&Bti m. -mhJP- ELSEVIER PXI Psych(clt1997.Vol. 21. pp. 997-1018 Copyr&ht0 1997Elswkr Scknce Inc. PllntedinthcusA. AlllIghted 0278-6846/97$32.00+ a0 soa7?Hs846(97)ooo94-8 EFFECT OF ISOLATION ON PAIN THRESHOLD DIFFERENT EFF’ECTS OF MORPHINE JEAN-PIERRE COUDEREAU, AND ON CLAIRE MONIER, JEAN-MARIE HENRIETTE BOURRE and FRANCES INSERM U 26 - Hhpital Fernand Widal - Paris, France (Final form, April 1997) Abstract Coudereau, Jean-Pierre, Effect of isolation Claire Monier, on pain threshold Neuro-Psychopharmacol. 1. Q Biol. Psychiat.1997. The effect of three periods of isolation on the pain treshold 2. Jean-Marie The pain threshold 2L. effects Frances: of morphine. pp. 997-1018. Prog. 0 1997 Ekevier %ence (8, 15 and 30 days ) were studied in mice and the sensitivity was unchanged Bourre and Henriette and on different to morphine. after 8 and 15 days of isolation but increased after 30 days of isolation. 3. The analgesic but increased 4. The tolerance isolation effect of morphine was unchanged after 8 and 15 days of isolation after 30 days of isolation. to morphine but increased analgesia was unchanged after 30 days of isolation reduced). 997 after 8 and 15 days of (morphine-induced analgesia was IX J.-P. Coudereau et al. 998 5. The physical unchanged on morphine induced after 8 and 15 days of isolation It 6. dependence is suggested metabolism/absorption that but decreased isolation of morphine by precipitated may in a different withdrawal was after 30 days of isolation. modify the way according metabolism the as the treatment is unique or chronic. : analgesia, Keywords dependence, mice, morphine, nociception, social isolation, tolerance. Introduction Isolation as : in rodents increased enhancement (Valzelli, aggression, of the locomotor decreased activity, learning, alteration modifications, decreased of the reactivity conditioning, to external of neurochemical experiments mechanisms catecholaminergic serotonergic (Valzelli, (Valzelli Modifications were focused underlying on isolation the ; in neurophysiological particular, the role of 1979, Yanai and Sze, 1983 ; Coudereau et al, systems (Simler et al, 1982 ; Oehler et al, 1985). of the opioid system are also induced by isolation. It was observed mice (Bonnet et al., 1976) and in rats (Schenk et al., 1982) a significant receptors and 1978 ; Frances et al, 1980 ; Oehler et al, 1985, 1987) and Bernasconi, 1995) and GABAergic increased stimuli et al, 1996). number opioid such et al, 1975 ; Einon et al, 1978 ; Schenk et al, 1983, 1985 ; 1974, Morgan Coudereau A can induce a great number of behavioural in the brain as a result of isolation. in mice following 48 or 72 hours of isolation 1990). A single day of isolation increased rats (Panksepp, .1980) and a short-term nest caused a significant The hot-plate analgesic tail-shock (Konecka latencies of were and Sroezynska, induced vocalizations (5 min) isolation response in reduction from mother, to heat (48°C) relative in young siblings and to non isolated siblings (Kehoe and Blass, 1986a). The pharmacological altered by isolation effect of drugs, particularly which is coherent with an alteration Katz and Steinberg (1972) De Feudis et al. (1976) and Blass (1986b) showed that, in isolated was greater than in non isolated that of opiates, Kostowski rats, the analgesic rats, whereas may also be of the opioid system. Indeed, et al. (1977) Kehoe effect of morphine Adler et al. (1975a), Puglisi-Allegra Effect of isolation on different effects of morphine and 01ivierio(1983) isolated rats regarding results, Pankseep was showed animals. the analgesic (1980) observed less effective housed that no difference in reducing These effect Another point seems important naloxone to morphine may be altered relative induced following naloxone factors isolation administration administration : (2) tolerance in socially due to the symptoms induced by and Marks- rats show less severe withdrawal than grouped rats. in mice, the effect of isolation : (1) analgesia to morphine than perhaps : the effect of chronic treatments. were The duration compared. the effect of every duration of isolation treatment to these 3-4 days, morphine since Adler et al. (1975b) that isolated : 8, 15 and 30 days of isolation an acute In opposition analgesia. and on different effects