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 …

[HTML][HTML] 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 …

[HTML][HTML] 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 …

Attacking pain at its source: new perspectives on opioids

C Stein, M Schäfer, H Machelska - Nature medicine, 2003 - nature.com
The treatment of severe pain with opioids has thus far been limited by their unwanted central
side effects. Recent research promises new approaches, including opioid analgesics acting …

The control of pain in peripheral tissue by opioids

C Stein - New England Journal of Medicine, 1995 - Mass Medical Soc
Pain can be effectively diminished by various endogenous mechanisms within the central
nervous system. One region where these mechanisms have been well characterized is 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 …

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 …

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 …

[HTML][HTML] IL-4 induces M2 macrophages to produce sustained analgesia via opioids

MÖ Celik, D Labuz, J Keye, R Glauben, H Machelska - JCI insight, 2020 - ncbi.nlm.nih.gov
IL-4 is a pleiotropic antiinflammatory cytokine, which can be neuroprotective after nervous
system injury. The beneficial actions of IL-4 are thought to result from the blunting of action of …

Modulation of peripheral sensory neurons by the immune system: implications for pain therapy

C Stein, H Machelska - Pharmacological reviews, 2011 - ASPET
The concept that the immune system can communicate with peripheral sensory neurons to
modulate pain is based mostly on documented interactions between opioid ligands and …