摘要

Background. Tolerance to the analgesic effect of opioids complicates the management of persistent pain states. We tested whether the intrathecal infusion of small interfering RNA (siRNA) against beta-arrestin 2 would reduce tolerance to chronic morphine use and the severity of precipitated morphine withdrawal. Methods. Intrathecal beta-arrestin 2 (2 mu g siRNA per 10 mu l per rat) was injected once daily for 3 days. Rats then received a continuous intrathecal infusion of morphine (2 nmol h(-1)) or saline for 7 days. Daily tail-flick (TF) and intrathecal morphine challenge tests were performed to assess the effect of intrathecal beta-arrestin 2 siRNA on antinociception and tolerance to morphine. Naloxone withdrawal (2mg kg(-1)) was performed to assess morphine dependence. Results. In the daily TF test, the antinociception of intrathecal morphine was increased and maintained in rats receiving beta-arrestin 2 siRNA compared with the control group (morphine alone). In the probe response test, rats receiving morphine infusion with beta-arrestin 2 siRNA treatment showed a significant left shift in their dose-response curve, as measured by per cent maximal possible effect (MPE), such that the AD(50) was significantly decreased by a factor of 5.6 when compared with that of morphine-infused rats. In the naloxone-induced withdrawal tests, rats receiving beta-arrestin 2 siRNA injection with morphine infusion showed a significant reduction in four of the six signs of withdrawal. Conclusions. We show here that intrathecal beta-arrestin 2 siRNA in rats enhances analgesia and attenuates naloxone-induced withdrawal symptoms. This may warrant further investigation in the context of long-term use of intrathecal opioids for controlling chronic pain.