Opioids depress breathing through two small brainstem sites

The rates of opioid overdose in the United States quadrupled between 1999 and 2017, reaching a staggering 130 deaths per day. This health epidemic demands innovative solutions that require uncovering the key brain areas and cell types mediating the cause of overdose— opioid-induced respiratory depre...

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Main Authors: Iris Bachmutsky, Xin Paul Wei, Eszter Kish, Kevin Yackle
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2020-02-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/52694
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author Iris Bachmutsky
Xin Paul Wei
Eszter Kish
Kevin Yackle
author_facet Iris Bachmutsky
Xin Paul Wei
Eszter Kish
Kevin Yackle
author_sort Iris Bachmutsky
collection DOAJ
description The rates of opioid overdose in the United States quadrupled between 1999 and 2017, reaching a staggering 130 deaths per day. This health epidemic demands innovative solutions that require uncovering the key brain areas and cell types mediating the cause of overdose— opioid-induced respiratory depression. Here, we identify two primary changes to murine breathing after administering opioids. These changes implicate the brainstem’s breathing circuitry which we confirm by locally eliminating the µ-Opioid receptor. We find the critical brain site is the preBötzinger Complex, where the breathing rhythm originates, and use genetic tools to reveal that just 70–140 neurons in this region are responsible for its sensitivity to opioids. Future characterization of these neurons may lead to novel therapies that prevent respiratory depression while sparing analgesia.
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spelling doaj.art-5e3790b104ee49f4ae43c67e30ee7a982022-12-22T02:05:45ZengeLife Sciences Publications LtdeLife2050-084X2020-02-01910.7554/eLife.52694Opioids depress breathing through two small brainstem sitesIris Bachmutsky0Xin Paul Wei1Eszter Kish2Kevin Yackle3https://orcid.org/0000-0003-1870-2759Department of Physiology, University of California-San Francisco, San Francisco, United States; Neuroscience Graduate Program, University of California-San Francisco, San Francisco, United StatesDepartment of Physiology, University of California-San Francisco, San Francisco, United States; Biomedical Sciences Graduate Program, University of California-San Francisco, San Francisco, United StatesDepartment of Physiology, University of California-San Francisco, San Francisco, United States; Neuroscience Graduate Program, University of California-San Francisco, San Francisco, United StatesDepartment of Physiology, University of California-San Francisco, San Francisco, United StatesThe rates of opioid overdose in the United States quadrupled between 1999 and 2017, reaching a staggering 130 deaths per day. This health epidemic demands innovative solutions that require uncovering the key brain areas and cell types mediating the cause of overdose— opioid-induced respiratory depression. Here, we identify two primary changes to murine breathing after administering opioids. These changes implicate the brainstem’s breathing circuitry which we confirm by locally eliminating the µ-Opioid receptor. We find the critical brain site is the preBötzinger Complex, where the breathing rhythm originates, and use genetic tools to reveal that just 70–140 neurons in this region are responsible for its sensitivity to opioids. Future characterization of these neurons may lead to novel therapies that prevent respiratory depression while sparing analgesia.https://elifesciences.org/articles/52694opioid respiratory depressionbreathingpreBötzinger Complexcentral pattern generator
spellingShingle Iris Bachmutsky
Xin Paul Wei
Eszter Kish
Kevin Yackle
Opioids depress breathing through two small brainstem sites
eLife
opioid respiratory depression
breathing
preBötzinger Complex
central pattern generator
title Opioids depress breathing through two small brainstem sites
title_full Opioids depress breathing through two small brainstem sites
title_fullStr Opioids depress breathing through two small brainstem sites
title_full_unstemmed Opioids depress breathing through two small brainstem sites
title_short Opioids depress breathing through two small brainstem sites
title_sort opioids depress breathing through two small brainstem sites
topic opioid respiratory depression
breathing
preBötzinger Complex
central pattern generator
url https://elifesciences.org/articles/52694
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AT xinpaulwei opioidsdepressbreathingthroughtwosmallbrainstemsites
AT eszterkish opioidsdepressbreathingthroughtwosmallbrainstemsites
AT kevinyackle opioidsdepressbreathingthroughtwosmallbrainstemsites