European Journal of Pharmacology 446 (2002) 37 – 42
Antagonist-induced A-opioid receptor up-regulation decreases G-protein
receptor kinase-2 and dynamin-2 abundance in mouse spinal cord
Minesh Patel, Benedict Gomes, Chintan Patel, Byron C. Yoburn*
Department of Pharmaceutical Sciences, College of Pharmacy and Allied Health Professions, St. John’s University,
8000 Utopia Parkway, Queens, NY 11439, USA
Received 31 January 2002; received in revised form 7 May 2002; accepted 16 May 2002
Chronic treatment with opioid receptor antagonists has been shown to increase the density of A-, y- and n-opioid receptors in cell culture
and in the intact animal. Although opioid receptor antagonist-induced up-regulation is a robust phenomenon, the mechanisms responsible forthe increase in receptor density remain unclear. In the present study, changes in a kinase and a GTPase that have been implicated in G-protein-coupled receptor regulation were examined following opioid receptor antagonist treatment. Mice were implanted s.c. with analtrexone pellet or placebo pellet. On the eighth day following implantation, spinal cord was removed and G-protein receptor kinase-2(GRK-2) and dynamin-2 abundance were determined using a quantitative immunoblot approach. Changes in A-opioid receptor density werealso determined. Naltrexone treatment produced a significant (145%) increase in A-opioid receptor density. Naltrexone treatment wasassociated with a significant 36% decrease in GRK-2 and 30% decrease in dynamin-2 abundance in spinal cord. These data raise thepossibility that opioid receptor antagonist-induced A-opioid receptor up-regulation in the intact animal may be due to a reduction inconstitutive internalization of opioid receptors. D 2002 Elsevier Science B.V. All rights reserved.
Keywords: A-Opioid receptor; Naltrexone; Receptor up-regulation; Constitutive internalization; Dynamin-2; G-protein receptor kinase-2
of the new receptors remains unclear. A concurrent changein receptor density and gene expression (i.e., steady state
Treatment with opioid receptor agonists or antagonists
mRNA level) has not been reliably observed following
can regulate opioid receptor density as well as the potency
antagonist treatment (Duttaroy et al., 1999; Castelli et al.,
of opioid agonists. For example, chronic in vivo opioid
1997; Jenab et al., 1995; Unterwald et al., 1995; however,
receptor antagonist (e.g., naltrexone) treatment has been
see Brodsky et al., 1995). The increase in receptor density
shown to produce a robust increase in the density of A-, y-
without a change in receptor mRNA levels in vivo suggests
and n-opioid receptors (i.e., up-regulation) and a parallel
that increases in receptor density may not require the syn-
increase in the potency of opioid agonists (i.e., functional
thesis of the new receptors. These results are consistent with
supersensitivity) (Zukin et al., 1982, 1984; Yoburn et al.,
findings that an antisense oligodeoxynucleotide directed at
1986, 1995). Prolonged exposure (7 – 8 days) to an opioid
the A-opioid receptor does not interfere with opioid receptor
receptor antagonist is required to produce receptor up-
antagonist-induced A-opioid receptor up-regulation in vivo
regulation (Yoburn et al., 1986, 1989a,b), and functional
(Shah et al., 1997). Similarly, an in vitro study showed that
supersensitivity is proportional to the degree of up-regula-
antagonist-induced up-regulation was not blocked by inhib-
tion (Paronis and Holtzman, 1991; Yoburn et al., 1986,
iting protein synthesis with cycloheximide (Tempel et al.,
1986). Taken together, these data suggest that it is possible
While the density of opioid receptors reliably increases
that the opioid receptor antagonist-induced up-regulation
after chronic opioid receptor antagonist treatment, the origin
may be related to activation of a pre-existing pool of‘‘cryptic’’ receptors (Candido et al., 1992; Chan et al.,1995; Moudy et al., 1985; Unterwald et al., 1998) or a
decrease in receptor degradation (Belcheva et al., 1991).
Corresponding author. Tel.: +1-718-990-1623; fax: +1-718-990-6036.
E-mail address: [email protected] (B.C. Yoburn).
