Endogenous and exogenous opioids in pain

Gregory Corder, Daniel C. Castro, Michael R. Bruchas, Grégory Scherrer

Research output: Contribution to journalReview articlepeer-review

120 Scopus citations

Abstract

Opioids are the most commonly used and effective analgesic treatments for severe pain, but they have recently come under scrutiny owing to epidemic levels of abuse and overdose. These compounds act on the endogenous opioid system, which comprises four G protein-coupled receptors (mu, delta, kappa, and nociceptin) and four major peptide families (β-endorphin, enkephalins, dynorphins, and nociceptin/orphanin FQ). In this review, we first describe the functional organization and pharmacology of the endogenous opioid system. We then summarize current knowledge on the signaling mechanisms by which opioids regulate neuronal function and neurotransmission. Finally, we discuss the loci of opioid analgesic action along peripheral and central pain pathways, emphasizing the pain-relieving properties of opioids against the affective dimension of the pain experience.

Original languageEnglish
Pages (from-to)453-473
Number of pages21
JournalAnnual Review of Neuroscience
Volume41
DOIs
StatePublished - Jul 8 2018

Keywords

  • analgesia
  • neuroanatomy
  • opioid
  • pain
  • perception
  • signaling

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