Activation of GLP-1 receptors attenuates oxycodone taking and seeking without compromising the antinociceptive effects of oxycodone in rats
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Despite the effectiveness of current medications to treat opioid use disorder, there is still a high rate of relapse following detoxification. Thus, there is critical need for innovative studies aimed at identifying novel neurobiological mechanisms that could be targeted to treat opioid use disorder. A growing body of preclinical evidence indicates that glucagon-like peptide-1 (GLP-1) receptor agonists reduce drug reinforcement. However, the efficacy of GLP-1 receptor agonists in attenuating opioid-mediated behaviors has not been thoroughly investigated. Using recently established models of opioid-taking and -seeking behaviors, we showed that systemic administration of the GLP-1 receptor agonist exendin-4 reduced oxycodone self-administration and the reinstatement of oxycodone-seeking behavior in rats. We also identified behaviorally selective doses of exendin-4 that reduced opioid-taking and -seeking behaviors and did not produce adverse feeding effects in oxycodone-experienced rats. To identify a central site of action, we showed that systemic exendin-4 penetrated the brain and bound putative GLP-1 receptors on dopamine D1 receptor- and dopamine D2 receptor-expressing medium spiny neurons in the nucleus accumbens shell. Consistent with our systemic studies, infusions of exendin-4 directly into the accumbens shell attenuated oxycodone self-administration and the reinstatement of oxycodone-seeking behavior without affecting ad libitum food intake. Finally, exendin-4 did not alter the analgesic effects of oxycodone, suggesting that activation of GLP-1 receptors attenuated opioid reinforcement without reducing the thermal antinociceptive effects of oxycodone. Taken together, these findings suggest that GLP-1 receptors could serve as potential molecular targets for pharmacotherapies aimed at reducing opioid use disorder.
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For opioid dependence, exenatide reduced oxycodone intake, but not morphine intake, and liraglutide reduced heroin intake in rodents.
“For opioid dependence, exenatide reduced oxycodone intake, 114 but not morphine intake, 115 and liraglutide reduced heroin intake 116 in rodents, indicating some heterogeneity regarding the type of opioid drug.”
From GLP-1 receptor agonists and next-generation incretin-based medications: metabolic, cardiovascular, and renal benefits (2026) · cites this paper as [114]
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- Authors
- Zhang, Y., Kahng, M. W., Elkind, J. A., Weir, V. R., Hernandez, N. S., Stein, L. M., & Schmidt, H. D.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Schmidt, Heath D.
- Venue
- Neuropsychopharmacology
- Published
- 2019-10-03
- Volume
- 45
- Issue
- 3
- Pages
- 451-461
- ISSN
- 0893-133X (ISSN-L)
- 1740-634X
- PMC
- PMC6969180
- OpenAlex
- W2978410069
- Cited by
- 92
- References
- 68
- Citations by year
- 2026: 24 · 2025: 21 · 2024: 11 · 2023: 10 · 2022: 12 · 2021: 10 · 2020: 4
- FWCI
- 3.10
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Neuropsychopharmacology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Jeane B. Kempner postdoctoral fellowship from the University of Texas Medical Branch
- U.S. Department of Health & Human Services | NIH | National Institute on Drug Abuse (DA037897, DA045792)
- Dr. Dorothy Mereness Endowed Research Fund through a Faculty Grant Award in the School of Nursing at the University of Pennsylvania.
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- GLP-1 receptor agonists, exendin-4, opioid use disorder, reinstatement of drug seeking, nucleus accumbens shell, dopamine D1 receptor, dopamine D2 receptor, medium spiny neurons, antinociception, drug reinforcement, pharmacotherapy targets
- MeSH terms
- Glucagon-Like Peptide-1 Receptor, Glucagon-Like Peptide-1 Receptor Agonists, Analgesics, Analgesics, Opioid, Animals, Dose-Response Relationship, Drug, Male, Oxycodone, Pain Measurement, Rats, Sprague-Dawley, Rats, Rats, Transgenic, Drug-Seeking Behavior
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