of morphine. authors compared and non vocalizations and the withdrawal The aim of this work was to study, threshold isolated conlusions to opiates analgesia Kaufman and Lewis (1984) reperted symptoms following of morphine. led to different different methods used to assess morphine The tolerance between that, in young rats isolated tail-shock results occurs 999 and analgesia on the pain of isolation was a main In the same study, the on an effect observed on effects observed and dependence after after chronic to morphine. Methods Animals Male Swiss NMRI mice (20-24 g at the beginning from CERJ, Genest rooms thermostatically were St Isle 53940 (France). maintained of the experiment) The maintenance at 21 + 1°C with were obtained and experimental 12 hours light/dark schedule (light on from 8 a.m. to 8 p.m.). Food and water were freely available. 1000 J.-P. Coudereau et aL Druas Morphine sulfate (Francopia, France) and naloxone hydrochloride (5 mg/kg) (Endo Laboratories, New-York, USA) were dissolved in demineralized water. The volume of injection was 0.2 ml120g body weight. Administration intraperitoneal were performed by the route (i.p.). The doses of morphine were expressed in base. The differents doses used are reported in the experimental procedure for each test. Experimental Procedure Housina Conditions : Mice were housed in groups of 6 in home cages of 30x20~10 cm or isolated in home cages of 24x10~8 cm. The mice were 4-5 weeks old at the beginning of the isolation. There were three periods of social isolation : 8, 15 and 30 days. The animals were isolated from others with respect only to tactile stimuli. Different groups of mice were used for every duration of isolation and, also, for every social group. As an example, the mice used for 30 days isolation and their grouped controls were introduced in the animal house at the same date ; then, half of the mice were isolated and the other half was maintained in collective cages in the same animal house, for the 30 days before the performance of the test. The experiments relative to one test and one duration of isolation were performed during the same days for the isolated mice and also for the corresponding non isolated mice. Assessment of Pain Threshold and Analaesic Effect of Morphine. Pain threshold and painful responses were determined using a 55 21°C hot-plate as the nociceptive stimulus and the latency to paw-lick or an attempt to escape by jumping as the painful response. Pain threshold was tested just before the injection of morphine (control latency). Analgesia was tested 20, 40, 60, 100, 150, 200 and 250 minutes after the injection of morphine (8mg/kg) (test latency), between 10.00 a.m. and 4.00 p. m. The percentage of analgesic effect at each time was calculated according to the following formula : % analgesic effect = 100 x (test latency - control latency) I (cut-off time - control latency). To prevent tissue damage, the mice that showed no response within 60 seconds (cut-off time) were removed from the hotplate. Effect of isolation on different effects of morphine Assessment of the Tolerance to Morphine Analaesia. 1001 The analgesic effect of morphine was assessed using the same procedure described previously. The assessment of the analgesic effect of morphine was studied by the same procedure than previously. Mice were treated with morphine (10 mg/kg) daily for 5 days. For isolated-mice and their corresponding grouped mice, morphine was administerted during the latter part of isolation. The analgesic effect was measured 30 minutes after the injection of morphine. The test trials were performed between 10.00 a. m and 1.OOpm. The first day, the pain threshold was measured before morphine injection (to day 1). The analgesic effect obtained every day was compared to the analgesic effect of the first day. The percentage of analgesic effect was calculated according to the following formula : % analgesic effect = 100 x (latency at day d - latency at to day 1 I (cut off time - latency at to (day 1). A diminution of the percentage of analgesic effect indicated a development of tolerance to morphine analgesia. Assessment of the Phvsical Dependence to Morphine. Mice received 50 mglkg at 10 a. m. and 4 p. m. on day 1, 50 mglkg at 10 a. m. and 2 p. m. and 100 mglkg at 