The Kappa Opioid Receptor and the Sleep of Reason: Cortico-Subcortical Imbalance Following Salvinorin-A


Por: Ona, G, Sampedro, F, Romero, S, Valle, M, Camacho, V, Migliorelli, C, Mananas, MA, Antonijoan, RM, Puntes, M, Coimbra, J, Ballester, MR, Garrido, M, Riba, J

Publicada: 1 ene 2022 Ahead of Print: 1 sep 2021
Resumen:
Background: The mechanisms through which kappa opioid receptor (KOR) agonists induce psychotomimetic effects are largely unknown, although the modulation of this receptor has attracted attention for its clinical use. In this work, we characterize the neuropharmacological effects of salvinorin-A, a highly selective KOR agonist. Methods: Changes in multimodal electroencephalography, single-photon emission computed tomography, and subjective effects following the acute administration of salvinorin-A are reported. The study included 2 sub-studies that employed a double-blind, crossover, randomized, placebo-controlled design. Results: The electroencephalography measures showed a marked increase in delta and gamma waves and a decrease in alpha waves while subjects were under the effect of salvinorin-A. Regarding single-photon emission computed tomography measures, significant decreases in regional cerebral blood flow were detected in multiple regions of the frontal, temporal, parietal, and occipital cortices. Significant regional cerebral blood flow increases were observed in some regions of the medial temporal lobe, including the amygdala, the hippocampal gyrus, and the cerebellum. The pattern of subjective effects induced by salvinorin-A was similar to those observed in relation to other psychotomimetic drugs but with an evidently dissociative nature. No dysphoric effects were reported. Conclusion: The salvinorin-A-mediated KOR agonism induced dramatic psychotomimetic effects along with a generalized decrease in cerebral blood flow and electric activity within the cerebral cortex.

Filiaciones:
Ona, G:
 St Pau Inst Biomed Res IIB St Pau, Human Neuropsychopharmacol Grp, Barcelona, Spain

Sampedro, F:
 St Pau Inst Biomed Res IIb St Pau, Barcelona, Spain

 Ctr Invest Red Enfermedades Neurodegenerat CIBERN, Barcelona, Spain

Romero, S:
 Univ Politecn Catalunya UPC, Biomed Engn Res Ctr CREB, Dept Automat Control ESAII, Barcelona, Spain

 Biomed Res Networking Ctr Bioengn Biomat & Nanome, Barcelona, Spain

Valle, M:
 Univ Autonoma Barcelona, Dept Farmacol & Terapeut, Barcelona, Spain

Camacho, V:
 Hosp Santa Creu & Sant Pau, Nucl Med Dept, Barcelona, Spain

Migliorelli, C:
 Univ Politecn Catalunya UPC, Biomed Engn Res Ctr CREB, Dept Automat Control ESAII, Barcelona, Spain

 Biomed Res Networking Ctr Bioengn Biomat & Nanome, Barcelona, Spain

Mananas, MA:
 Univ Politecn Catalunya UPC, Biomed Engn Res Ctr CREB, Dept Automat Control ESAII, Barcelona, Spain

 Biomed Res Networking Ctr Bioengn Biomat & Nanome, Barcelona, Spain

Antonijoan, RM:
 Univ Autonoma Barcelona, Dept Farmacol & Terapeut, Barcelona, Spain

 St Pau Inst Biomed Res IIB St Pau, Ctr Invest Medicaments, Barcelona, Spain

 Hosp Santa Creu & Sant Pau, Serv Farmacol Clin, Barcelona, Spain

 CIBERSAM, Ctr Invest Biomed Red Salud Mental, Barcelona, Spain

Puntes, M:
 St Pau Inst Biomed Res IIB St Pau, Ctr Invest Medicaments, Barcelona, Spain

Coimbra, J:
 St Pau Inst Biomed Res IIB St Pau, Ctr Invest Medicaments, Barcelona, Spain

Ballester, MR:
 St Pau Inst Biomed Res IIB St Pau, Ctr Invest Medicaments, Barcelona, Spain

 CIBERSAM, Ctr Invest Biomed Red Salud Mental, Barcelona, Spain

 Univ Ramon Llull, Blanquerna Sch Hlth Sci, Barcelona, Spain

Garrido, M:
 St Pau Inst Biomed Res IIB St Pau, Ctr Invest Medicaments, Barcelona, Spain

Riba, J:
 Maastricht Univ, Dept Neuropsychol & Psychopharmacol, Maastricht, Netherlands
ISSN: 14611457





INTERNATIONAL JOURNAL OF NEUROPSYCHOPHARMACOLOGY
Editorial
OXFORD UNIV PRESS, GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND, Reino Unido
Tipo de documento: Article
Volumen: 25 Número: 1
Páginas: 54-63
WOS Id: 000744102900006
ID de PubMed: 34537829
imagen Green Published, gold, All Open Access, Gold, Green

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