Potentiation of rat lymphocyte proliferation by novel non-peptidic synthetic opioids
-
Upload
diana-caballero-hernandez -
Category
Documents
-
view
216 -
download
1
Transcript of Potentiation of rat lymphocyte proliferation by novel non-peptidic synthetic opioids
www.elsevier.com/locate/intimp
International Immunopharmaco
Potentiation of rat lymphocyte proliferation by novel non-peptidic
synthetic opioids
Diana Caballero-Hernandeza, Richard J. Weberb, Mary E. Hicksb, Reyes Tamez-Guerraa,
Cristina Rodrıguez-Padillaa, Patricia Tamez-Guerraa, Kenner C. Ricec,
Subramaniam Ananthand, Ricardo Gomez-Floresa,TaDepartamento de Microbiologıa e Inmunologıa, Facultad de Ciencias Biologicas, Universidad Autonoma de Nuevo Leon,
San Nicolas de los Garza, NL, MexicobDepartment of Biomedical and Therapeutic Sciences, UIC College of Medicine, Peoria, IL, United States
cLaboratory of Medicinal Chemistry, NIDDK, NIH, Bethesda, MD, United StatesdOrganic Chemistry Department, Southern Research Institute, Birmingham, Alabama 35255, United States
Received 27 May 2004; received in revised form 23 August 2004; accepted 16 March 2005
Abstract
Opioids represent a major source of relief for acute and chronic, moderate to severe nonmalignant pain. However, opioid abuse
may cause immunosuppression leading to infections and cancer development. Recently we reported results on novel non-peptidic
delta- and mu-selective opioids that induced immunopotentiation in vitro and ex vivo. In the present study, we investigated the
effects of the delta agonist SNC 80, and mu agonists, naltrindole and naltrexone derivatives for their capacity to alter
lymphoproliferation in vitro. They were observed to stimulate lymphoproliferation at concentrations ranging from 10�10 to 10�5
M. SNC 80 significantly ( p b0.05) stimulated (43–311%) proliferation of resident and concanavalin A (Con A)-treated
lymphocytes; the naltrindole derivatives 9332 and 9333 caused significant ( p b0.05) 26–47% and 13–43%, respectively,
stimulation of Con A-treated lymphoproliferation; whereas the naltrexone derivatives 9334 and 9336 significantly ( p b0.05)
stimulated 9–40% and 15–69%, respectively, proliferation of resident and Con A-treated lymphocytes. These novel opioid ligands
could serve as immunotherapeutic agents by increasing the pool of lymphocytes with potential use in the treatment of infectious
diseases including AIDS. This study provides evidence of the relationship structure/function of opioids on lymphoproliferation,
and supports further evaluation of opioids with immunomodulatory potential in preclinical and clinical studies.
D 2005 Elsevier B.V. All rights reserved.
Keywords: SNC 80; Naltrindole derivatives; Naltrexone derivatives; Non-peptide opioids; y-opioid agonist; A-opioid agonists;
Lymphoproliferation
1567-5769/$ - s
doi:10.1016/j.in
T Correspondi
10x6453; fax: +
E-mail addr
logy 5 (2005) 1271–1278
ee front matter D 2005 Elsevier B.V. All rights reserved.
timp.2005.03.009
ng author. Loma Panoramica #321-1, Colonia Loma Larga, Monterrey, Nuevo Leon, Mexico, C.P. 64710. Tel.: +52 83 29 41
52 83 52 42 12.
ess: [email protected] (R. Gomez-Flores).
D. Caballero-Hernandez et al. / International Immunopharmacology 5 (2005) 1271–12781272
1. Introduction
There has been recent interest in investigating the
effects of opioids on the immune system, particularly,
if it pertains to the association of infectious diseases
such as AIDS, with intravenous drug abuse. Opioids
include opium, morphine, heroin, codeine, meperi-
dine, and methadone. All of these relax the central
nervous system and have similar sleep-inducing and
narcotic (pain-relieving) effects. Heroin is the most
commonly abused opioid drug in the United States;
there is an estimated 400,000–600,000 heroin addicts
in the U.S. alone. It is known that over time, opioid
users who inject the drug may develop infections of
the heart lining and valves, skin abscesses, and lung
congestion. Infections can lead to hepatitis, tetanus,
liver disease, and HIV transmission [1], and alter-
ations of immune parameters also have been reported
among drug abusers [2–4]. In this respect, immuno-
logic dysfunction in heroin addicts has been docu-
mented since 1974 [5]. In AIDS patients, cell-
mediated immunity is usually impaired; however, in
late stages of the disease, both the cell- and antibody-
mediated immune responses start failing, and lymph
node atrophy results. It is recognized that virtually all
drugs with abuse potential have central actions and
many abused drugs have immunosuppressive effects
leading to infectious diseases [6–11].
