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Cited by 437

The DOI matches its Crossref record; 59 of the 59 references it cites were found in a registry or an index.

Morphine hyperalgesia gated through microglia-mediated disruption of neuronal Cl− homeostasis

Open access
Ferrini, Francesco, Trang, Tuan, Mattioli, Theresa-Alexandra M, Laffray, Sophie, Del'Guidice, Thomas, Lorenzo, Louis-Etienne, Castonguay, Annie, Doyon, Nicolas, Zhang, Wenbo, Godin, Antoine G, Mohr, Daniela, Beggs, Simon, Vandal, Karen, Beaulieu, Jean-Martin, Cahill, Catherine M, Salter, Michael W, De Koninck, Yves·2013·Nature Neuroscience

Abstract

A major unresolved issue in treating pain is the paradoxical hyperalgesia produced by the gold-standard analgesic morphine and other opiates. We found that hyperalgesia-inducing treatment with morphine resulted in downregulation of the K+-Cl− co-transporter KCC2, impairing Cl− homeostasis in rat spinal lamina l neurons. Restoring the anion equilibrium potential reversed the morphine-induced hyperalgesia without affecting tolerance. The hyperalgesia was also reversed by ablating spinal microglia. Morphine hyperalgesia, but not tolerance, required μ opioid receptor–dependent expression of P2X4 receptors (P2X4Rs) in microglia and μ-independent gating of the release of brain-derived neurotrophic factor (BDNF) by P2X4Rs. Blocking BDNF-TrkB signaling preserved Cl− homeostasis and reversed the hyperalgesia. Gene-targeted mice in which Bdnf was deleted from microglia did not develop hyperalgesia to morphine. However, neither morphine antinociception nor tolerance was affected in these mice. Our findings dissociate morphine-induced hyperalgesia from tolerance and suggest the microglia-to-neuron P2X4-BDNF-KCC2 pathway as a therapeutic target for preventing hyperalgesia without affecting morphine analgesia.

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Metadata

Authors
Ferrini, F., Trang, T., Mattioli, T.-A. M., Laffray, S., Del'Guidice, T., Lorenzo, L.-E., Castonguay, A., Doyon, N., Zhang, W., Godin, A. G., Mohr, D., Beggs, S., Vandal, K., Beaulieu, J.-M., Cahill, C. M., Salter, M. W., & De Koninck, Y.
Venue
Nature Neuroscience
Published
2013-01-06
Volume
16
Issue
2
Pages
183-192
ISSN
  • 1097-6256 (ISSN-L)
  • 1546-1726
OpenAlex
W2021440104
Cited by
437
References
59
FWCI
27.13
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Morphine hyperalgesia gated through microglia-mediated disruption of neuronal Cl− homeostasis. https://app.cochat.ai/papers/10.1038/nn.3295
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Ferrini, F., Trang, T., Mattioli, T.-A. M., Laffray, S., Del'Guidice, T., Lorenzo, L.-E., Castonguay, A., Doyon, N., Zhang, W., Godin, A. G., Mohr, D., Beggs, S., Vandal, K., Beaulieu, J.-M., Cahill, C. M., Salter, M. W., & De Koninck, Y. (2013). Morphine hyperalgesia gated through microglia-mediated disruption of neuronal Cl− homeostasis. Nature Neuroscience. https://doi.org/10.1038/nn.3295

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.