The first reported behavioral action of the endogenous ligand for the "orph
an" opioid receptor was a seemingly paradoxical increased sensitivity to no
ciception (i.e, hyperalgesia) after supraspinal injection into the cerebral
ventricles of mice. In the continuing absence of an appropriate in vivo re
ceptor antagonist, studies attempting to define the role of orphanin FQ/noc
iceptin (OFQ/N) in pain modulation and other behaviors have also featured c
entral injection of peptide. This article reviews the findings of such stud
ies. There appears to be concordance around the observation of anti-opioid
actions of supraspinally injected OFQ/N, whereas the observations of hypera
lgesia and/or analgesia are much less clear. A portion of the discrepant da
ta may be explained in terms of methodological issues, stress-induced analg
esia accompanying experimental protocols, and genotypic variation among sub
jects. Clarification of OFQ/N's role in nociception, as with other putative
biologic functions, will probably depend upon the availability of a select
ive receptor antagonist. (C) 2000 Elsevier Science Inc. All rights reserved
.