A significant reduction in the absolute number and
percentage of total and active T lymphocytes in the
peripheral blood of opiate addicts and T-cell rosette
formation was early reported [12]. Brown et al. (1974)
also reported impaired in vitro lymphoproliferative
responses to the mitogens PHA, concavanalin A, and
pokeweed mitogen in heroin addicts [5], whereas
Brugo et al. (1983) demonstrated a significant
reduction of PHA response of lymphocytes in
methadone patients [13]. In addition, Fecho et al.
(2000) demonstrated that heroin induced a dose-
dependent, naltrexone-reversible suppression of the
concanavalin A-stimulated proliferation of rat T cells
and lipopolysaccharide-stimulated proliferation of B
cells [14]. Furthermore, Wang et al. (2002) showed
that chronic morphine treatment in mice resulted in a
significantly two- to three-fold inhibition of thymic,
splenic, and lymph node cellularity, inhibition of
thymic–lymphocyte proliferation, and inhibition of
IL-2 synthesis [15].
Novel opioid compounds have been synthesized
that have analgesic capacity, but lack immunosup-
pressive effects or even potentiate immune function
[16–19]. In this respect, Nowak et al. (1998) reported
that the non-peptide agonist SNC 80, a y-opioidligand, did not alter NK cell, lymphocyte, and
macrophage functions following intracerebroventricu-
lar administration in Fischer 344N male rats [16].
However, in these animals, intravenous administration
of SNC 80 was associated with ex vivo immunopo-
tentiation, following an activating challenge [18]. In
addition, we reported that novel non-peptide naltrin-
dole derivatives and the tetrahydroquinoline CGPM-9
possess immunoenhancing properties in vitro [17,19].
Additionally, we have observed that heroin self-
administration altered immune function, leading to
evidence of infection, followed by chronic activation
of innate immune function, cachexia, and weight loss
[20].
Although, data may suggest that opioids are
involved in the individual cell-mediated immune
response [5,12,15–20], our understanding of the
effects of opioids on the immune system is incom-
plete. It is necessary to better understand the structure/
function relationship of opioids involved on immu-
nomodulation associated with susceptibility/resistance
to diseases.
The present study was undertaken to evaluate the
in vitro effect of SNC 80, and naltrindole and
naltrexone derivatives on proliferation of rat lympho-
cytes. We observed potent lymphoproliferative activ-
ities of these opioids.
2. Material and methods
2.1. Reagents, culture media, and cell lines
Penicillin–streptomycin solution, l-glutamine,
ficoll-hypaque solution, trypsin–EDTA solution,
and RPMI 1640 media were obtained from Life
Technologies (Grand Island, NY). Fetal bovine
serum (FBS), concanavalin A (Con A), sodium
dodecyl sulfate (SDS), N, N-dimethylformamide
(DMF), PBS, and 3-[4,5-dimethylthiazol-2-yl]-2,5-
diphenyltetrazolium bromide (MTT) were purchased
from Sigma Chemical Co. (St. Louis, MO).
Extraction buffer was prepared by dissolving 20%
D. Caballero-Hernandez et al. / International Immunopharmacology 5 (2005) 1271–1278 1273
(wt /vol) SDS at 37 8C in a solution of 50% each
DMF and demineralized water, and the pH was
adjusted to 4.7.
2.2. Drugs
The synthetic opioids (+)-4-((alpha R) 9-alpha-((2S,
5R)-4-allyl-2, 5-dimethyl-1-piperazinyl)-3-methoxy-
benzil)-N, N-diethyl-benzamide, SNC 80 (+); nal-
trindole derivatives: phenoxynaltrindole (9332) and
6V-Hydroxynaltrindole, (9333); and the benzylidene-
naltrexone derivatives: 6,7-5V, 6V-pyridomorphinan, 17-
(cyclopropylmethyl)-6,7-dehydro-4,5a-epoxy,3,14-di-
hydroxy-1V2V-dihydro-2Voxo-3;-cyano-4Vphenyl (9334)
and 6, 7-2V,3V-quinolinomorphinan, 17-(cyclopropyl-
methyl)-6,7-didehydro-3,14h-dihydro-4,5a-epoxy-4V-phenyl (9336); were provided by K.C. Rice and
Subramaniam Ananthan.
2.3. Animals
Sprague–Dawley male rats (200–220 g) were
purchased from Harlan Sprague–Dawley, Inc. (Indian-
apolis, IN). They were kept in a pathogen- and stress-
free environment at 24 8C, under a light–dark cycle
(light phase, 06:00–18:00 hours), and given water and
food ad libitum. Animals were euthanized by asphyx-
iation in 100% CO2 chamber.
