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. 2020 Oct 24;11(10):809–835. doi: 10.5306/wjco.v11.i10.809

Table 9.

Immunological effects of opioids

Opioids Immunological effects
Morphine Decreased NK cell cytotoxicity[131]; Impaired intestinal barrier function[140]
Fentanyl and sufentanil Decreased NK cell cytotoxicity[141]; Inhibition of cellular and humoral immunity[141]
Tramadol Reverse the immunosuppression after surgery[142]

NK: Natural killer.