Early preliminary data also support opioid receptor antago-
0014-2999/02/$ - see front matter D 2002 Elsevier Science B.V. All rights reserved. PII: S 0 0 1 4 - 2 9 9 9 ( 0 2 ) 0 1 8 2 3 - X
M. Patel et al. / European Journal of Pharmacology 446 (2002) 37–42
nist-induced changes in constitutive receptor cycling (Evans
then the incubation was terminated by filtration of samples
et al., 1997). More recent studies with A-opioid receptor
over GF/B glass fiber filters (Brandel, Gaithersburg, MD).
splice variants have supported these suggestions that antag-
Filters were washed three times with cold phosphate buffer,
onist treatment interferes with constitutive internalization of
transferred to vials containing scintillation cocktail and then
A-opioid receptor (Koch et al., 2001).
counted. Counts per minute (CPMs) were converted to
G-protein receptor kinase-2 (GRK) and dynamin have
disintegration per minute (DPMs) using the external standard
been shown to play an important role in opioid agonist-
method. Protein was assayed using the Bradford method
induced receptor internalization (Whistler and von Zastrow,
(Bradford, 1976) with reagent purchased from Bio-Rad
1998; Zhang et al., 1998). These data raise the possibility
that opioid receptor antagonist-induced up-regulation maybe associated with alterations in the abundance or activity of
GRK and dynamin. Therefore, in the present study, weexamined GRK-2 and dynamin-2 abundance following
Mice (n=12/treatment) were sacrificed, spinal cords were
chronic opioid receptor antagonist treatment. We focused
removed and homogenized (Brinkman Polytron Homoge-
on the regulation of A-opioid receptors in spinal cord, since
nizer, 20,000 rpm, 30 s) in 2 ml lysis buffer [2% sodium
studies demonstrate opioid receptor antagonist-induced A-
dodecyl sulfate (SDS), 1 mM sodium orthovanadate, 12.5
opioid receptor up-regulation in spinal cord and there is
mM Tris (pH 7.4)], boiled for 5 min and centrifuged at
substantial support for spinal mediation of opioid effects
10,000 rpm for 10 min. The supernatant was removed for
analysis and protein concentration was determined (Brad-ford, 1976). An aliquot (four spinal cords/tube) of thesample (8 Al, 0.6 – 12 Ag protein) was loaded on polyacry-
lamide gels (Pager Gels 10% Tris – Glycine, BiowhittakerMolecular Applications, Rockland, ME) and subject to
electrophoresis at 150 V for 60 min. Transfer of protein toPVDF membrane (Bio-Rad, Hercules, CA) was carried out
Male, Swiss – Webster mice (24 – 28 g) from Taconic
at 100 V for 75 min. Nonspecific binding sites on the
Farms (Germantown, NY) were used in all experiments.
membrane were blocked by incubation (1 h, 24 jC) in
The animals were housed 10 per cage for at least 24 h prior
blocking buffer (1.5% BSA in Tris-buffered saline with
to experimentation with free access to food and water. Mice
Tween-20 (TBST): (25 mM Tris, 150 mM NaCl, 0.05%
Tween-20) for colorimetric assays; or Aurorak BlockingBuffer (ICN Biomedicals, Costa Mesa, CA) for chemilumi-
nescence assays), followed by incubation (1 h, 24 jC) withprimary antibody in appropriate blocking buffer [rabbit
Mice were implanted subcutaneously at the nape of the
polyclonal immunoglobulin G (IgG) for GRK-2 (1:200);
neck with an inert placebo pellet or a 15 mg naltrexone
goat polyclonal IgG for dynamin-2 (1:300); goat polyclonal
pellet for 8 days while mice were lightly anesthetized with
IgG for actin (1:300)] (Santa Cruz Biotechnology, Santa
halothane/oxygen (4:96). At the end of 8 days, mice were
Cruz, CA). Membranes were washed twice with blocking
killed and spinal cords were collected for receptor binding
buffer and then incubated (1 h, 24 jC) with secondary
antibody in TBST or in blocking buffer [anti-rabbit IgG-APfor GRK-2 (1:5000); anti-goat IgG-AP for dynamin-2
(1:5000); anti-goat IgG-AP for actin (1:5000)] (Santa CruzBiotechnology). Membranes for colorimetric assays were
Binding was performed as described previously (Yoburn
washed twice with TBST buffer followed by two quick
et al., 1995). Briefly, mice (n = 12/treatment) were sacrificed,
rinses with Tris-buffered saline (25 mM Tris, 150 mM
spinal cords were removed and homogenized in 80 volumes
NaCl). Membranes for chemiluminescence assays were
of cold 50 mM Tris buffer (pH—7.4). Homogenates were
washed thrice with blocking buffer followed by two quick
centrifuged at 15,000 rpm for 15 min, supernatants were
rinses with assay buffer (200 mM Tris – HCl, pH 9.8; 10
discarded and pellets were resuspended and incubated (30
mM MgCl2). Target proteins were visualized using the
min, 25 jC) in Tris buffer. Homogenates were centrifuged
Starlight alkaline phosphatase Chemiluminescent Assay
again and the pellets were finally resuspended in 50 mM
(Aurora, ICN Biomedicals) according to the manufacturer’s
phosphate buffer (pH 7.2). An aliquot of homogenate was
instructions. Target proteins were visualized for the colori-
assayed in triplicate in tubes containing 0.03 – 5 nM [3H] [D-
metric assay using 5-bromo-4-chloro-3-indolyl-phosphate
Ala2, N-MePhe4, Gly5-ol] enkephalin (DAMGO) (A-opioid
(BCIP) and nitroblue tetrazolium color development sub-
receptor ligand, New England Nuclear, Boston, MA). Non-
strate (Promega, Madison, WI) according to the manufac-
specific binding was determined in the presence of 1 AM
turer’s instructions. Chemiluminescence and colorimetric
levorphanol. Tubes were incubated for 90 min at 25 jC and
results were captured using a FluorChem ver. 2.0 Imaging
M. Patel et al. / European Journal of Pharmacology 446 (2002) 37–42
Differences between means were assessed using Stu-
dent’s t-test (P<0.05). BMAX and KD were estimated fromsaturation studies using nonlinear regression (Prism ver. 3.02, Graphpad Software, San Diego, CA). Binding datawas best fit by a one-site model.