2.4. Cell preparation and culture
Thymus was removed immediately after rat death,
and a single cell-suspension was prepared by disrupt-
ing the organ in RPMI 1640 medium as previously
reported [21]. The cell suspension was washed three
times in this medium, suspended and adjusted to
1�107 cells/ml in AIM-V medium. Because serum
has been reported to potentiate immune function [22],
the culture medium was changed at this step to AIM-
V medium, a serum-free medium capable of support-
ing cell culture [23].
2.5. T cell proliferation assay
T cell proliferation was determined by a colori-
metric technique using MTT [24]. Thymic cell
suspensions (100 Al of 1�107 cells/ml) were added
to flat-bottomed 96-well plates (Becton Dickinson)
containing triplicate cultures (100 Al) of AIM-V
medium (unstimulated control) or opioid derivatives
at various concentrations, in the presence or absence
of 0.6, 1.2 and 2.4 Ag/ml of concanavalin A (the
mitogen was added 6 h prior to the addition of the
opioids, from time–course experiments (data not
shown)) for 48 h at 37 8C in 95% air–5% CO2
atmosphere. After incubation for 44 h at 37 8C with
5% CO2, MTT (0.5 mg/ml, final concentration) was
added, and cultures were additionally incubated for 4
h. Cell cultures were then incubated for 16 h with
extraction buffer (100 Al), and optical densities,
resulting from dissolved formazan crystals, were then
read in a microplate reader (Bio-Tek Instruments, Inc.,
Winooski, VT) at 540 nm. The lymphocyte prolifer-
ation index (LPI) was calculated as follows:
LPI ¼ A540 in opioid-treated cells
A540 in untreated cells
2.6. Statistical analysis
The results were expressed as meanFSEM of the
response of 3 replicate determinations from three
independent experiments. Level of significance was
assessed by Dunnet’s t test.
3. Results
3.1. Effect of non-peptidic opioids on
lymphoproliferation
SNC 80 significantly ( p b0.05) stimulated 73%,
56%, 56%, and 56% proliferation of resident, Con A-
untreated, lymphocytes at 10�8, 10�7, 10�6, and
10�5 M respectively; stimulated 47%, 43%, and 51%
proliferation of Con A (1.2 Ag/ml)-treated lympho-
cytes at 10-9, 10�8, and 10�7 M respectively; and
stimulated 310%, 311%, 290%, and 173% prolifer-
ation of Con A (2.4 Ag/ml)-treated lymphocytes at
10�9, 10�8, 10�7, and 10�6 M respectively, as
compared with SNC 80-untreated control (Fig. 1).
Combination of SNC 80 at 10�5 M plus Con A at 0.6
and 1.2 Ag/ml caused significant 9% and 44% toxicity,
respectively (Fig. 1). The compound 9332 signifi-
cantly ( p b0.05) stimulated 30%, 27%, and 41%
10-11 10-10 10-9 10-8 10-7 10-6 10-50,0
0,5
1,0
1,5
2,0
2,5
3,0
**
** **
****
Lym
phoc
yte
prol
ifera
tion
inde
x UntreatedCon A (0.6 µg/ml)Con A (1.2 µg/ml)Con A (2.4 µg/ml)
9332 (M)
Fig. 2. Lymphoproliferation induced by 9332. Rat thymic cel
suspensions were incubated in the presence or absence of various
concentrations of 9332 and Con A, after which lymphoproliferation
was measured colorimetrically, as explained in the text. Data
represent meansFSE of triplicate determinations from three
independent experiments. *p b0.05 (Dunnet’s test) compared with
9332-untreated control. Lymphocyte proliferation index=A540 in
opioid-treated cells /A540 in untreated cells. Optical density values
for proliferation of 9332-untreated controls were 0.30F0.02
0.41F0.04, 0.42F0.03, and 0.42F0.02 for untreated and 0.6
1.2, and 2.4 Ag/ml Con A-treated cells, respectively.
10-11 10-10 10-9 10-8 10-7 10-6 10-50.0
0.5
1.0
1.5
2.0
**
***
*
Lym
phoc
yte
prol
ifera
tion
inde
x Untreated controlCon A 0.6 µg/mlCon A 1.2 µg/mlCon A 2.4 µg/ml
9333 (M)
Fig. 3. Lymphoproliferation induced by 9333. Rat thymic cel
suspensions were incubated in the presence or absence of various
concentrations of 9333 and Con A, after which lymphoproliferation
was measured colorimetrically, as explained in the text. Data
represent meansFSE of triplicate determinations from three
independent experiments. *p b0.05 (Dunnet’s test) compared with
9333-untreated control. Lymphocyte proliferation index=A540 in
opioid-treated cells /A540 in untreated cells. Optical density values
for proliferation of 9333-untreated controls were 0.29F0.06
0.54F0.04, 0.55F0.06, and 0.52F0.07 for untreated and 0.6
1.2, and 2.4 Ag/ml Con A-treated cells, respectively.
