Opioid analgesic tolerance is associated with a disruption in Ca++ homeosta
sis. Drugs reducing Ca++ influx can prevent and reverse tolerance. The hypo
thesis was tested that both Ca++ influx and mobilization from intracellular
pools maintains the expression of morphine tolerance. Ca++ modulating drug
s were injected ICV at doses not affecting morphine's potency in placebo pe
llet-implanted mice, in order to determine whether tolerance would be rever
sed in morphine pellet-implanted mice. The Ca++ chelator EGTA significantly
reversed tolerance. The Ca++ channel antagonists nifedipine and omega-cono
toxin GVIA also reversed tolerance. The role of intracellular Ca++ was inve
stigated using the membrane permeable intracellular Ca++ chelator EGTA-AM.
EGTA-AM reversed tolerance at lower morphine doses, but not at higher morph
ine doses. Thus, mobilization of intracellular Ca++ contributes to the expr
ession of tolerance. Finally, 1,4-dihydropyridine-sensitive Ca++ channels a
re known to stimulate Ca++-induced Ca++ release (CICR) from Ca++/caffeine-s
ensitive microsomal pools possessing ryanodine receptors. We examined wheth
er blocking Ca++ mobilization from these pools with ryanodine would reverse
morphine tolerance. Ryanodine's effects were similar to EGTA-AM. Tolerance
was reversed at lower morphine doses, but not at higher doses. Thus, morph
ine tolerance appears to be associated with increases in Ca++ influx and mo
bilization from Ca++/cafieine-sensitive pools. (C) 1999 Elsevier Science In
c.