6 p. m. on day 2, 50 mg/kg at 10 a. m. on day 3. The withdrawal syndrome was precipitated at 4 p. m. on day 3 with an injection of naloxone (5 mglkg). For isolatedmice and their corresponding controls morphine was administered during the latter pan of isolation. Each mouse was placed in a glass cylinder (30 cm high, 15 cm diameter) and observed during 15 minutes after naloxone injection. The severity of the withdrawal syndrome was quantified by the number of repetitive vertical jumps. All mice were used only once. Mice were killed using CO2 in a special container Data Analvsis Results were expressed as mean f standard error to the mean (S.E.M.). The pain threshold, the dependence and the area under the curve were analyzed using the Student’s t-test. For the morphine analgesia and the tolerance to morphine J.-P. Coudereau et al. 1002 analgesia, the results were analyzed using a one-way analysis of variance for repeated measures followed by the Bonfferroni’s tests for each duration of isolation. There were 1O-l 5 animals in each group. Results Threshold of Nociceotion Figure 1 indicates that isolated mice (8 days (t=0.28) or 15 days(t=1.41) of isolation) did not present a pain threshold different from that of non isolated mice. On the other hand, after 30 days of isolation, the pain threshold was higher than in grouped animals (t=4.20). Morphine Induced Analaesia Morphine induced an analgesia in isolated and in non isolated mice. There was no significant difference with 8 and 15 days of isolation (Fig 2A and 28). In animals isolated during 30 days, the analgesic effect of morphine was significantly higher (Bonferronni test) at 20 and 40 minutes (Fig 2C). The analgesic effect of morphine increased considerably for 30 days isolated animals at 20, 40 and 60 minutes (increase from 10 to 30 % of analgesic effect). Analgesia was still present in isolated and non isolated animals at 250 minutes (5 to 12 % of analgesic effect). Develooment of the Tolerance to Morphine Analaesia Whatever the conditions of rearing (isolation or non isolation), there was a tolerance to morphine analgesia deveeloped over the 5 days, as reflected by the progressive decrease in percentage of analgesia following repeated administration of the same dose of morphine (Fig 3). An isolation of 8 or 15 days didn’t modify the analgesic tolerance to morphine (Fig 4A and 48). However, following 30 days of Effect of isolation on different effects of morphine isolation, isolated the tolerance to morphine analgesia was extremely 1003 increased. mice, the area under the curve was half that observed Indeed, in non isolated in mice (Fig 4C). Development In mice of the Phvsical chronically induced jumping Dependence receiving neither water, to Morphine the in mice isolated (n=5) nor in their corresponding administration of naloxone, 5 mg/kg, 8 days (n=5), 15 days (n=5) or 30 days non isolated controls of 8 days (n=5), 15 days (n=5) or 30 days (n=5). Naloxone (5 mg/kg) receiving morphine. observed in isolated showed a tendency days of isolation, Threshold The a withdrawal withdrawal and non isolated to decrease the withdrawal syndrome animals. the withdrawal syndrome syndrome precipitated in mice by A period of isolation syndrome was significantly chronically naloxone was of 8 or 15 days (Fig 5A and 5B). After 30 less important (Fig 5C). of Nociception The threshold non isolated of nociception was higher in 30 days isolated mice (+62%) than in mice. Different types of acute stressors (like an immobilization) an increase opioids precipitated of threshold of nociception resulting from an increased produce release of (Amir et al, 1980 ; Bodnar et al, 1980). Unlike acute stress, which reduces pain responsiveness, prolonged exposure to stress leads to enhanced reactivity pain (Amir et al, 1980 ; Bodnar et al, 1980). The role of social isolation prolonged stress has been debated The present findings (1983) who reported isolated mice. (Anisman, are in accordance that isolated to in terms of 1978). with those of Puglisi-Allegra mice showed higher and Oliverio pain thresholds than non 1004 J.