An Emerging New Paradigm in Opioid Withdrawal: A Critical Role for Glia-Neuron Signaling in the Periaqueductal Gray

The chronic use of opiates (i.e., narcotics such as the natural derivatives of opium including morphine or codeine) or opioids (i.e., semisynthetic derivatives of opium and other molecules that activate opioid receptors) induces dependence, which is associated with various specific behavioral and so...

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Main Authors: Handong Ouyang, Shue Liu, Weian Zeng, Roy C. Levitt, Keith A. Candiotti, Shuanglin Hao
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/940613
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author Handong Ouyang
Shue Liu
Weian Zeng
Roy C. Levitt
Keith A. Candiotti
Shuanglin Hao
author_facet Handong Ouyang
Shue Liu
Weian Zeng
Roy C. Levitt
Keith A. Candiotti
Shuanglin Hao
author_sort Handong Ouyang
collection DOAJ
description The chronic use of opiates (i.e., narcotics such as the natural derivatives of opium including morphine or codeine) or opioids (i.e., semisynthetic derivatives of opium and other molecules that activate opioid receptors) induces dependence, which is associated with various specific behavioral and somatic signs after their withdrawal or after the administration of an opioid antagonist. Among the brain regions implicated in opiate dependence and withdrawal, the periaqueductal gray area (PAG) appears to be critical in regulating the complex signs and symptoms of opioid withdrawal. Numerous neurochemical mechanisms in the PAG have been identified that may contribute to the opioid withdrawal syndrome. Accumulating evidence suggests that glial activation leading to the release of proinflammatory molecules acting on neurons is important in the complex syndrome of opioid dependence and withdrawal. This paper focuses on the recent advances in our understanding of the vital role that glia-neuron interactions play in opioid dependence and withdrawal within the PAG. We summarize those neurochemical mechanisms associated with opioid withdrawal including the recently defined importance of TNFα release from activated glial cells that communicate with TNF receptors on PAG neurons.
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institution Kabale University
issn 1537-744X
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publishDate 2012-01-01
publisher Wiley
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series The Scientific World Journal
spelling doaj-art-69efb8557e1f4c00bdb1c6a047e3ea632025-02-03T01:26:17ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/940613940613An Emerging New Paradigm in Opioid Withdrawal: A Critical Role for Glia-Neuron Signaling in the Periaqueductal GrayHandong Ouyang0Shue Liu1Weian Zeng2Roy C. Levitt3Keith A. Candiotti4Shuanglin Hao5Department of Neurology, University of Michigan Medical School, Ann Arbor, MI 48109, USADepartment of Neurology, University of Michigan Medical School, Ann Arbor, MI 48109, USADepartment of Anesthesiology, State Key Laboratory of Oncology on Southern China, Cancer Center, Sun Yat-Sen University, Guangzhou 510060, ChinaDepartment of Anesthesiology, University of Miami Miller School of Medicine, Miami, FL 33136, USADepartment of Anesthesiology, University of Miami Miller School of Medicine, Miami, FL 33136, USADepartment of Neurology, University of Michigan Medical School, Ann Arbor, MI 48109, USAThe chronic use of opiates (i.e., narcotics such as the natural derivatives of opium including morphine or codeine) or opioids (i.e., semisynthetic derivatives of opium and other molecules that activate opioid receptors) induces dependence, which is associated with various specific behavioral and somatic signs after their withdrawal or after the administration of an opioid antagonist. Among the brain regions implicated in opiate dependence and withdrawal, the periaqueductal gray area (PAG) appears to be critical in regulating the complex signs and symptoms of opioid withdrawal. Numerous neurochemical mechanisms in the PAG have been identified that may contribute to the opioid withdrawal syndrome. Accumulating evidence suggests that glial activation leading to the release of proinflammatory molecules acting on neurons is important in the complex syndrome of opioid dependence and withdrawal. This paper focuses on the recent advances in our understanding of the vital role that glia-neuron interactions play in opioid dependence and withdrawal within the PAG. We summarize those neurochemical mechanisms associated with opioid withdrawal including the recently defined importance of TNFα release from activated glial cells that communicate with TNF receptors on PAG neurons.http://dx.doi.org/10.1100/2012/940613
spellingShingle Handong Ouyang
Shue Liu
Weian Zeng
Roy C. Levitt
Keith A. Candiotti
Shuanglin Hao
An Emerging New Paradigm in Opioid Withdrawal: A Critical Role for Glia-Neuron Signaling in the Periaqueductal Gray
The Scientific World Journal
title An Emerging New Paradigm in Opioid Withdrawal: A Critical Role for Glia-Neuron Signaling in the Periaqueductal Gray
title_full An Emerging New Paradigm in Opioid Withdrawal: A Critical Role for Glia-Neuron Signaling in the Periaqueductal Gray
title_fullStr An Emerging New Paradigm in Opioid Withdrawal: A Critical Role for Glia-Neuron Signaling in the Periaqueductal Gray
title_full_unstemmed An Emerging New Paradigm in Opioid Withdrawal: A Critical Role for Glia-Neuron Signaling in the Periaqueductal Gray
title_short An Emerging New Paradigm in Opioid Withdrawal: A Critical Role for Glia-Neuron Signaling in the Periaqueductal Gray
title_sort emerging new paradigm in opioid withdrawal a critical role for glia neuron signaling in the periaqueductal gray
url http://dx.doi.org/10.1100/2012/940613
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