March 1 , 2002
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Neuroendocrinology Letters incl. Psychoneuroimmunology & Chronobiology

NEUROENDOCRINOLOGY LETTERS
including Psychoneuroimmunology, Neuro
psychopharmacology,
Reproductive Medicine, Chronobiology
and Human Ethology
ISSN 0172–780X

NEL Vol.23 No.1, February 2002

INVITED NEL REVIEW
"Morphine as a Hormone"

2002; 23:21-26
pii: NEL230102R02

Full text pdf (123kb)


An Hormonal Role for Endogenous Opiate Alkaloids: Vascular Tissues
by George B. Stefano (1,2), Wei Zhu (1), Patrick Cadet (1),
Kirk Mantione (1) and Thomas V. Bilfinger (1,2), Enrica Bianchi (3) and Massimo Guarna (3)

1. Neuroscience Research Institute, State University of New York/ College at Old Westbury, Old Westbury, New York, 11568

2. Cardiothoracic Division, Department of Surgery, Health Sciences Center, State University of New York at Stony Brook, Stony Brook, New York, 11794. U.S.A.

3. Department of Biomedical Sciences and Institute of Neurological and Psychiatric Diseases, University of Siena, Italy

Received: February 4, 2002

Key words:
morphine, vascular endothelial cells, adrenal gland,
nitric oxide

Abstract

The distribution of morphine-containing cells in the central nervous system, adrenal gland, and its presence in blood may serve to demonstrate that this signal molecule can act as a hormone besides its role in cell-to-cell signaling within the brain. This speculative review is the result of a literature evaluation with an emphasis on studies from our laboratory. Opioid peptides and opiate alkaloids have been found to influence cardiac and vascular function. They have also been reported to promote ischemic preconditioning protection in the heart. Given the presence of morphine and the novel µ3 opiate receptor on vascular endothelial cells, including cardiac and vascular endothelial cells in the median eminence, it would appear that endogenous opiate alkaloids are involved in modulating cardiac function, possible at the hormonal level. This peripheral target tissue, via nitric oxide coupling to µ opiate receptors, may serve to down regulate the excitability of this tissue given the heart's high performance state as compared to that of the saphenous vein, a passive resistance conduit. Taken together, morphine and other endogenous opiate alkaloids may function as a hormone.

Introduction

Adrenal Gland
Endogenous morphine has been identified in mammalian and invertebrate neural tissues by various techniques, including gas-chromatography mass spectrometry (GC/MS) [1-11]. Additionally, morphine has been found to exist in the vertebrate adrenal gland by way of immunocytochemistry and radioimmunoassay [1,12-19]. Recently, we also found morphine present in the rat adrenal gland and determined its identity by way of gas-chromatography mass spectrometry (GC/MS) [20].
We have extended these studies to include the demonstration of morphine in the rat adrenal medullary chromaffin PC-12 cell line by high performance liquid chromatography (HPLC) coupled with electrochemical detection and GC/MS [20]. We recently confirmed the presence of opiate alkaloids in this cell line using nano electrospray ionization double quadrupole orthogonal acceleration time of flight mass spectrometry (Q-TOF MS)[21]. Also, in this report, the major morphine metabolite, morphine 6-glucorinde (M6G) was identified. A single charge ion with a mass of 462.17 da is also present in the PC12 extract [21]. This value is identical to the calculated mass of M6G and is identical to the mass obtained from the analysis of authentic M6G [21].
We have recently reviewed the central nervous systems "morphinergic" system [22]. Within this context and that which is noted for the adrenal gland, morphine has the potential to be released into the circulatory system, thus, making it a hormone. Morphine is present in human and animal plasma, further suggesting hormonal action [23-27]. Thus, we are left with the question of what are the peripheral morphinergic targets. Based on the work of our laboratory, we surmise that these targets include, and are not limited to, immune and vascular tissues. In the past we have discussed the role of endogenous morphine in immune tissues [22,25,28-30]. In this review, we will examine studies suggesting a
vascular role for this new hormone.

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