Opioids and the immune system–friend or foe

LM Plein, HL Rittner - British journal of pharmacology, 2018 - Wiley Online Library
Systemically administered opioids are among the most powerful analgesics for treating
severe pain. Several negative side effects (respiratory depression, addiction, nausea and …

Opioid-induced hyperalgesia: cellular and molecular mechanisms

LA Roeckel, GM Le Coz, C Gavériaux-Ruff, F Simonin - Neuroscience, 2016 - Elsevier
Opioids produce strong analgesia but their use is limited by a paradoxical hypersensitivity
named opioid-induced hyperalgesia (OIH) that may be associated to analgesic tolerance. In …

Opioid receptors

C Stein - Annual review of medicine, 2016 - annualreviews.org
Opioids are the oldest and most potent drugs for the treatment of severe pain. Their clinical
application is undisputed in acute (eg, postoperative) and cancer pain, but their long-term …

Opioid receptors in immune and glial cells—implications for pain control

H Machelska, MÖ Celik - Frontiers in immunology, 2020 - frontiersin.org
Opioid receptors comprise μ (MOP), δ (DOP), κ (KOP), and nociceptin/orphanin FQ (NOP)
receptors. Opioids are agonists of MOP, DOP, and KOP receptors, whereas …

Advances in achieving opioid analgesia without side effects

H Machelska, MÖ Celik - Frontiers in pharmacology, 2018 - frontiersin.org
Opioids are the most effective drugs for the treatment of severe pain, but they also cause
addiction and overdose deaths, which have led to a worldwide opioid crisis. Therefore, the …

New concepts in opioid analgesia

C Stein - Expert opinion on investigational drugs, 2018 - Taylor & Francis
Introduction: Opioids are the oldest and most potent drugs for the treatment of severe pain,
but they are burdened by detrimental side effects such as respiratory depression, addiction …

A Balancing Act: Learning from the Past to Build a Future-Focused Opioid Strategy

SW Gooding, JL Whistler - Annual review of physiology, 2024 - annualreviews.org
The harmful side effects of opioid drugs such as respiratory depression, tolerance,
dependence, and abuse potential have limited the therapeutic utility of opioids for their …

Peripheral mechanisms of opioid analgesia

C Stein, LJ Lang - Current opinion in pharmacology, 2009 - Elsevier
Potent and clinically significant analgesic effects can be brought about by opioids acting
outside the central nervous system. Injury and inflammation of peripheral tissues leads to …

Constitutive μ-opioid receptor activity leads to long-term endogenous analgesia and dependence

G Corder, S Doolen, RR Donahue, MK Winter… - Science, 2013 - science.org
Opioid receptor antagonists increase hyperalgesia in humans and animals, which indicates
that endogenous activation of opioid receptors provides relief from acute pain; however, the …

Peripheral mechanisms of pain and analgesia

C Stein, JD Clark, U Oh, MR Vasko, GL Wilcox… - Brain research …, 2009 - Elsevier
This review summarizes recent findings on peripheral mechanisms underlying the
generation and inhibition of pain. The focus is on events occurring in peripheral injured …