10-11 10-10 10-9 10-8 10-7 10-6 10-50
1
2
3
4
5
6
*
**
**** ***
***
Lym
phoc
yte
prol
ifera
tion
inde
x UntreatedCon A (0.6 µg/ml)Con A (1.2 µg/ml)Con A (2.4 µg/ml)
SNC 80 (M)
Fig. 1. Lymphoproliferation induced by SNC 80. Rat thymic cell
suspensions were incubated in the presence or absence of various
concentrations of SNC 80 and Con A, after which lymphoprolifera-
tion was measured colorimetrically, as explained in the text. Data
represent meansFSE of triplicate determinations from three
independent experiments. *p b0.05 (Dunnet’s test) compared with
SNC 80-untreated control. Lymphocyte proliferation index=A540 in
opioid-treated cells /A540 in untreated cells. Optical density values
for proliferation of SNC 80-untreated controls were 0.17F0.05,
0.28F0.09, 0.53F0.20, and 0.35F0.12 for untreated and 0.6, 1.2,
and 2.4 Ag/ml Con A-treated cells, respectively.
D. Caballero-Hernandez et al. / International Immunopharmacology 5 (2005) 1271–12781274
proliferation of Con A (1.2 Ag/ml)-treated lympho-
cytes at 10�8, 10�7, and 10 �6 M, respectively; and
stimulated 26%, 34%, 41%, 46%, and 47% prolifer-
ation of Con A (2.4 Ag/ml)-treated lymphocytes at
10�10, 10�9, 10�8, 10�7, and 10�6 M respectively,
as compared with 9332-untreated control (Fig. 2). The
opioid 9332 at 10�5 M alone or in combination with
Con A at 0.6, 1.2, and 2.4 Ag/ml caused 55%, 59%,
58%, and 55% toxicity, respectively (Fig. 2). The
compound 9333 significantly ( p b0.05) stimulated
13%, 24%, 35%, 37%, 43%, and 28% proliferation of
Con A (2.4 Ag/ml)-treated lymphocytes at 10�10,
10�9, 10�8, 10�7, 10�6, and 10�5 M, respectively, as
compared with 9333-untreated control (Fig. 3). The
opioid 9334 significantly ( pb0.05) stimulated 16%,
21%, 17%, 22%, 19%, and 14% proliferation of
resident, Con A-untreated lymphocytes; stimulated
9%, 10%, 11%, 12%, 17%, and 24% proliferation of
Con A (0.6 Ag/ml)-treated lymphocytes; stimulated
16%, 26%, 33%, 38%, 30%, and 32% proliferation of
Con A (1.2 Ag/ml)-treated; and stimulated 22%, 36%,
39%, 40%, 35%, and 34% proliferation of Con A (2.4
Ag/ml)-treated lymphocytes, at 10�10, 10�9, 10�8,
10�7, 10�6, and 10�5 M, respectively, as compared
with 9334-untreated control (Fig. 4); and 9336
l
,
,
significantly ( p b0.05) stimulated 15%, 25%, 24%,
24%, and 25% proliferation of resident, Con A-
untreated lymphocytes at 10�10, 10�9, 10�8, 10�7,
l
,
,
10-11 10-10 10-9 10-8 10-7 10-6 10-50.0
0.5
1.0
1.5
2.0
2.5
**** **** **
**** **** **
**** ***
* ***
Lym
phoc
yte
prol
ifera
tion
inde
x Untreated controlCon A 0.6 µg/mlCon A 1.2 µg/mlCon A 2.4 µg/ml
9336 (M)
Fig. 5. Lymphoproliferation induced by 9336. Rat thymic cel
suspensions were incubated in the presence or absence of various
concentrations of 9336 and Con A, after which lymphoproliferation
was measured colorimetrically, as explained in the text. Data
represent meansFSE of triplicate determinations from three
independent experiments. *p b0.05 (Dunnet’s test) compared with
9336-untreated control. Lymphocyte proliferation index=A540 in
opioid-treated cells /A540 in untreated cells. Optical density values
for proliferation of 9336-untreated controls were 0.32F0.05
0.46F0.02, 0.52F0.04, and 0.55F0.05 for untreated and 0.6
1.2, and 2.4 Ag/ml Con A-treated cells, respectively.
D. Caballero-Hernandez et al. / International Immunopharmacology 5 (2005) 1271–1278 1275
and 10�6 M respectively; stimulated 19%, 19%, 24%,
28%, 45%, and 62% proliferation of Con A (0.6 Ag/ml)-treated lymphocytes at 10�10, 10�9, 10�8, 10�7,
10�6, and 10�5 M respectively; stimulated 25%,
31%, 32%, 51%, and 62% proliferation of Con A (1.2
Ag/ml)-treated at 10�9, 10�8, 10�7, 10�6, and 10�5
M, respectively; and stimulated 21%, 48%, 51%,
48%, 69%, and 54% proliferation of Con A (2.4 Ag/ml)-treated lymphocytes, at 10�10, 10�9, 10�8, 10�7,
10�6, and 10�5 M, respectively, as compared with
9336-untreated control (Fig. 5).