3.1. Effects on GRK-2 and dynamin-2 abundance
Changes in the abundance of GRK-2 and dynamin-2 in
spinal cord were determined following chronic naltrexonetreatment. Western blotting of SDS-solubilized spinal cord
Fig. 1. Typical standard curves for GRK-2 (A) and dynamin-2 (B). Increasing amounts of total protein were loaded on polyacrylamide gels.
System (Alpha Innotech, San Leandro, CA) and imageswere then quantitated for optical density using GelPro ver. 3.0 (Media Cybernetics, Silver Spring, MD). All assays forGRK-2 and actin used chemiluminescence, while twoassays for dynamin-2 employed the colorimetric method.
A standard curve (minimum 4 points) using increasing
amounts (0.2 – 32 Ag) of untreated spinal cord sample wasincluded in each gel assay (dynamin-2, GRK-2, actin). Thisallowed conversion of optical density into valid estimates ofpercent changes in protein. All data are expressed in theseprotein equivalents. The standard curves were linear from0.2 to 32 Ag of total protein, which included the range ofoptical densities employed for the unknowns. Typicalchemiluminescent standard curves are shown in Fig. 1A(GRK-2: mean r2=0.87F0.05; six assays); Fig. 1B (dyna-min-2: mean r2=0.89F0.05; five assays) (actin: meanr2=0.98F0.01; five assays, data not shown). Results fromcolorimetric standard curves were similar.
Naltrexone (30 mg) and corresponding placebo pellets
Fig. 2. The effect of chronic naltrexone on GRK-2 and dynamin-2
were obtained from Research Triangle Institute (Research
abundance in spinal cord. Naltrexone (15 mg) and placebo pellets were
Triangle Park, North Carolina) through the Research Tech-
implanted subcutaneously for 8 days. At the end of the treatment, spinal
nology Branch of the National Institute on Drug Abuse. The
cords were removed and levels of GRK-2 and dynamin-2 were determinedusing Western blotting. Insets are representative blots for GRK-2 (A) and
pellets were cut in half (yielding 15 mg implants), weighed
dynamin-2 (B) (C=control; N=naltrexone). Data are meanFS.E.M. from
and then implanted. The pellets were wrapped in nylon
five or six independent experiments. *Significantly different from placebo
mesh before subcutaneous implantation.
M. Patel et al. / European Journal of Pharmacology 446 (2002) 37–42
cord (Shah et al., 1997). Although several mechanisms havebeen proposed, to date, the basis of this effect has remainedunknown. Among the possible substrates for opioid receptorantagonist-induced up-regulation are changes in transcrip-tion, recruitment of ‘‘cryptic’’ receptors and reduction inreceptor degradation in association with changes in receptorcycling.
Regulatory mechanisms involving increased transcrip-
tion are unlikely, since antagonist-induced A-opioid receptorup-regulation is not associated with changes in A-opioidreceptor mRNA levels (Duttaroy et al., 1999; Castelli et al.,1997; Jenab et al., 1995; Unterwald et al., 1995; however,see Brodsky et al., 1995). Similarly, up-regulation is prob-ably independent of translational changes since an antisenseoligodeoxynucleotide to the A-opioid receptor does notblock opioid receptor antagonist-induced A-opioid receptorup-regulation or supersensitivity in vivo (Shah et al., 1997);and the protein synthesis inhibitor, cycloheximide, does not
Fig. 3. Scatchard plot of specific [3H] DAMGO binding in spinal cord
interfere with receptor up-regulation in tissue culture (Tem-
homogenate from mice (n = 12) chronically treated subcutaneously with
pel et al., 1986). Taken together, these data do not support a
naltrexone or placebo pellet for 8 days. The KD and BMAX for placebo: 0.92
role for gene expression or protein synthesis in antagonist-
nM, 247F7 fmol/mg protein, and for naltrexone: 1.38 nM, 605F4 fmol/mg
induced opioid receptor up-regulation.
protein. The results are representative data from a single experiment.
