Evidence map›Paper›PMID 22248582›Full record

ArticleThe American journal of pathology2012

Morphine decreases bacterial phagocytosis by inhibiting actin polymerization through cAMP-, Rac-1-, and p38 MAPK-dependent mechanisms.

Jana Ninković, Sabita Roy

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The American journal of pathology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03534102 (Can Simplified and More Detailed Instructions Affect Post-Operative Narcotic Consumption), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03534102 phase4withdrawnnot on this mapstarted 2022, after this paper: background citation

Can Simplified and More Detailed Instructions Affect Post-Operative Narcotic Consumption

TypeinterventionalSponsorBrigham and Women's HospitalRan2022 to 2024Enrolled0ConditionsOpioid Use, Opioid Dependence, Knee Pain Chronic, Knee OsteoarthritisArmsImproved Opioid-Tapering Instructions, Clinical Patient Educator
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Opioid Modulation of the Gut-Brain Axis in Opioid-Associated Comorbidities.Cold Spring Harbor perspectives in medicine · 2021
    Review
  9. Article
  10. Review
  11. Article
  12. Morphine Potentiates Dysbiotic Microbial and Metabolic Shifts in Acute SIV Infection.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2019
    Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Morphine alters the circulating proteolytic profile in mice: functional consequences on cellular migration and invasion.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Jana NinkovićDepartment of Pharmacology, University of Minnesota, School of Medicine, Minneapolis, Minnesota.
Sabita RoyDepartment of Pharmacology, University of Minnesota, School of Medicine, Minneapolis, Minnesota; Department of Surgery, University of Minnesota, School of Medicine, Minneapolis, Minnesota. Electronic address: royxx002@umn.edu.
University of Minnesota · US

Funding

Subcellular Targeting/Packaging of Opioids/ReceptorsP50DA011806 · NIDA · UNIVERSITY OF MINNESOTA TWIN CITIES · PI LOH, HORACE · 1998 to 2012
$14.0M
Training in PharmacoNeuroImmune Substance Abuse ResearchT32DA007097 · NIDA · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MOLITOR, THOMAS WILLIAM · 1985 to 2021
$13.1M
Opioid Abuse, opportunistic infection and NeuroAIDSR01DA012104 · NIDA · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ROY, SABITA · 1999 to 2013
$3.7M
Morphine, HIV proteins, wound healing and InfectionR01DA022935 · NIDA · UNIVERSITY OF MINNESOTA · PI ROY, SABITA · 2007 to 2011
$1.7M
Role of Mu Opioid Receptor in Immune FunctionK02DA015349 · NIDA · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ROY, SABITA · 2002 to 2011
$977k
Morphine and gp120 modulation of Fc gamma mediated macrophage phagocytosisF31DA026264 · NIDA · UNIVERSITY OF MINNESOTA · PI NINKOVIC, JANA · 2009 to 2010
$50k
NIDA NIH HHS 5F31-DA026264NIDA NIH HHS F31 DA026264NIDA NIH HHS K02 DA015349NIDA NIH HHS KO2 DA015349NIDA NIH HHS P50 DA011806NIDA NIH HHS P50 DA11806NIDA NIH HHS R01 DA012104NIDA NIH HHS R01 DA022935NIDA NIH HHS R01 DA12104NIDA NIH HHS T32 DA007097NIDA NIH HHS T32 DA07097
6 · The paper itself

Abstract

Morphine increases the susceptibility to opportunistic infection by attenuating bacterial clearance through inhibition of Fcγ receptor (FcgR)-mediated phagocytosis. Mechanisms by which morphine inhibits this process remain to be investigated. Actin polymerization is essential for FcgR-mediated internalization; therefore, disruption of the signaling mechanisms involved in this process is detrimental to the phagocytic ability of macrophages. To our knowledge, this study is the first to propose the modulation of actin polymerization and upstream signaling effectors [cAMP, Rac1-GTP, and p38 mitogen-activated protein kinase (MAPK)] as key mechanisms by which morphine leads to inhibition of pathogen clearance. Our results indicate that long-term morphine treatment in vitro and in vivo, through activation of the μ-opioid receptor, leads to an increase in intracellular cAMP, activation of protein kinase A, and inhibition of Rac1-GTPase and p38 MAPK, thereby attenuating actin polymerization and reducing membrane ruffling. Furthermore, because of long-term morphine treatment, FcgR-mediated internalization of opsonized dextran beads is also reduced. Morphine's inhibition of Rac1-GTPase activation is abolished in J774 macrophages transfected with constitutively active pcDNA3-EGFP-Rac1-Q61L plasmid. Dibutyryl-cAMP inhibits, whereas H89 restores, activation of Rac-GTPase and abolishes morphine's inhibitory effect, implicating cAMP as the key effector in morphine's modulation of actin polymerization. These findings indicate that long-term morphine treatment, by increasing intracellular cAMP and activating protein kinase A, leads to inhibition of Rac1-GTPase and p38 MAPK, causing attenuation of actin polymerization, FcgR-mediated phagocytosis, and decreased bacterial clearance.

Indexed as

ActinsAnimalsCyclic AMPCyclic AMP-Dependent Protein KinasesIsoquinolinesMacrophages, PeritonealMAP Kinase Signaling SystemMiceMice, KnockoutMorphinep38 Mitogen-Activated Protein KinasesPhagocytosisPolymerizationProtein Kinase Inhibitorsrac1 GTP-Binding ProteinReceptors, IgGActinsCyclic AMPCyclic AMP-Dependent Protein KinasesIsoquinolinesMorphineN-(2-(4-bromocinnamylamino)ethyl)-5-isoquinolinesulfonamidep38 Mitogen-Activated Protein KinasesProtein Kinase Inhibitorsrac1 GTP-Binding ProteinReceptors, IgGReceptors, Opioid, muSulfonamides

Identifiers

PMID22248582
PMCPMC3349892
OpenAlexW2067672361

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.