3.2. Effect of Con A on opioid-induced
lymphoproliferation
The use of Con A at 2.4 Ag/ml was observed to
increase the lymphoproliferative response to opioids.
In this respect, Con A significantly ( p b0.05) increased
SNC 80-induced lymphoproliferation at concentrations
ranging from 10�11 to 10�6 M, as compared with SNC
80-treated control response (Fig. 1), whereas Con A at
1.2 Ag/ml, significantly ( p b0.05) increased 9332-
induced lymphoproliferation at concentrations of
10�8, 10�7, and 10�6 M, as compared with 9332-
treated control response (Fig. 2). Similarly, Con A at
10-11 10-10 10-9 10-8 10-7 10-6 10-50.0
0.5
1.0
1.5
2.0
2.5
**********************
*****
***
****
Lym
phoc
yte
prol
ifera
tion
inde
x Untreated controlCon A 0.6 µg/mlCon A 1.2 µg/mlCon A 2.4 µg/ml
9334 (M)
Fig. 4. Lymphoproliferation induced by 9334. Rat thymic cell
suspensions were incubated in the presence or absence of various
concentrations of 9334 and Con A, after which lymphoproliferation
was measured colorimetrically, as explained in the text. Data
represent meansFSE of triplicate determinations from three
independent experiments. *p b0.05 (Dunnet’s test) compared with
9334-untreated control. Lymphocyte proliferation index=A540 in
opioid-treated cells /A540 in untreated cells. Optical density values
for proliferation of 9334-untreated controls were 0.26F0.01,
0.43F0.04, 0.49F0.03, and 0.52F0.02 for untreated and 0.6,
1.2, and 2.4 Ag/ml Con A-treated cells, respectively.
l
,
,
2.4 Ag/ml, significantly ( pb0.05) increased 9332-
induced lymphoproliferation at concentrations ranging
from 10�10to 10�6, as compared with 9332-treated
control response (Fig. 2). In addition, Con A at 2.4 Ag/ml, significantly ( p b0.05) increased 9333-induced
lymphoproliferation at concentrations of 10�10–10�6
M, as compared with 9333-treated control response
(Fig. 3). Furthermore, Con A at 2.4 Ag/ml, significantly
( p b0.05) increased 9334-induced lymphoprolifera-
tion at 10�8, as compared with 9334-treated control
response (Fig. 4). In addition, Con A at 0.6 Ag/ml,
significantly ( p b0.05) increased 9336-induced lym-
phoproliferation at concentrations of 10�6 and 10�5
M, as compared with 9336-treated control response
(Fig. 5). Similarly, Con A at 2.4 Ag/ml, significantly
( p b0.05) increased 9336-induced lymphoprolifera-
tion at concentrations ranging from 10�9 to 10�5,
as compared with 9336-treated control response
(Fig. 5).
4. Discussion
In the present study, we demonstrated the potential
of mu and delta non-peptidic opioids to stimulate
lymphocyte proliferation. We observed that SNC 80
D. Caballero-Hernandez et al. / International Immunopharmacology 5 (2005) 1271–12781276
was more potent than the naltrindole and naltrexone
derivatives to stimulate lymphoproliferation (up to
311%, 47%, and 69% increases, respectively,
compared with untreated control). Opioid-mediated
lymphoproliferation was partially reversed by the
opioid antagonists CTOP and naltrexone (data not
shown). The concept of functionally coupled A and
y opioid receptors might explain the immunoenhanc-
ing effect of these opioids as well as the ability of
CTOP and naltrexone to partially block their effects.
Since these compounds are selective but not specific
for a type of opioid receptor, more investigation is
needed to determine their mechanism of action. In
addition, we showed that Con A significantly
potentiated opioid-induced lymphocyte proliferation
(Figs. 1–5). Stimulation of proliferation of rat
thymocytes in vitro has been reported to be
triggered by suboptimal concentrations of Con A
[25]. Potentiation of Con A-induced proliferation by
opioids may be due to upregulation of opioid
receptors on these cells. Although this remains to
be elucidated, others have shown that mu-, delta-
and kappa-opioid receptor selective agonists are
potent in vitro stimulators of mitogen-induced
proliferation of murine T lymphocytes [26], which
has been suggested to be related to upregulation of
opioid receptor expression upon lymphocyte activa-
tion by Con A [27,28]. We have previously reported
that intravenous administration of SNC 80 was
associated with ex vivo immunopotentiation, follow-
ing an activating challenge with Con A [18];
however, the ex vivo synergistic effect of naltrindole
and naltrexone derivatives plus a lymphocyte-acti-
vating agent remains to be elucidated.
