It has been hypothesized that tolerance to the analgesic effects of mo
rphine results from the development of a compensatory response in neur
ons that express the opioid receptor or in neural circuits in which th
ose neurons participate. The compensatory response establishes a sensi
tized state in these neurons, To determine if administration of a noxi
ous stimulus can unmask a sensitization of dorsal horn neurons in morp
hine-pelleted rats, we injected morphine-tolerant and control rats wit
h formalin into the plantar surface of the hindpaw, counted the number
of flinches for 2 h and then processed the lumbar cord for Fos immuno
cytochemistry. Although there was no significant difference in flinchi
ng behavior between the morphine-tolerant and control groups, we recor
ded significantly increased total Fos-like immunoreactivity at the L4/
5 and L2 segments both ipsilateral and contralateral to the site of fo
rmalin injection in the morphine-tolerant rats compared to the control
rats. These results suggest that lumbar spinal cord neurons are sensi
tized during the development of tolerance, that the sensitization can
be unmasked by the administration of a noxious stimulus and that it is
manifested as increased expression of the Fos protein in the lumbar c
ord. (C) 1997 Elsevier Science B.V.