Role of the δ-Opioid Receptor in 2 Murine Models of Colitis.

Crohn disease and ulcerative colitis, collectively referred to as inflammatory bowel disease (IBD), are chronic inflammatory disorders of the gastrointestinal tract. Currently, the etiology of IBD is unknown, and immunosuppressive therapies have become the standard of care to reduce the inflammation; however, these agents only induce remission 50% of the time in patients and can have serious side effects. Recently, endogenous opioids and opioid receptors have been shown to play a role in the mediation of inflammation. In addition, opioid receptor blockade with a nonselective antagonist, naltrexone, has been shown to reduce colitis in both murine models and human subjects. The goal of the current study was to determine if the antiinflammatory effects of naltrexone are mediated through the delta (δ) opioid receptor. Male C57BL/6NCrl (6 to 8 wk.;n = 110) and female BALB/cAnNCrl (6-8 wk.; n = 91) mice were studied using 2 animal models of chemically induced colitis:dextran sodium sulfate (DSS) and 2, 4, 6-trinitrobenzenesulfonic acid (TNBS). The selective δ-receptor antagonists naltrindole and 7-benzylidenenaltrexone were administered to examine the role of the δ-opioid receptor in colonic inflammation. The quantitative measurement of colitis activity, colon weight and length, Hct, WBC count, and gross and microscopic aberrations were analyzed. Administration of naltrexone in the DSS colitis model significantly improved overall disease activity indices on day 5 of therapy. The use of δ-antagonists and naltrexone had limited to no effect on TNBS colitis. Similar findings were obtained by using the DSS colitis model. Based on the current findings, the authors conclude that naltrexone therapy has limited effect on the improvement of colitis in 2 murine models; however, the δ-opioid receptor was not responsible for mediating the effects.

[1]  B. Vrooman,et al.  Low-Dose Naltrexone (LDN)—Review of Therapeutic Utilization , 2018, Medical sciences.

[2]  L. Småbrekke,et al.  The Effect of Low-Dose Naltrexone on Medication in Inflammatory Bowel Disease: A Quasi Experimental Before-and-After Prescription Database Study , 2018, Journal of Crohn's & colitis.

[3]  A. Dalgleish,et al.  Naltrexone Inhibits IL-6 and TNFα Production in Human Immune Cell Subsets following Stimulation with Ligands for Intracellular Toll-Like Receptors , 2017, Front. Immunol..

[4]  Mahmoud M. Kamel,et al.  Evaluation of therapeutic effect of low dose naltrexone in experimentally-induced Crohn's disease in rats , 2016, Neuropeptides.

[5]  G. Kaplan,et al.  The global burden of IBD: from 2015 to 2025 , 2015, Nature Reviews Gastroenterology &Hepatology.

[6]  Y. Zhang,et al.  Pharmacological characterization of the opioid inactive isomers (+)‐naltrexone and (+)‐naloxone as antagonists of toll‐like receptor 4 , 2015, British journal of pharmacology.

[7]  L. Watkins,et al.  In vivo veritas: (+)-Naltrexone's actions define translational importance: A letter in response to Skolnick et al. 'Translational potential of naloxone and naltrexone as TLR4 antagonists'. , 2014, Trends in pharmacological sciences.

[8]  Nirmal Singh,et al.  A Review on Chemical-Induced Inflammatory Bowel Disease Models in Rodents , 2014, The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology.

[9]  J. Younger,et al.  The use of low-dose naltrexone (LDN) as a novel anti-inflammatory treatment for chronic pain , 2014, Clinical Rheumatology.

[10]  M. Platt,et al.  Crohn's disease: a review of treatment options and current research. , 2013, Cellular immunology.

[11]  J. Whistler,et al.  Pharmacological traits of delta opioid receptors: pitfalls or opportunities? , 2013, Psychopharmacology.

[12]  S. Devkota,et al.  Diet, microbes, and host genetics: the perfect storm in inflammatory bowel diseases , 2013, Journal of Gastroenterology.

[13]  L. Carbone Pain management standards in the eighth edition of the Guide for the Care and Use of Laboratory Animals. , 2012, Journal of the American Association for Laboratory Animal Science : JAALAS.

[14]  I. Zagon,et al.  Targeting opioid signaling in Crohn’s disease: new therapeutic pathways , 2011, Expert review of gastroenterology & hepatology.