Opioids are recognized for modulating some
aspects of immune function [6–10]. A number of
research groups have importantly contributed to the
growing pool of information suggesting direct and
indirect roles of opioids and immune function,
particularly as this association relates to infectious
diseases [29–31]. On this regard, morphine and
methadone have been reported to enhance HIV
infection of macrophages through the downregula-
tion of beta-chemokine production and upregulation
of CCR5 receptor expression [29,30]. The immu-
nosuppressive effects of the morphine following in
vivo administration were early shown to be
mediated by opioid receptors found within the
central nervous system [6,8,11,32]. Although the
major effect of strong mu agonists in vivo is
immunosuppressive and indirect, direct effects in
vitro of peptidic and novel non-peptidic opioids are
well substantiated [21,32]. Paradoxically, the direct
effect of certain opioids on leukocytes can enhance,
suppress, or have no effect on in vitro and in vivo
parameters of immune function. Eisenstein et al.,
have previously demonstrated that opioids directly
affect cellular and humoral immune functions
though classical opioid receptors [33]. This research
group has shown that mu, kappa, and delta opioid
receptors were associated with regulating of lym-
phoid cell production of antibodies [34]. In
addition, it was shown that mu-, delta-, and
kappa-opioid agonists can stimulate chemotaxis in
T lymphocytes which is crucial in inflammatory
processes [9,35]. Novel opioid compounds have
been synthesized that have analgesic capacity, but
lack immunosuppressive effects or even potentiate
immune function [16–19]. Our previous have
shown that tyrosylamido-6-benzyl-1,2,3,4 tetrahy-
droquinoline (CGPM-9) enhanced rat thymic lym-
phocyte proliferative response to concanavalin A, in
a CTOP-reversible manner [19]. More recently, we
observed that morphinans with substituted pyrimi-
dine (methyl, phenyl, hydroxyl, and amino groups)
and pyrazole groups potentiated Con A-induced
thymic cell proliferation (unpublished observations).
Additionally, Nowak et al., (1998) reported that the
delta opioid agonist SNC 80 did not alter NK cell,
lymphocyte, and macrophage functions following
intracerebroventricular administration [16]. How-
ever, intravenous administration of SNC 80 was
associated with ex vivo immunopotentiation, fol-
lowing an activating challenge [18]. Sharp et al.
demonstrated that SNC 80 inhibited HIV-1 expres-
sion, probably acting on delta opioid receptors on T
cells [36]. The same research team recently showed
the adjuvant properties of naltrexone in potentiating
retroviral drugs-induced anti-HIV activity in CD4+
lymphocyte cultures [37]. These in vitro findings
supported the therapeutic potential of opioids for
treating patients with acquired immunodeficiency
syndrome.
In contrast to the observed immunopotentiating
effect of SNC 80, naltrindole and naltrexone
derivatives in the present study, D’Ambrosio et al.
D. Caballero-Hernandez et al. / International Immunopharmacology 5 (2005) 1271–1278 1277
(2004), recently showed that naltrindole derivatives
at 10�5 M, suppressed proliferation of human
lymphocytes stimulated with mitogens, the antigen
PPD, the anti-CD3 monoclonal antibodies, the
superantigen Staphylococcus aureus Cowan strain
1, and alloantigens in the mixed lymphocyte [38].
Our experimental differences may be mainly related
to the type of opioids, the source of lymphocytes,
the type and concentration of the opioid and co-
stimulatory agents, and the cell stimulation period.
Interestingly, we found that combination of SNC 80
at 10�5 M plus Con A (Fig. 1), and the opioid
9332 at 10�5 M alone or in combination with Con
A (Fig. 2), were significantly toxic for lympho-
cytes. Clinical consequences of opioid-mediated
immunosuppression directly affects incidence of
infections, particularly in intravenous opioid addicts
[5].
The diversity of the opioid pharmacopeia,
expanding knowledge of opioid receptor structure
and ligand binding properties, and current expertise
in opioid medicinal chemistry, have provided us
with compounds with immunotherapeutic potential,
as well as pharmacologic tools for investigation of
how the immune system is naturally controlled and
regulated through opiatergic mechanisms. The clin-
ical use of properly designed and synthesized
opioid ligands could serve as immunotherapeutic
agents with potential use in the treatment of
infectious diseases including AIDS, and cancer. In
addition, because surgical stress also induces
immune dysfunction, the search for analgesic drugs
devoid of immunosuppressive effects is of import.
It is clear that knowledge of how opioids produce
direct effects on the immune system may allow the
discovery, design and synthesis of new opioids that
have specific immunoregulatory properties. Future
research should then provide a clearer understand-
ing of the cellular and molecular targets of opioid
action within the immune system, as well as
intracellular signaling activity [39]. The develop-
ment of highly selective, site-specific designer
drugs and innovative gene-therapies may enhance
opioid function, and suppress negative effects on
immune function and drug dependence. Therapeutic
intervention targeted on the opioid pathways will
potentially enrich the quality of life of suffering
individuals.
