Although
morphine is a potent antinociceptive agent, its chronic use developed tolerance in
neuropathic pain (NP). Furthermore,
opioid antagonist naloxone attenuated the antinociceptive effect of
neuropeptide Y (NPY). The present study investigated the role of NPY and NPY Y1/Y5 receptors in acute and chronic actions of
morphine in neuropathic rats using thermal paw withdrawal test and immunocytochemistry. In acute study, intracerebroventricular (icv) administration of
morphine, NPY or NPY Y1/Y5 receptors agonist [
Leu(31),Pro(34)]-NPY produced antinociception, whereas selective NPY Y1 receptors antagonist
BIBP3226 caused
hyperalgesia. While NPY or [
Leu(31),Pro(34)]-NPY potentiated,
BIBP3226 attenuated
morphine induced antinociception. Chronic icv infusion of
morphine via osmotic minipumps developed tolerance to its antinociceptive effect, and produced
hyperalgesia following withdrawal. However, co-administration of NPY or [
Leu(31),Pro(34)]-NPY prevented the development of tolerance and withdrawal
hyperalgesia. Sciatic nerve
ligation resulted in significant increase in the NPY-immunoreactive (NPY-ir) fibers in ventrolateral periaqueductal gray (VLPAG) and locus coeruleus (LC); fibers in the dorsal part of dorsal raphe nucleus (DRD) did not respond. While chronic
morphine treatment significantly reduced NPY-ir fibers in VLPAG and DRD,
morphine withdrawal triggered significant augmentation in NPY-immunoreactivity in the VLPAG. NPY-immunoreactivity profile of LC remained unchanged in all the
morphine treatment conditions. Furthermore, removal of sciatic nerve
ligation reversed the effects of NP, increased pain threshold and restored NPY-ir fiber population in VLPAG. NPY, perhaps acting via Y1/Y5 receptors, might profoundly influence the processing of NP information and interact with the endogenous
opioid system primarily within the framework of the VLPAG.