Estradiol and Mu opioid-mediated reward: The role of estrogen receptors in opioid use

Opioid use and opioid use disorder are characterized by sex and gender differences, and some of these differences may be mediated by differences in the hormonal milieu within and across individuals. This review focuses on the role of ovarian hormones, and particularly estradiol, on the endogenous mu...

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Main Authors: Sarah B. Ethridge, Mark A. Smith
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Addiction Neuroscience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772392523000822
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author Sarah B. Ethridge
Mark A. Smith
author_facet Sarah B. Ethridge
Mark A. Smith
author_sort Sarah B. Ethridge
collection DOAJ
description Opioid use and opioid use disorder are characterized by sex and gender differences, and some of these differences may be mediated by differences in the hormonal milieu within and across individuals. This review focuses on the role of ovarian hormones, and particularly estradiol, on the endogenous mu opioid receptor system. There is an abundance of data indicating that estradiol influences the activity of endogenous mu opioid peptides, the activation of mu opioid receptors, and the internalization and desensitization of mu opioid receptors. These effects have functional consequences on behaviors mediated by endogenous mu opioid receptor activity and on sensitivity to mu opioid agonists and antagonists. Recent behavioral data suggest these consequences extend to mu opioid reward, and preclinical studies report that estradiol decreases self-administration of mu opioid receptor agonists across a range of experimental conditions. Data collected in human laboratory studies suggest that estradiol may have functionally similar effects in clinical populations, and thus estrogen receptors may be a potential target in the development of novel therapeutics. This review summarizes data from cellular assays to clinical trials to explore how estradiol influences mu opioid receptor activity, as well as potential ways in which estrogen receptors may be targeted to address the problems of opioid use.
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spelling doaj.art-4ef6e5738adb452daf3382058366048f2023-12-15T07:27:21ZengElsevierAddiction Neuroscience2772-39252023-12-019100139Estradiol and Mu opioid-mediated reward: The role of estrogen receptors in opioid useSarah B. Ethridge0Mark A. Smith1Department of Psychology, Program in Neuroscience, Davidson College, Davidson, NC, USACorresponding author at: Department of Psychology, Davidson College, Davidson, NC 28035, USA.; Department of Psychology, Program in Neuroscience, Davidson College, Davidson, NC, USAOpioid use and opioid use disorder are characterized by sex and gender differences, and some of these differences may be mediated by differences in the hormonal milieu within and across individuals. This review focuses on the role of ovarian hormones, and particularly estradiol, on the endogenous mu opioid receptor system. There is an abundance of data indicating that estradiol influences the activity of endogenous mu opioid peptides, the activation of mu opioid receptors, and the internalization and desensitization of mu opioid receptors. These effects have functional consequences on behaviors mediated by endogenous mu opioid receptor activity and on sensitivity to mu opioid agonists and antagonists. Recent behavioral data suggest these consequences extend to mu opioid reward, and preclinical studies report that estradiol decreases self-administration of mu opioid receptor agonists across a range of experimental conditions. Data collected in human laboratory studies suggest that estradiol may have functionally similar effects in clinical populations, and thus estrogen receptors may be a potential target in the development of novel therapeutics. This review summarizes data from cellular assays to clinical trials to explore how estradiol influences mu opioid receptor activity, as well as potential ways in which estrogen receptors may be targeted to address the problems of opioid use.http://www.sciencedirect.com/science/article/pii/S2772392523000822AddictionFemaleProgesteroneSex differencesEstrogen
spellingShingle Sarah B. Ethridge
Mark A. Smith
Estradiol and Mu opioid-mediated reward: The role of estrogen receptors in opioid use
Addiction Neuroscience
Addiction
Female
Progesterone
Sex differences
Estrogen
title Estradiol and Mu opioid-mediated reward: The role of estrogen receptors in opioid use
title_full Estradiol and Mu opioid-mediated reward: The role of estrogen receptors in opioid use
title_fullStr Estradiol and Mu opioid-mediated reward: The role of estrogen receptors in opioid use
title_full_unstemmed Estradiol and Mu opioid-mediated reward: The role of estrogen receptors in opioid use
title_short Estradiol and Mu opioid-mediated reward: The role of estrogen receptors in opioid use
title_sort estradiol and mu opioid mediated reward the role of estrogen receptors in opioid use
topic Addiction
Female
Progesterone
Sex differences
Estrogen
url http://www.sciencedirect.com/science/article/pii/S2772392523000822
work_keys_str_mv AT sarahbethridge estradiolandmuopioidmediatedrewardtheroleofestrogenreceptorsinopioiduse
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