Opiate receptors grow back pet mri near
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Classifying migraine using PET compressive big data analytics of brain’s μ-opioid and D2/D3 dopamine neurotransmission
Introduction
Migraine is a pain disorder with a prevalence of more than one billion people worldwide (Global Burden of Disease GBD, 2017). It dramatically impacts the patients’ daily lives with frequent headache attacks, neuropsychiatric comorbidities, and the potential for substance abuse when unremitted, especially opiates (Bigal et al., 2009; Buse et al., 2012; Adams et al., 2015; Lipton et al., 2020). Because of this significant sensory and cognitive-motivational dysregulation in migraine, the endogenous μ-opioid and D2/D3 dopamine (DA) molecular mechanisms have recently been investigated as the potential main culprits of the disorder (Zubieta et al., 2002; De Felice et al., 2013; Martikainen et al., 2013; Jassar et al., 2019). Pharmacologically, they are the targets for the action of the most potent exogenous analgesic and psychotic drugs
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PET imaging reveals lower kappa opioid receptor availability in alcoholics but no effect of age
References
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Herz A
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Abstract
Nasal spray formulations of naloxone, a mu-opioid receptor (MOR) antagonist, are currently used for the treatment of opioid overdose. They may have additional therapeutic utility also in the absence of opioid agonist drugs, but the onset and duration of action at brain MORs have been inadequately characterized to allow such projections. This study provides första characterization of brain MOR availability at high temporal resolution following intranasal (IN) naloxone ledning to healthy volunteers in the absence of a competing opioid agonist. Fourteen participants were scanned twice using positron emission tomography (PET) and [11C]carfentanil, a selective MOR agonist radioligand. Concentrations of naloxone in plasma and MOR availability (relative to placebo) were monitored from 0 to 60 min and at 300–360 min post naloxone. Naloxone plasma concentrations peaked at ~20 min post naloxone, associated with slightly delayed development of brain MOR occupancy (half of p