Key result
Hypercapnia and hypoxia primarily activated nucleus tractus solitarius neurons that lack mu opioid receptor expression, indicating that opioid suppression of chemoreflexes is indirectly mediated.
Why the study?
Impaired chemoreflexes are central to opioid-induced respiratory depression, but the mechanism through which mu opioid receptor agonists diminish chemoreflexes is not fully understood.
Opioid-induced impairment of chemoreflexes in the NTS is likely mediated indirectly, as hypercapnia and hypoxia activate NTS neurons that largely lack mu opioid receptors.
Indirect opioid effects on chemoreflexes via NTS; extends mechanisms but leaves clinical translation open.
Impaired chemoreflex responses are a central feature of opioid-induced respiratory depression, however, the mechanism through which mu opioid receptor agonists lead to diminished chemoreflexes is not fully understood. One brainstem structure involved in opioid-induced impairment of chemoreflexes is the nucleus of the solitary tract (NTS), which contains a population of neurons that express mu opioid receptors. Here, we tested whether caudal NTS neurons activated during the chemoreflex challenge express mu opioid receptors and overlap with neurons activated by opioids. Using genetic labeling of mu opioid receptor-expressing neurons and cFos immunohistochemistry as a proxy for neuronal activation, we examined the distribution of activated NTS neurons following hypercapnia, hypoxia, and morphine administration. The main finding was that hypoxia and hypercapnia primarily activated NTS neurons that did not express mu opioid receptors. Furthermore, concurrent administration of morphine with hypercapnia induced cFos expression in non-overlapping populations of neurons. Together these results suggest an indirect effect of opioids within the NTS, which could be mediated through mu opioid receptors on afferents and/or inhibitory interneurons.
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Maletz et al. (2022) studied Opioid-induced respiratory depression. Hypercapnia, hypoxia, and morphine vs. Standard air and saline was evaluated on Co-expression of cFos and mu opioid receptors (tdTomato) in nucleus tractus solitarius neurons. Hypercapnia and hypoxia primarily activated nucleus tractus solitarius neurons that lack mu opioid receptor expression, indicating that opioid suppression of chemoreflexes is indirectly mediated.
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