive assay
The response of the animals to nociceptive stimuli was determined in the warm water tail-flick test using different temperatures. Base-line latencies ranged from 1.5–2.5 s at 52°C, and from 3.8–5.1 s at 45°C. A cut off time of 10 or 20 s, respectively, was allotted to minimize the risk of tissue damage. Antinociception was expressed as a per cent of the maximum possible effect (MPE) according to the following formula: %MPE=100×(test latency−base-line latency) (cut off time−base-line latency)−1. A single i.c.v. dose of morphine was given and antinociception was assessed 30 min later. The results underwent analysis of variance (ANOVA) followed by the Student-Newman-Keuls test. The level of significance was set at P<0.05.
Chemicals
Morphine sulphate was obtained from Merck (Darmstadt, Germany), agmatine sulphate and clorgyline HCl from Sigma-Aldrich Chemicals (Madrid, Spain), BU-224, rilmenidine and AGN192403 from Tocris Cookson (Bristol, U.K.), moxonidine and aganodine from Beiersdorf (Hamburg, Germany), RS-15385-197 HCl, from Synthex (Palo Alto, CA, U.S.A.), Ro16-649 [N-(2-aminoethyl-p-chlorobenzamide] HCl from F. Hoffmann-La Roche, Ldt (Switzerland), deprenyl from R.B.I. (Natick, MA, U.S.A.) and pertussis toxin from List Biological Laboratories (Campbell, CA, U.S.A.). 2-BFI was synthesized by Dr Plá as LSL 61103 (S.A. Lasa Laboratorios, Spain), idazoxan HCl, LSL 60101, LSL 61122 and RX821002 HCl were synthesized by Dr F. Geijo (S.A. Lasa Laboratorios, Spain). IBI was generously provided by Drs D.D. Miller (University of Tennessee, Memphis, U.S.A.) and P.N. Patil (The Ohio State University, Columbus, U.S.A.).
Results
Effects of agmatine and other l2-imidazoline ligands on morphine induced antinociception
In agreement with previous studies, agmatine (10 μg per mouse, i.c.v.) administered 30 min before morphine (1 μg per mouse, i.c.v.) increased the antinociceptive response to the opioid compared to mice receiving saline injections (Kolesnikov et al., 1996; Figure 1), as measured by the 52°C hot-water tail-flick test. Further, a fixed dose (10 μg per mouse) of 2-BFI, LSL 61122, LSL 60101 or aganodine also raised morphine antinociception. In this scheme, idazoxan did not alter the analgesic effect of morphine (29.3±3.2 and 33.6±1.6% MPE in idazoxan- and saline-treated groups, respectively). Negative results were also obtained with BU-224, a highly potent and selective l2 imidazoline compound (Figure 1). Peripheral administration of these imidazolines (10 mg kg−1, s.c.) produced equivalent results on morphine antinociception (Table 1). The imidazoline compounds used alone did not affect the responses of the animals in the tail-flick test, which were identical to those of mice receiving only saline injections. The lack of effect on baseline response was confirmed using a lower temperature that gave longer latencies. Thus, when the bath temperature was set at 45°C, baseline latencies after saline, 2-BFI (10 mg kg−1, i.c.v.) and LSL61122 (10 mg kg−1, i.c.v.) were 4.46±0.25, 4.53±0.27 and 4.42±0.28 respectively. In this experimental protocol both imidazoline compounds were able to increase morphine-induced antinociception (40.9±3.7 to 74.7±8.7 and 68.37±7.4% MPE in saline, 2-BFI and LSL61122 treated mice). This observation discards the possibility of any additive effects between morphine and the imidazoline compounds.
Table 1.