[15]  I. Zagon,et al.  Low-dose naltrexone targets the opioid growth factor–opioid growth factor receptor pathway to inhibit cell proliferation: mechanistic evidence from a tissue culture model , 2011, Experimental biology and medicine.

[16]  Christopher O. McGovern,et al.  Therapy with the Opioid Antagonist Naltrexone Promotes Mucosal Healing in Active Crohn’s Disease: A Randomized Placebo-Controlled Trial , 2011, Digestive Diseases and Sciences.

[17]  C. Hofmann,et al.  4SC‐101, a novel immunosuppressive drug, inhibits IL‐17 and attenuates colitis in two murine models of inflammatory bowel disease† , 2010, Inflammatory bowel diseases.

[18]  P. Kosmidis,et al.  Colorectal cancer and inflammatory bowel disease: epidemiology, risk factors, mechanisms of carcinogenesis and prevention strategies. , 2009, Anticancer research.

[19]  Gang Lu,et al.  A γ-Tocopherol–Rich Mixture of Tocopherols Inhibits Colon Inflammation and Carcinogenesis in Azoxymethane and Dextran Sulfate Sodium–Treated Mice , 2009, Cancer Prevention Research.

[20]  M. Fischer,et al.  Toll‐like Receptors in Autoimmunity , 2008, Annals of the New York Academy of Sciences.

[21]  Christopher O. McGovern,et al.  The Opioid Antagonist Naltrexone Improves Murine Inflammatory Bowel Disease , 2008, Journal of immunotoxicology.

[22]  Moshe Rogosnitzky,et al.  Low-Dose Naltrexone Therapy Improves Active Crohn's Disease , 2007, The American Journal of Gastroenterology.

[23]  Stefan Wirtz,et al.  Chemically induced mouse models of intestinal inflammation , 2007, Nature Protocols.

[24]  M. Puig,et al.  Antiexudative Effects of Opioids and Expression of κ- and δ- Opioid Receptors during Intestinal Inflammation in Mice: Involvement of Nitric Oxide , 2006, Journal of Pharmacology and Experimental Therapeutics.

[25]  J. R. Palacio,et al.  The Expression of δ- and κ-Opioid Receptor Is Enhanced during Intestinal Inflammation in Mice , 2003, Journal of Pharmacology and Experimental Therapeutics.

[26]  G. Bouma,et al.  The immunological and genetic basis of inflammatory bowel disease , 2003, Nature Reviews Immunology.

[27]  Juan Zhang,et al.  Rapid development of colitis in NSAID-treated IL-10-deficient mice. , 2002, Gastroenterology.

[28]  I. Fuss,et al.  Induction of TNBS colitis in mice. , 2002, Current protocols in immunology.

[29]  H. Ogata,et al.  Animal models of inflammatory bowel disease , 2002, Journal of Gastroenterology.

[30]  F. Alameda,et al.  Inflammation enhances mu-opioid receptor transcription and expression in mice intestine. , 2001, Molecular pharmacology.

[31]  J. Wallace,et al.  Exacerbation of inflammation-associated colonic injury in rat through inhibition of cyclooxygenase-2. , 1996, The Journal of clinical investigation.

[32]  H. Cooper,et al.  Treatment of dextran sulfate sodium-induced murine colitis by intracolonic cyclosporin , 1993, Digestive Diseases and Sciences.

[33]  J. Wallace,et al.  Hapten-induced model of chronic inflammation and ulceration in the rat colon. , 1989, Gastroenterology.

[34]  E. Ruitenberg,et al.  The ‘Swiss roll’: a simple technique for histological studies of the rodent intestine , 1981, Laboratory animals.

[35]  S. Spampinato,et al.  Opioid Receptors , 2015, Methods in Molecular Biology.

[36]  Anupama Koneru,et al.  Endogenous Opioids: Their Physiological Role and Receptors , 2009 .

[37]  L. Fitzpatrick,et al.  In vitro and in vivo effects of gliotoxin, a fungal metabolite: efficacy against dextran sodium sulfate-induced colitis in rats. , 2000, Digestive diseases and sciences.

[38]  T. Ohkusa,et al.  A novel method in the induction of reliable experimental acute and chronic ulcerative colitis in mice. , 1990, Gastroenterology.

[39]  I. Leodolter [Crohn's disease]. , 1967, Wiener Zeitschrift fur innere Medizin und ihre Grenzgebiete.