Acknowledgment
This study was supported by grants I-32914-N and
CN-285-00 (PAICYT) from Consejo Nacional de
Ciencia y Tecnologıa, and Universidad Autonoma
de Nuevo Leon, Mexico, respectively.
References
[1] Friedman H, Newton C, Klein TW. Microbial infections,
immunomodulation, and drugs of abuse. Clin Microbiol Rev
2003;16:209–19.
[2] Rouveix B. Opiates and immune function. Consequences on
infectious diseases with special reference to AIDS. Therapie
1992;47:503–12.
[3] Sibinga NE, Goldstein A. Opioid peptides and opioid
receptors in cells of the immune system. Annu Rev Immunol
1988;6:219–49.
[4] Carr DJ, Rogers TJ, Weber RJ. The relevance of opioids and
opioid receptors on immunocompetence and immune homeo-
stasis. Proc Soc Exp Biol Med 1996;213:248–57.
[5] Brown SM, Stimmel B, Taub RN, Kochwa S, Rosenfield RE.
Immunologic dysfunction in heroin addicts. Arch Int Med
1974;134:1001–6.
[6] Weber RJ, Gomez-Flores R, Smith JE, Martin TJ. Immune,
neuroendocrine, and somatic alterations in animal models of
human heroin abuse. J Neuroimmunol 2004;147:134–7.
[7] Band LC, Pert A, Williams W, de Costa BR, Rice KC, Weber
RJ, et al. Central A-opioid receptors mediate suppression of
natural killer activity in vivo. Progr Neuroimmunoendocrinol-
ogy 1992;5:95–100.
[8] Gomez-Flores R, Weber R. Opioids, opioid receptors, and the
immune system. In: Plotnikoff NP, Faith RE, Murgo AJ, Good
RA, editors. Cytokines—stress and immunity. Boca Raton7
CRC Press; 1999. p. 281–314.
[9] Rogers TJ, Taub DD, Eisenstein TK, Geller EB, Adler MW.
Immunomodulatory activity of kappa-, mu-, and delta-selec-
tive opioid compounds. NIDA Res Monogr 1991;105:82–8.
[10] House RV, Thomas PT, Kozak JT, Bhargava HN. Suppression
of immune function by non-peptidic delta OR antagonists.
Neurosci Lett 1995;198:119–22.
[11] Shavit Y, Terman GW, Martin FA, Lewis JW, Liebeskind JC,
Gale RP, et al. Stress, opioid peptides, the immune system, and
cancer. J Immunol 1985;135:834s–7s.
[12] McDonough RJ, Madden JJ, Falek A, Shafer DA, Pline M,
Gordon D, et al. Alteration of T and null lymphocyte
frequencies in the peripheral blood of human opiate addicts:
in vivo evidence for opiate receptor sites on T lymphocytes. J
Immunol 1980;125:2539–4253.
[13] Brugo MA, Guffanti A, Guzzetti S, Pedretti D, Stringhetti M,
Confalonieri F, et al. Difference in the behavior of T-
lymphocyte populations in heroin and methadone addicts.
Boll Ist Sieroter Milan 1983;62:517–23.
[14] Fecho K, Nelson CJ, Lysle DT. Phenotypic and functional
assessments of immune status in the rat spleen following acute
heroin treatment. Immunopharmacology 2000;46:193–207.
D. Caballero-Hernandez et al. / International Immunopharmacology 5 (2005) 1271–12781278
[15] Wang J, Charboneau R, Balasubramanian S, Barke RA, Loh
HH, Roy S. The immunosuppressive effects of chronic
morphine treatment are partially dependent on corticosterone
and mediated by the mu-opioid receptor. J Leukoc Biol 2002;
71:782–90.
[16] Nowak JE, Gomez-Flores R, Calderon SN, Rice KC, Weber
RJ. Rat NK cell, T cell, and macrophage functions following
intracerebroventricular injection of SNC 80. J Pharmacol Exp
Ther 1998;286:931–7.
[17] Riley ME, Ananthan S, Weber RJ. Novel non-peptidic opioid
compounds with immunopotentiating effects. Adv Exp Med
Biol 1998;437:183–7.
[18] Gomez-Flores R, Weber RJ. Increased nitric oxide and TNF-a
production by rat macrophages following in vitro stimulation
and intravenous administration of SNC 80. Life Sci 2001;68:
2675–84.
[19] Hicks ME, Gomez-Flores R, Wang C, Mosberg H, Weber RJ.
Differential effects of the novel non-peptidic opioid 4-
tyrosylamido-6-benzyl-1,2,3,4 tetrahydroquinoline (CGPM-9)
on in vitro T lymphocyte and macrophage functions. Life Sci
2001;68:2685–94.