The effects of increasing doses of 2-BFI or LSL61122 (0.01, 0.3, 10 and 30 μg per mouse, i.c.v.) were also tested upon the antinociceptive response to a fixed dose of morphine (1 μg per mouse, i.c.v.). Administration of the l2-imidazoline selective ligands 30 min before the opioid produced a significant dose-dependent potentiation of the analgesic action of morphine (Figure 2A). Thus, injection of 0.3, 10 and 30 μg per mouse of 2-BFI significantly enhanced morphine analgesia (25.3±4.1, 52.6±5.4 and 85.3±14.0% MPE, respectively) when compared to control (saline-pretreated mice), while the lower dose of 0.01 μg had no effect on morphine antinociception. Pre-treatment of mice with 10 μg of 2-BFI 30 min before morphine administration resulted in a 2.5 fold leftwards shift of the opioid dose-response curve (Figure 2B).
Modulatory effects of imidazoline ligands on morphine analgesia: lack of involvement of I1-imidazoline receptors and α2-adrenoceptors
The involvement of I1 receptors and α2-adrenoceptors in the modulation of morphine analgesia was also evaluated. Various compounds with affinity for these receptors were tested. Moxonidine, a mixed agonist at I1-imidazoline receptors and α2-adrenoceptors, given (1 μg per mouse, i.c.v.) 30 min before morphine did not alter the analgesic effect of the opioid (Table 2). Rilmenidine or AGN192403 (10 μg per mouse, i.c.v.) were also devoid of effect on morphine antinociception (Table 2). Negative results were obtained when RX821002, or the highly potent and selective non-imidazoline α2-adrenoceptor antagonist RS-15385-197, were administered before the opioid (Table 2). When injected alone, these α2-adrenoceptor and -or I1-imidazoline receptor ligands exhibited no analgesic or hiperalgesic effects (data not shown). These results exclude the involvement of α2-adrenoceptors and I1-imidazoline receptors in the modulation of morphine antinociception.
Table 2.
Identification of antagonist properties of imidazoline ligands at the I2-imidazoline receptors
The possibility of idazoxan and BU-224 acting as antagonists at I2-imidazoline receptors was subsequently explored. Each compound was i.c.v. coadministered (10 μg per mouse) with either 2-BFI, aganodine, LSL 60101, LSL 61122 or agmatine before evaluating opioid-evoked analgesia. In these animals, idazoxan and BU-224 completely blocked the potentiation of morphine antinociception induced by the imidazoline compounds (Table 3), suggesting that these compounds behave as I2-imidazoline receptor antagonists. Moreover, an i.c.v. dose of 40 μg per mouse IBI -an alkylating ligand at I2-imidazoline receptors- given 24 h before studying the action of I2 compounds on morphine-evoked antinociception, also blocked the potentiation of morphine analgesia (Figure 3). Thus, a clear modulatory role of I2-imidazoline receptors on morphine antinociception was established.
Table 3.
Effect of monoamine oxidase inhibitors on morphine induced antinociception
Pre-treatment of mice with deprenyl (10 μg per mouse, i.c.v.), an irreversible inhibitor of MAO-B, 30 min before the opioid, potentiated morphine supraspinal analgesia (Table 2). The antinociceptive effect of the alkaloid significantly increased with respect to that exhibited by mice receiving only saline. Analgesic values for morphine were 35.3±2.3 versus 46.5±4.7% MPE in control (saline-treated) and deprenyl-treated mice. In this experimental protocol, clorgyline (an irreversible IMAO-A) and Ro 19-6327 (selective IMAO-B) did not enhance morphine antinociception (Table 2). Co-administration of deprenyl and 2-BFI produced no further increase of the analgesic potency of morphine (saline-treated: 35.3±2.3% MPE, 2-BFI-, deprenyl- and 2-BFI plus deprenyl-treated groups: 52.6±5.4, 46.5±4.7 and 45.4±4.9% MPE, respectively), suggesting that a unique binding site, presumably the I2-imidazoline receptor, is involved in the effect of both compounds. Clorgyline or deprenyl, given 24 h before morphine prevented the potentiation of morphine analgesia induced by imidazoline compounds (not shown).
