Ketogenic diet enhances the effects of oxycodone in mice

Abstract Opioids have been used to manage pain for thousands of years, but they have significant potential for abuse. Prescription opioids, like oxycodone, are associated with 32% of overdoses, that have reached a total of 75,673 deaths in 2021. A major challenge is maximizing their therapeutic pote...

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Main Authors: R. Trinko, D. M. Diaz, E. Foscue, S. L. Thompson, J. R. Taylor, R. J. DiLeone
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-33458-8
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author R. Trinko
D. M. Diaz
E. Foscue
S. L. Thompson
J. R. Taylor
R. J. DiLeone
author_facet R. Trinko
D. M. Diaz
E. Foscue
S. L. Thompson
J. R. Taylor
R. J. DiLeone
author_sort R. Trinko
collection DOAJ
description Abstract Opioids have been used to manage pain for thousands of years, but they have significant potential for abuse. Prescription opioids, like oxycodone, are associated with 32% of overdoses, that have reached a total of 75,673 deaths in 2021. A major challenge is maximizing their therapeutic potential while minimizing the negative side effects including opioid use disorder (OUD). The Ketogenic Diet (KD) has been reported to reduce pain and decrease the severity of alcohol use disorder, yet its effects on oxycodone responses remain unknown. KD mice displayed increased oxycodone-induced locomotor activity and enhanced antinociceptive effects of oxycodone, suggesting a dietary effect on opiate sensitivity. Male KD mice exposed to chronic oxycodone exhibited increased naloxone-induced jumps, suggesting a sex-specific effect of diet on opioid withdrawal. Consistent with this, male KD mice self-administered less oxycodone while female KD mice did not differ from controls. Finally, no effect of KD on motivation to obtain oxycodone was observed during a progressive ratio schedule. These data suggest sex-biased effects of KD on responses to opioids that should be considered and potentially leveraged in both clinical pain management and treatment of OUD.
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spelling doaj.art-adde7c7f402b46248725fbbbb2e3d3922023-05-14T11:16:37ZengNature PortfolioScientific Reports2045-23222023-05-0113111010.1038/s41598-023-33458-8Ketogenic diet enhances the effects of oxycodone in miceR. Trinko0D. M. Diaz1E. Foscue2S. L. Thompson3J. R. Taylor4R. J. DiLeone5Department of Psychiatry, Yale University School of MedicineDepartment of Psychiatry, Yale University School of MedicineDepartment of Psychiatry, Yale University School of MedicineDepartment of Psychiatry, Yale University School of MedicineDepartment of Psychiatry, Yale University School of MedicineDepartment of Psychiatry, Yale University School of MedicineAbstract Opioids have been used to manage pain for thousands of years, but they have significant potential for abuse. Prescription opioids, like oxycodone, are associated with 32% of overdoses, that have reached a total of 75,673 deaths in 2021. A major challenge is maximizing their therapeutic potential while minimizing the negative side effects including opioid use disorder (OUD). The Ketogenic Diet (KD) has been reported to reduce pain and decrease the severity of alcohol use disorder, yet its effects on oxycodone responses remain unknown. KD mice displayed increased oxycodone-induced locomotor activity and enhanced antinociceptive effects of oxycodone, suggesting a dietary effect on opiate sensitivity. Male KD mice exposed to chronic oxycodone exhibited increased naloxone-induced jumps, suggesting a sex-specific effect of diet on opioid withdrawal. Consistent with this, male KD mice self-administered less oxycodone while female KD mice did not differ from controls. Finally, no effect of KD on motivation to obtain oxycodone was observed during a progressive ratio schedule. These data suggest sex-biased effects of KD on responses to opioids that should be considered and potentially leveraged in both clinical pain management and treatment of OUD.https://doi.org/10.1038/s41598-023-33458-8
spellingShingle R. Trinko
D. M. Diaz
E. Foscue
S. L. Thompson
J. R. Taylor
R. J. DiLeone
Ketogenic diet enhances the effects of oxycodone in mice
Scientific Reports
title Ketogenic diet enhances the effects of oxycodone in mice
title_full Ketogenic diet enhances the effects of oxycodone in mice
title_fullStr Ketogenic diet enhances the effects of oxycodone in mice
title_full_unstemmed Ketogenic diet enhances the effects of oxycodone in mice
title_short Ketogenic diet enhances the effects of oxycodone in mice
title_sort ketogenic diet enhances the effects of oxycodone in mice
url https://doi.org/10.1038/s41598-023-33458-8
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