[20] Weber RJ, Gomez-Flores R, Smith JE, Martin TJ. Immune,
neuroendocrine, and somatic alterations in animal models of
human heroin abuse. J Neuroimmunol 2004;147:134–7.
[21] Gomez-Flores R, Weber RJ. Inhibition of IL-2 production and
downregulation of IL-2 and transferrin receptors on rat splenic
lymphocytes following PAG morphine administration: a role
in NK and T cell suppression. J Cytokine Interferon Res 1999;
19:625–30.
[22] Chen T, Scott E, Morrison DC. Differential effects of serum on
lipopolysaccharide receptor-directed macrophage activation
for nitric oxide production. Immunol Lett 1994;40:179–87.
[23] Kaldjian EP, Chen GH, Cease KB. Enhancement of lympho-
cyte proliferation assays by use of serum-free medium.
J Immunol Methods 1992;147:189–95.
[24] Solis-Maldonado C, Quintanilla-Licea R, Tamez-Guerra R,
Rodrıguez-Padilla C, Gomez-Flores R. Differential effects of
synthetic indoloquinolizines on in vitro rat lymphocyte and
macrophage functions. Int J Immunopharmacol 2003;3:
1261–71.
[25] Colic M, Gasic S, Vucevic D, Pavicic L, Popovic P, Jandric D,
et al. Modulatory effect of 7-thia-8-oxoguanosine on prolifer-
ation of rat thymocytes in vitro stimulated with concanavalin
A. Int J Immunopharmacol 2000;22:203–12.
[26] Kowalski J. Immunomodulatory action of class mu-, delta- and
kappa-opioid receptor agonists in mice. Neuropeptides 1998;
32:301–6.
[27] Miller B. Delta opioid receptor expression is induced by
concanavalin A in CD4+ T cells. J Immunol 1996;157:
5324–8.
[28] Bidlack JM, Abraham MK. Mitogen-induced activation of
mouse T cells increases kappa opioid receptor expression. Adv
Exp Med Biol 2001;493:103–10.
[29] Guo CJ, Li Y, Tian S, Wang X, Douglas SD, Ho WZ.
Morphine enhances HIV infection of human blood mono-
nuclear phagocytes through modulation of beta-chemokines
and CCR5 receptor. J Investig Med 2002;50:435–42.
[30] Li Y, Wang X, Tian S, Guo CJ, Douglas SD, Ho WZ, et al.
Methadone enhances human immunodeficiency virus infection
of human immune cells. J Infect Dis 2002;185:118–22.
[31] Eisenstein LK, MacFarland AS, Peng X, Hilburger ME,
Rahim RT, Meissler Jr LJ, et al. Effect of opioids on oral
Salmonella infection and immune function. Adv Exp Med
Biol 2001;493:169–76.
[32] Gomez-Flores R, Weber RJ. Differential effects of buprenor-
phine and morphine on immune and neuroendocrine functions
following acute administration in the rat mesencephalon
periaqueductal gray. Immunopharmacology 2000;48:145–56.
[33] Eisenstein TK, Meissler Jr JJ, Rogers TJ, Geller EB, Adler
MW. Mouse strain differences in immunosuppression by
opioids in vitro. J Pharmacol Exp Ther 1995;275:1484–9.
[34] Rahim RT, Meissler Jr JJ, Cowan A, Rogers TJ, Geller EB,
et al. Administration of mu-, kappa- or delta2-receptor agonists
via osmotic minipumps suppresses murine splenic antibody
responses. Int J Immunopharmacol 2001;1:2001–9.
[35] Ordaz-Sanchez I, Weber RJ, Rice KC, Zhang X, Rodrıguez-
Padilla C, Tamez-Guerra R, et al. Chemotaxis of human and
rat leukocytes by the delta-selective non-peptidic opioid SNC
80. Rev Latinoam Microbiol 2003;45:14–23.
[36] Sharp BM, McAllen K, Gekker G, Shahabi NA, Peterson PK.
Immunofluorescence detection of delta opioid receptors
(DOR) on human peripheral blood CD4+ T cells and DOR-
dependent suppression of HIV-1 expression. J Immunol 2001;
167:1097–102.
[37] Gekker G, Lokensgard JR, Peterson PK. Naltrexone poten-
tiates anti-HIV-1 activity of antiretroviral drugs in CD4+
lymphocyte cultures. Drug Alcohol Depend 2001;64:257–63.
[38] D’Ambrosio A, Noviello L, Negri L, Schmidhammer H,
Quintieri F. Effect of novel non-peptidic delta opioid receptor
antagonists on human T and B cell activation. Life Sci 2004;
75:163–75.
[39] Burford NT, Wang D, Sadee W. G-protein coupling of mu-
opioid receptors (OP3): elevated basal signaling activity.
Biochem J 2000;348:531–7.