Calcitonin is a peptide hormone secreted by the C-cells of the thyroid
gland. This hormone mainly acts in preventing bone resorption. Furthe
rmore, calcitonin is involved in other biological actions, and in part
icular it is able to relieve pain independently of its peripheral effe
cts on bone. Here, we examine the possible mechanisms of calcitonin-in
duced analgesia, with particular regard to the opioid system involveme
nt. Several studies in animals and in humans demonstrate that calciton
in increases plasma beta-endorphin levels, acting at the hypothalamic
and/or at the pituitary level, either directly or indirectly, through
monoaminergic neurotransmitters. However, this calcitonin-induced beta
-endorphin release has not always been observed. These different resul
ts are discussed, and a possible implication of sex and/or calcitonin
dose employed has been examined. We conclude that the analgesic effect
s of calcitonin are multifactorial, and beta-endorphin plays its own s
pecific role.