Serotonergic (5-HT) systems modulate
pain, and drugs acting on
5-HT systems are used with
opioids to treat
pain. This study examined the effects of
5-HT receptor agonists on the antinociceptive and discriminative stimulus effects of
morphine in monkeys.
Morphine increased tail-withdrawal latency in a dose-related manner;
5-HT receptor agonists alone increased tail-withdrawal latency at 50 °C but not 55 °C water. The antinociceptive effects of
morphine occurred with smaller doses when monkeys received an indirect-acting (
fenfluramine) or direct acting (8-
OH-DPAT,
F13714,
buspirone,
quipazine, DOM, and 2C-T-7) agonist. The role of
5-HT receptor subtypes in these interactions was confirmed with selective 5-HT(1A) (WAY100635) and 5-HT(2A) (MDL100907) receptor antagonists. None of the
5-HT drugs had
morphine-like discriminative stimulus effects; however,
fenfluramine and
5-HT(2A) receptor agonists attenuated the discriminative stimulus effects of
morphine and this attenuation was prevented by MDL100907. The
5-HT(1A) receptor agonists did not alter the discriminative stimulus effects of
morphine. Thus,
5-HT receptor agonists increase the potency of
morphine in an assay of antinociception, even under conditions where
5-HT agonists are themselves without effect (ie, 55 °C water), without increasing (and in some cases decreasing) the potency of
morphine in a drug discrimination assay. Whereas
5-HT(2A) receptor agonists increase the potency of
morphine for antinociception at doses that have no effect on the rate of operant responding,
5-HT(1A) receptor agonists increase the potency of
morphine only at doses that eliminate operant responding. These data suggest that drugs acting selectively on
5-HT receptor subtypes could help to improve the use of
opioids for treating
pain.