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. 2022 Mar 30;23(7):3819. doi: 10.3390/ijms23073819

Table 2.

Effects of endogenous opioids on stem cell differentiation.

Opioids/Agonists Pre-Treatment Antagonists Opioid Receptor Cell Type Biological Effects Ref.
Neural Differentiation
DAMGO
U69,593
(10−7–10−6 M)
RA neuralinduction KOR-1
MOR-1
ESCs
(from mouse blastocyst)
ESCs
(from ICM of 3.5-day-old mouse)
MOR-1 and KOR-1 were expressed
in undifferentiated ESCs
and in RA-induced ESC-derived NPCs.
Both opioids induced ESC neuronal differentiation
activating ERK pathway.
[104]
DAMGO
U69,593
(10−6 M)
RA neural
induction
KOR
MOR
ESCs
(from mouse blastocyst)
Opioids reduced neurogenesis and astrogenesis
in RA-induced ESC-NPCs
through p38 MAPK and ERK pathways, respectively.
Opioids stimulated oligodendrogenesis via both ERK and
p38 signaling pathways.
[107]
DAMGO
SNC80
U50,488H
(10−7–3 × 10−5 M)
DOR
KOR
MOR
MEB5
(from 14.5-day-old mouse forebrains)
Only the DOR agonist SNC80 promoted neural differentiation. [110]
Neural
induction
Human
USSCs and BM-MSCs
Neural induction increased enkephalinergic markers
(Ikaros, CREBZF, and PENK), especially
in USSC-derived neuron-like cells.
PDYN expression was enhanced
in USSC-derived neuron-like cells.
[111]
Dynorphin-A
U50,488H
(10−6 M)
Neural
induction with opioid/
agonist
Nor-BNI
(10−5 M)
KOR NSCs
(from 8-week-old
mouse hippocampus)
NSCs expressed high levels of KOR.
Opioid treatment decreased neurogenesis by modulating Pax6/Neurog2/NeuroD1 activities
via upregulation of miR-7a expression.
Opioid treatment did not alter astrogenesis
and oligodendrogenesis.
Opioid treatment did not affect proliferation and apoptosis.
[113]
Morphine
(10−5 M)
Neural
induction
with opioid
NSCs
(from postnatal
p0 mouse hippocampus)
Morphine promoted neurogenesis,
increased apoptosis, and decreased total cell number
during the later stages of differentiation.
Morphine increased
glutathione/glutathione disulfide ratio and decreased S-adenosylmethionine/S-adenosylhomocysteine ratio.
[112]
Hematopoietic and Vascular Differentiation
Beta-endorphin
(1 to 1000 ng/mL)
Dynorphin
(1 ng/mL)
Leu-enkephalin
Met-enkephalin
(100 ng/mL)
EP (0.4 U/mL) induced erythropoiesis
with opioid
Mouse BM progenitor cells In the presence of EP, opioids enhanced BM progenitor
differentiation into CFU-e.
[114]
TRK820
U50,488H
(10−5 M)
Vascular induction KOR ESstA-ROSA
(engineered
mouse ESCs)
KOR agonists inhibited EC differentiation and
3D vascular formation in ESC-derived vascular progenitor cells.
KOR agonists decreased the expression of
Flk1 and NRP1 through inhibition of cAMP/PKA signaling in vascular progenitor cells.
[121]
Met-enkephalin
(10−14 to 10−8 M)
KOR
DOR
Mouse BM
progenitor cells
Met-enk upregulated the expression
of KOR and DOR in BM-derived DCs.
Met-enk induced BM-derived DCs
to differentiate mainly towards the mDC subtype.
Met-enk increased the expression
of MHC class II molecules and the release of
pro-inflammatory cytokines (IL-12p70, TNF-α).
[115]
Hematopoietic and Vascular Differentiation
Morphine
(10−4 M)
Naloxone
(10−4 M)
Rat NSCs Morphine reduced survival and clonogenicity,
negatively affecting tubulogenesis properties of NSCs
by the inhibition of neuro-angiogenesis trans-differentiation.
[123]
Cardiac Differentiation
Dynorphin-B
(10−9 to 10−6 M)
DMSO 1% KOR Mouse ESCs DMSO increased PDYN gene expression and dynorphin-B
synthesis and secretion.
Dynorphin-B elicited GATA-4 and Nkx-2.5 gene transcription and enhanced gene and protein expression of α-MHC and MLC-2V.
[136]
Dynorphin-B
(10−8 to 10−6 M)
Cardiac
induction
KOR GTR1-ESCs
(engineered mouse ESCs)
ESC plasma membranes and nuclei expressed
KOR-specific opioid binding sites.
ESC-derived cardiomyocytes showed an
increase in dynorphin-B around the nucleus.
Dynorphin-B induced an increase of GATA-4,
Nkx-2.5, and PDYN gene expressions
and promoted cardiogenesis by PKC signaling.
[138,139]
HBR cardiac induction
(0.75 mg/mL)
GTR1-ESCs
(engineered mouse ESCs)
HBR-induced ESC-derived cardiomyocytes enhanced
GATA-4, Nkx-2.5, and PDYN gene transcriptions and the
intracellular level of dynorphin-B.
[141]
ELF-MF
exposition during
cardiac
induction
(50 Hz, 0.8 m Trms)
GTR1-ESCs
(engineered mouse ESCs)
ELF-MF spontaneously induced cardiogenesis,
upregulating GATA-4, Nkx-2.5, and PDYN gene expression
and enhancing intracellular levels and secretion of dynorphin-B.
[146]
Cardiac Differentiation
REAC
exposition during
cardiac
induction
(MF of 2.4 and 5.5 GHz)
Mouse ESCs and
human ASCs
Both SCs committed to cardiac lineage and exposed to REAC
increased the expression of GATA-4, Nkx-2.5, and PDYN gene.
[147,148]
Dynorphin-B
(10−7 M)
Cardiac
induction
CPCs
(from 11.5-day-oldembryonic mouseventricles)
Dynorphin B promoted CPC differentiation into cardiomyocytes. [149]
Dynorphin-A
Dynorphin-B
Met-enkephalins
Leu-enkephalins
(10−5 M)
Cardiac
induction
DOR
KOR
Mouse ESCs Both DOR and KOR increased during ESC differentiation.
Dynorphin-B inhibited Oct-4
and increased Nkx-2.5 gene expression.
Dynorphin-A, met-enkephalins, and leu-enkephalinsdid not affect ESC differentiation.
[150]