-P. Coudereau et al. 0 non isolated m7 isolated 0- A 6- -r- 0 8 1 B 6 C *** Fig 1 : Effect of isolation on pain threshold measured on the hot-plate test The durations of isolation were: A : 8 days (ns), B : 15 days (ns), C : 30 days - p<O.OOl (Student’s t test) Effect of isolation on different effects of morphine O2’0 t isolated + non isolated loo0 Time (min .I 35 B 30 01 20 40 60 1000 Time (min.) l ** f 3530252015IOS- Time (min.) Fig 2 : Effect of isolation on analgesia induced by morphine (8 mg/kg) The durations of isolation were : A : 8 days ; ANOVA : F(13-182) = 2.015 p<O.O5, B : 15 days ; ANOVA : F(13-182) = 3.03 p<O.OOl, C : 30 days ; ANOVA :F( 13-198) = 4.109 p<O.OOl qcO.05 *p<O.Ol (Bonferronni test) 1005 J.-P. Coudereau 1006 40 et al. 1 --c isolated -+ non isolated 1 2 3 4 5 Days 407 35- i3 Days s b 3025- ._ 0 8 : * 0 3 20- * io155-d Days Fig 3 : Effect of isolation on the tolerance to morphine analgesia: temporal development. The durations of isolation were : A : 8 days ; ANOVA : F(9-140) = 9.10 pcO.001, B : 15 days ; ANOVA : F(9-135) 6.86 pcO.001, C : 30 days ; ANOVA : q F(9-130) = 8.6 p<O.OOl. lp<O.O5 (Bonferronni test) % analgesic effect area under the curve (Dl-D5) % analgesic effect area under the curve (Dl-D5) % analgesic effect area under the curve (Dl-D5) J.-P. Coudereau et al. 50 8 40 E .z % 30 i *O z 10 50- 0 non isolated &J isolated B I! 4o .= % 30- “E 5 20- 2 lo- Fig 5 : Effect of isolation on naloxone-precipitated withdrawal in morphine-dependent mice q~O.05 (Student’s t test). The durations of isolations were: A: 8 days, B: 15 days, C: 30 days Effect of isolation on Merent effects of morphine 1009 The increase of nociception threshold in 30 days isolated mice can be explained by an increased release of endogenous opioids or by an increase of sensitivity to endogenous opioids. Analaesia Induced bv Morohine Morphine induced an analgesia in both isolated and non isolated mice. Action mechanisms of the morphine’s analgesic effect involved a complex interaction of peripheral and central nervous systems. Spatial transections markedly reduce the antinociceptive activity of morphine (Ling and Pastemak, 1983). Anatomical and physiological studies have confirmed the presence of descending pathways from the brainstem to the dorsal horn of the spinal cord that are strongly influenced by morphine (Besson and Chaouch, 1987). Within the brainstem, detailed studies established the importance of a number of specific regions, including the periaqueductal gray, nucleus raphe magnus and locus ceruleus (Jacquet and Lajtha, 1973 ; Bodnar et al, 1988). The analgesic effect of morphine in 30 days isolated animals was greater than in non isolated animals, at 20 and 40 minutes after injection of morphine (passage from 10 to 30% of the analgesic effect). These differences in results were observed only with a period of isolation of 30 days (and not with 8 and 15 days of isolation). The serotonin seems to be involved in the analgesic effect of morphine. Samanin et al (1970) have observed a diminution of 5hydroxytryptamine in midbrain raphe lesioned rats. This decrease in the level of serotonin was associated a with reduced analgesic effect of morphine. Garattini et al (1967) have shown a decrease of serotonin’s turn-over in isolated mice. Our findings cannot explain these results since the analgesic effect is greater in our isolated animals. The present results agree with those of Katz and Steinberg (1972) Defeudis et al (1976) Kostowski et al (1977). These authors showed that in isolated animals (rats or mice) the analgesic effect of morphine was greater than in non isolated animals. Our results do not agree with those of Adler et al (1975a), Puglisi-Allegra Oliver0 (1983) who showed that and no difference exists between isolated and non isolated rats regarding the analgesic response to morphine. J.