Effect of pretreatment with pertussis toxin on the modulation of morphine antinociception by I2-imidazoline ligands
Administration of pertussis toxin (0.25 μg per mouse, i.c.v.) 6 days before the analgesic test does not modify basal latencies but leads to a loss of morphine antinociceptive potency (Sánchez-Blázquez & Garzón, 1988; present work). The present work shows that in mice with pertussis toxin-impaired GTP-binding Gi-Go proteins, the ability of the I2-imidazoline agonists to potentiate morphine antinociception is completely blocked (Figure 4). Thus, the involvement of Gi-Go transducer proteins in the modulation of morphine supraspinal antinociception exerted by I2-imidazoline receptors cannot be disregarded.
Discussion
The present investigation suggests the existence of functional interactions between imidazoline and opioid receptors. The most relevant findings of the work are that, (i) central (i.c.v.) or peripheral (s.c.) administration of various I2-imidazoline ligands, but not I1-imidazoline or α2-adrenoceptor ligands, potentiated morphine-induced supraspinal antinociception in mice; (ii) the potentiation of morphine antinociception induced by I2-imidazoline ligands (agonists) was completely reversed by co-treatment with idazoxan or BU-224, which would act as putative I2-imidazoline antagonists; and (iii) the impairment of the functional state of Gi-Go proteins by in vivo administration of pertussis toxin hindered the effect of I2-imidazoline ligands on morphine analgesia.
The literature describing the potential biological effects mediated by I2-imidazoline receptors is incomplete since no intracellular signal transduction pathway has yet been identified. Ligand binding studies suggest a linkage between some types of K+ channels and I2-imidazoline receptors (Sakuta & Okamoto, 1994). There are also reports describing connections with insulin secretion, modulation of noradrenaline release and the modulation of ion fluxes (Regunathan & Reis, 1996). Recent studies have investigated the effects of the putative endogenous imidazoline receptor ligand agmatine in spinal nociception. This endogenous substance produces, via non-adrenergic receptors, inhibition of the reflex responses to noxious stimuli in spinal rats (Bradley & Headley, 1997). Kolesnikov and co-workers (1996) have also demonstrated that imidazoline receptors are responsible for the potentiation of intrathecal opioid analgesia. Moreover, BU-224 reduces the responsiveness of dorsal horn neurons to noxious stimuli, presumably by acting at I2-imidazoline receptors (Diaz et al., 1997). However, in an acute arthritis model, intrathecal RS-45041-190 was shown to be hyperalgesic. These observations suggest that spinal I2-imidazoline receptors control hyperexcitability in inflammation (Houghton & Westlund, 1996).
The putative I2-imidazoline agonists used in the study exhibited no antinociceptive or hyperalgesic effects by themselves, but were able to potentiate in a dose-dependent manner the supraspinal antinociception induced by morphine. This regulatory effect agrees with a previous study showing that a single dose of agmatine (10 mg kg−1, s.c.) enhances morphine antinociception in naive mice (Kolesnikov et al., 1996). However, in naive rats, agmatine and other I2-imidazoline ligands lack this effect (Boronat et al., 1998a). This discrepancy might be a consequence of species-related variations or may be due to the differences in experimental protocols used.
Despite the effort devoted to the study of imidazoline compounds and their receptors, it has remained uncertain whether ligands binding to this type of receptor display agonist or antagonist properties. However, the results of present work discriminate agonist and antagonist activities at the I2-receptors in the modulation of supraspinal opioid antinociception. The potentiation of morphine effects induced by I2-imidazoline agonists was completely reversed by the I2-imidazoline ligands idazoxan and BU-224. The possibility that idazoxan binds to I2-imidazoline receptors as an antagonist is of interest since it would account for the inefficacy of this compound to inhibit the MAO (Carpéné et al., 1995), and the inefficacy of GTP and its analogues to reduce [3H]-idazoxan binding at these I2-receptors (Langin et al., 1990; Zonnenschein et al., 1990).