DAMGO, [D-Ala2,MePhe4,Glyol5]-enkephalin; U69,593, N-methyl-2-phenyl-N-[(5R,7S,8S)-7-(pyrrolidin-1-yl)-1-oxaspiro[4.5]dec-8-yl]acetamide; RA, retinoic acid; KOR-1, κ opioid receptor isoform 1; MOR-1, μ opioid receptor isoform 1; ESCs, embryonic stem cells; ICM, inner cell mass; NPCs, neural progenitor cells; ERK, extracellular signal-regulated kinase; p38 MAPK, p38 mitogen-activated protein kinase; SNC80, [(+)-4-[(alphaR)-alpha-((2S,5R)-4-allyl-2,5-dimethyl-1-piperazinyl)-3-methoxybenzyl]-N,N-diethylbenzamide]; U50,488H, (–)-trans-(1S,2S)-U-50488 hydrochloride; Nor-BNI, nor-binaltorphimine; DOR, δ opioid receptor; MEB5, multipotent neural stem cells; USSCs, unrestricted somatic stem cells; BM-MSCs, bone marrow mesenchymal stem cells; Ikaros, IKAROS family zinc finger 1; CREBZF, CREB/ATF bZIP transcription factor; PENK, proenkephalin; PDYN, prodynorphin; NSCs, neural stem cells; Pax6, paired box 6; Neurog2, neurogenin 2; NeuroD1, neuronal differentiation 1; leu-enkephalin, leucine-enkephalin; met-enkephalin, methionine-enkephalin; EP, erythropoietin; CFU-e, colony-forming unit-erythroid; TRK820, 17-cyclopropylmethyl-3,14β-dihydroxy-4,5α-epoxy-6β-[N-methyl-trans-3-(3-furyl) acrylamido]morphinan hydrochloride; EC, endothelial cell; Flk1, fetal liver kinase 1/VEGF receptor 2; NRP1, neuropilin 1; cAMP, cyclic adenosine monophosphate; PKA, protein kinase A; DCs, dendritic cells; mDCs, myeloid dendritic cells; MHC, major histocompatibility complex; TNF-α, tumor necrosis factor alpha; IL-12p70, active heteodimer of interleukin 12. p53, tumor protein p53; DMSO, dimethyl sulfoxide; GATA-4, GATA binding protein 4; Nkx-2.5, Nkx homeobox 5; α-MHC, α-myosin heavy chain; MLC-2V, myosin light chain; PKC, protein kinase C; HBR, hyaluronan mixed esters of butyric and retinoic acids; ELF-MF, extremely low frequency magnetic fields; REAC, radio electric asymmetric conveyer; ASCs, adipose-derived mesenchymal stem cells; SCs, stem cells; CPCs, cardiac progenitor cells; Oct-4, octamer-binding transcription factor 4.