Sustained administration o
f opioids leads to antinociceptive tolerance, while prolonged association o
f L-type Ca
2+ channel blockers (e.g. nimodipine) with opioids results in increased antinociceptive response. Herein, we investigated the changes in μ-opioid receptor signalling underlying this shi
ft
from analgesic tolerance to supersensitivity. Thus, the interaction o
f μ-opioid receptors with G proteins and adenylyl cyclase was examined in lumbar spinal cord segments o
f rats. In control animals, the μ-opioid selective agonists, su
fentanil and DAMGO, stimulated [
35S]5′-(gamma-thio)-triphosphate ([
35S]GTPγS) binding and inhibited
forskolin-stimulated adenylyl cyclase activity, through a mechanism involving pertussis toxin (PTX) sensitive G
![](http://www.sciencedirect.com/scidirimg/entities/204e.gi<font color=)
f" alt="greek small letter alpha" title="greek small letter alpha" border="0">
i/o subunits. Seven days o
f chronic su
fentanil treatment developed antinociceptive tolerance associated with a reduction in μ-agonist-induced [
35S]GTPγS binding, μ-agonist-induced adenylyl cyclase inhibition, and co-precipitation o
f G
![](http://www.sciencedirect.com/scidirimg/entities/204e.gi<font color=)
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o, G
![](http://www.sciencedirect.com/scidirimg/entities/204e.gi<font color=)
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i2 G
![](http://www.sciencedirect.com/scidirimg/entities/204e.gi<font color=)
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z and G
![](http://www.sciencedirect.com/scidirimg/entities/204e.gi<font color=)
f" alt="greek small letter alpha" title="greek small letter alpha" border="0">
q11 subunits with μ-opioid receptors. In contrast, combined nimodipine treatment with su
fentanil over the same period increased the su
fentanil analgesic response. This antinociceptive supersensitivity was accompanied by a signi
ficant increase o
f μ-agonist-induced inhibition o
f adenylyl cyclase that was resistant to the antagonism by PTX. In good agreement, co-precipitation o
f the PTX-resistant, G
![](http://www.sciencedirect.com/scidirimg/entities/204e.gi<font color=)
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z and G
![](http://www.sciencedirect.com/scidirimg/entities/204e.gi<font color=)
f" alt="greek small letter alpha" title="greek small letter alpha" border="0">
q/11 subunits with μ-opioid receptors was not lowered. On the other hand, the PTX-sensitive subunits, G
![](http://www.sciencedirect.com/scidirimg/entities/204e.gi<font color=)
f" alt="greek small letter alpha" title="greek small letter alpha" border="0">
i2 and G
![](http://www.sciencedirect.com/scidirimg/entities/204e.gi<font color=)
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o, as well as agonist-stimulated [
35S]GTPγS binding were still reduced. Our results demonstrate that μ-opioid analgesic tolerance
follows uncoupling o
f spinal μ-opioid receptors
from their G proteins and linked e
ffector pathways. Conversely, the enhanced analgesic response
following combined nimodipine treatment with su
fentanil is associated with adenylyl cyclase supersensitivity to the opioid inhibitory e
ffect through a mechanism involving PTX-resistant G protein subunits.