-P. Coudereau et cd. 1010 Development of the Tolerance Chronic administrations effect of morphine. alterations of morphine The tolerance in second suggests to Morphine cholecystokinin (CKK) lead to a decreased (Blanchard systems antagonists, tolerant animals. and Fields, However, as proglumide 1983) restore days of isolation increased Some evidence For example, (Dourish et al, morphine’s analgesic ; 1988 and amitriptyline (Pick potency in actions are also seen in naive animals, implying that they are not directed specifically Thirty 1988). number and down-regulation). such as nefazodone these facilitatory to the analgesic in receptors and Chang, (and/or such Watkins et al, 1984) and antidepressants et al, 1992 ; Botney response may be due to changes messenger a role of antagonistic Analgesia against the mechanisms the tolerance to morphine to of tolerance. morphine analgesia analgesia (+200%).These increases in the tolerance may be explained by a different metabolism (or elimination) of morphine between isolated as the prototype of u agonist. However, morphine and non isolated animals. Morphine is well-known affinity not only for u but also for 6 and k receptors (1992) have shown that inactivation antagonist, morphine nor-binaltor-phinine analgesia Considering decrease increased system by a highly selective the development of tolerance k to in mice. these resuits, it may be suggested in the sensitivity in the tolerance (Wood et al, 1981). Suzuki et al of the k opioid (nor-BNI) has an that social isolation can induced a of kappa opioid system which would result in an increase to morphine analgesia. Dependence The degree withdrawal syndrome number of physical sydrome dependence (Way can be estimated of methods Weinstock, syndrome 1969). The by the quantification quantification of the by a multitude of signs and symptoms. to estimate 1971; Adler precipitated can be assessed et al, this syndrome et al, 1975b). by a receptor (Way opiod antagonist There are a great et al, 1968, The most pertinent of the withdrawal Marshall and sign of the withdrawal was repetitive jumping (Frances et al, 1992; Ohta and Kaneto, 1992). The naloxone non isolated precipitated animals. withdrawal An isolation syndrome was observed in both isolated of 8 and 15 days is not sufficient and to induce a Effect of isolation on different effects of morphine significant difference and non isolated syndrome in the severity animals. probably induce syndrome After 30 days of isolation was decreased that a long period of the withdrawal compared of isolation to non isolated (30 days) some changes 1011 between the severity animals, These results showed can alter the withdrawal in the mechanisms isolated of the withdrawal implicated syndrome and in the dependence and/or abstinence. Our results (1984) agree who naloxone with those of Adler et al (1975b), showed that precipitated in rats isolated withdrawal Katz and Steinberg during syndrome (1972) reported a long after a production that the long term isolation dependence. (1972) study, the other signs of the withdrawal It has been reported prolonged et al, 1972). isolation 1978; Anisman isolation release, particulary (Valzelli and Sklar, (30 days) can and Garattini, tolerance had received less morphine (the tolerance development is greater) of physical on the same mechanisms and Kaneto, 1992) the tolerance indicates accelerate explanation amines and dependence, mechanism the catabolism that in these changes, some 1973; Weinstock metabolic syndrome and Duggan, changes was smaller. to morphine 1984 ; Kaneto on morphine but deserves of (synthesis, can produce response that the modifications for isolation et al, a in isolated animals. on and tolerance of chronic morphine is only speculative in the turn 1985). A long period and these modifications syndrome two species, particularly all things look as if mice isolated it may be suggested to and the dependence a common reported 1972; Modigh, ; their withdrawal (Johnson Steinberg’s amines in the brain can than social mice : their analgesic dependence rats did abrupt withdrawal have not been noted. and Thurmond, in animals in the severity of the withdrawal Regarding the jumping in both mice and rats (Way et al, 1981; Lasley induce of immature in Katz and syndrome It has also been turn over) of the biogenic decrease However, can induce some biochemical over of brain amines (12 weeks) rats following that drugs that interfere with biogenic affect some signs of withdrawal, 1968; Collier period and Lewis showed a smaller number of jumps. not result in any greater weight loss than in grouped of morphine Marks-Kaufman following ; it is suggested Although the did not depend et al., 1985; Ohta in the same way of 30 days of isolation that isolation (or reduce its absorption). to be verified. 30 days was smaller may This likely 1012 J.-P. 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