The manner in which I2-imidazoline agonists influence opioid-induced antinociception is unclear. Certainly ATP-sensitive potassium channels seem to be implicated in the production of morphine antinociception (Ocaña et al., 1990), and several imidazolines are described as being able to block KATP currents, though by a mechanism not well understood (Sakuta & Okamoto, 1994). However, while the antinociceptive effect of morphine was antagonized by gliblenclamide, a compound which blocks ATP-sensitive potassium channels, I2-imidazoline compounds increased morphine analgesia. Thus, it is unlikely that the blockage of ATP-sensitive potassium channels by imidazolines can be directly related to the modulation of opioid antinociception. Still, the inhibition of MAO activity by imidazoline compounds could explain some biological effects of these substances. In fact, imidazoline ligands are reported to regulate certain processes in CNS that involve MAO activities (Tesson & Parini, 1991; Sastre & García-Sevilla, 1993). The present work reveals that the profile of imidazoline agonists in the modulation of morphine antinociception is much like that of the MAO-B inhibitor and the I2-imidazoline ligand, deprenyl. Administration to mice of this IMAO 30 to 60 min before the opioid results in MAO-B inhibition and an increase in morphine supraspinal analgesia (Fuentes et al., 1977; present work). However, another selective MAO-B inhibitor -but not an I2-imidazoline ligand- Ro 19-6327, lacked this effect on morphine antinociception. Also, clorgyline, an inhibitor of the MAO-A given 30 min before morphine, displayed no effect on morphine antinociception (Fuentes et al., 1977; present work). In addition, the present data show the quality of the effect of deprenyl on morphine analgesia to depend upon the dose employed and the interval allowed before the opioid is given. Twenty four hours after a single dose of deprenyl or clorgyline, which reduced the number of I2-imidazoline binding sites (Olmos et al., 1993), these MAO inhibitors did not alter morphine analgesia but blocked the potentiation induced by I2-imidazoline agonists on this opioid activity. Similar effects were obtained alkylating the I2-imidazoline receptors with IBI. These findings argue against a direct role for the MAO enzyme in the modulation of morphine antinociceptive effects.
An additional issue of interest is the participation of G proteins in the regulatory effect exerted by imidazoline compounds on morphine antinociception. That the binding of ligands to I2-imidazoline receptors is not affected by GTP apparently excludes coupling to G proteins. However, the blocking effect of pertussis toxin on the effects originated at I2 receptors suggests the involvement of G-proteins coupled receptors. Thus, the possibility exists that I2-imidazoline agonists release an endogenous substance that acts upon certain receptors of the G family. In this respect, 2-BFI causes transient increases of noradrenaline levels in some brain regions (Lalies & Nutt, 1995). Nevertheless, under the present experimental conditions, antagonists at the α2-adrenergic receptor failed to block the increase of morphine antinociception induced by I2-imidazoline agonists (not shown). It is well known that morphine supraspinal antinociception involves the activation of pertussis toxin-sensitive and -insensitive G protein classes (Sánchez-Blázquez et al., 1995; 1999; Garzón et al., 1997; 1998). Whether I2-imidazoline receptors couple to G-proteins or regulate the magnitude of certain Gi-Go protein signalling pathways activated by morphine remains to be seen.
In summary, the present study provides evidence of the involvement of I2-imidazoline receptors in the modulation of opioid analgesia. In addition, the data reveal that the potentiation of morphine antinociception induced by I2-imidazoline ligands (agonists) is completely reversed by co-treatment with idazoxan or BU-224. Therefore, this experimental approach allows both agonist and antagonist properties to be ascribed to these compounds at I2-imidazoline receptors. This indicates the involvement of a receptor-mediated mechanism for the action of I2-imidazoline compounds. These findings, together with those of previous studies, suggest that I2-imidazoline ligands (agonists) could be promising therapeutic co-adjuvants in the management of chronic pain with opioid drugs.
Acknowledgments
This work was supported by a grant UA 98–99 to the Associate Unit Instituto Cajal, CSIC-University of the Balearic Islands. J.A. García-Sevilla is a member of the Institut d'Estudis Catalans.
Abbreviations
- G proteins
GTP-binding proteins
- i.c.v.
intracerebroventricular
- MAO
monoamine oxidase
- s.c
subcutaneous
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