Activation of a pre-existing pool of ‘‘cryptic’’ receptors
(Candido et al., 1992; Chan et al., 1995; Moudy et al.,
preparation indicated that chronic naltrexone treatment sig-
1985; Unterwald et al., 1998) has also been suggested to
nificantly (P<0.05) decreased the abundance of GRK-2
account for opioid receptor antagonist-induced up-regula-
(36%) and dynamin-2 (30%) in spinal cord as compared
tion. The cryptic receptor hypothesis was addressed using
to placebo group (Fig. 2A and B). A representative blot for
combined receptor autoradiography and immunohistochem-
each GRK-2 and dynamin-2 is shown in the insets in Fig.
istry in brain slices (Unterwald et al., 1998). The results are
2A and B. Immunoblot assay indicated no significant
generally consistent with a cryptic receptor hypothesis,
changes in actin abundance (data not shown).
since antagonist treatment induced greater magnitudeincreases in radioligand binding in more brain areas than
in immunoreactive protein. However, there were significantincreases in immunoreactive protein, and all changes in
In saturation binding, chronic naltrexone treatment pro-
binding could not be accounted for by unmasking of cryptic
duced significant (P<0.05) A-opioid receptor up-regulation
(BMAX=247F7 and 606F4, control and naltrexone, respec-
A preliminary study of opioid receptor antagonist-
tively) without altering affinity (KD=0.92 and 1.38, control
induced up-regulation in cells expressing A-opioid recep-
and naltrexone, respectively). A typical Scatchard plot is
tors raised the possibility of a reduction in constitutive
receptor cycling (Evans et al., 1997). More recently,studies of A-opioid receptor splice variants found thatnaloxone may act to stabilize membrane opioid receptors
by interfering with constitutive internalization (Koch et al.,2001). If opioid receptor antagonist-induced receptor up-
In the present study, naltrexone produced a significant
regulation involves a change in constitutive internalization,
increase in A-opioid receptor density in spinal cord and
then it might be expected that trafficking proteins would
decreased the abundance of GRK-2 and dynamin-2. These
be regulated by chronic antagonist treatment. Both GRK
data raise the possibility that down-regulation of cellular
and dynamin have been shown to be involved in internal-
trafficking proteins may mediate opioid receptor antagonist-
ization of the constitutively active mutants of many G-
protein-coupled receptors in vitro (Mhaouty-Kodja et al.,
Opioid receptor antagonist-induced receptor up-regula-
1999; Li et al., 2001; Pei et al., 1994). Furthermore,
tion is a robust phenomenon in the whole animal and in cell
numerous studies have shown that both GRK and dynamin
culture (Zukin et al., 1982, 1984; Yoburn et al., 1985, 1986;
play an important role in agonist-mediated receptor inter-
Yoburn, 1988; Unterwald et al., 1995). Up-regulation of A-
nalization of G-protein-coupled receptors including A-
opioid receptors has been demonstrated in many CNS
opioid receptors (Whistler and von Zastrow, 1998; Zhang
regions (e.g., Unterwald et al., 1995), including the spinal
M. Patel et al. / European Journal of Pharmacology 446 (2002) 37–42
Our data demonstrating down-regulation of GRK-2 and
1995. The effect of the irreversible mu-opioid receptor antagonist clo-
dynamin-2 by naltrexone support the role of inhibition of
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constitutive cycling in up-regulation. While opioid receptor
Duttaroy, A., Shen, J., Shah, S., Chen, B., Sehba, F., Carroll, J., Yoburn,
antagonist treatment may act to alter GRK-2 and dynamin-2
B.C., 1999. Opioid receptor upregulation in mu-opioid receptor defi-
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Evans, C.J., Keith Jr., D., Zaki, P., von Zastrow, M., 1997. Up-regulation of
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Male and Female Pattern Hair Loss: Etiology and Treatment Reprinted with permission. This article was first published in the Living Longer Health Courier February 2002 issue.The Living Longer Health Courier is a quarterly magazine published by the Proscan Imaging and Cincinnati Business Courier with support from the Carl and Edyth Lindner Center for Research and Education. Androgene
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