http://www.ncbi.nlm.nih.gov/pubmed/18184783
The dysphoric component of stress is encoded by activation of the dynorphin kappa-opioid system.
http://jpet.aspetjournals.org/cgi/content/full/292/2/803
To summarize the salient and relevant information of these studies:
Agonism of KORs = antagonism of MORs, DORs, and D2 receptors and to the sensitization and upregulation thereof as well as, of course, to the desensitization and downregulation of the KOR and prodynorphin.
Agonism of MORs = downstream activation of D2 receptors and inhibition of KORs, and all the other obvious crap that I needn't explain at all.
D2 agonism = downregulation of DORs, possibly MORs, and upregulation of KORs and prodynorphin mRNA transcription.
Being that I have long been extremely depressed (i.e. paucity or densensitization of MORs, DORs, and/or D2 receptors); that I have abused phenylethylamine on a long-term basis (meaning further downregulation of D2 receptors, DORs, MORs, and upregulation of KORs, and prodynorphin expression); and finally that hydrocodone or one of its metabolites has some considerable affinity for KORs, especially when there is a paucity of MORs and DORs, it is only to be expected that in higher doses hydrocodone should cause extreme dysphoria and depersonalization as it did to me and that in lower doses it would produce only the mildest euphoria, which, again, is exactly what happened.
I further speculate that buprenorphine, a kappa opioid receptor antagonist, and a (partial) mu opioid receptor agonist would be highly apt to produce euphoria in me and very unlikely to produce dysphoria.
I also wonder whether or not it would be beneficial for me to undertake long-term low-dose Salvia Divinorum therapy or low-dose Naltrexone/Naloxone therapy, as horrific as either undertaking should be until the desired upregulation and the desired downregulation occurred.
http://www.ncbi.nlm.nih.gov/pubmed/15464069
Pharmacological properties of JDTic: a novel kappa-opioid receptor antagonist.
http://www.ncbi.nlm.nih.gov/pubmed/17702750
Long-acting kappa opioid antagonists disrupt receptor signaling and produce noncompetitive effects by activating c-Jun N-terminal kinase.
http://www.ncbi.nlm.nih.gov/pubmed/16184376
Differential effects of the novel kappa opioid receptor antagonist, JDTic, on reinstatement of cocaine-seeking induced by footshock stressors vs cocaine primes and its antidepressant-like effects in rats.
I wonder whether or not Ketamine is a kappa opioid receptor antagonist. According to the SAR paradigm, it's not entirely impossible. It may also be that it is an inducer of c-Jun N-terminal kinases as JDTic is. This may be shallow and fallacious reasoning, but it seems attractive to conclude that there is some considerable similarity between the pharmacodynamics of ketamine and KOR antagonists based on the fact that they both have the peculiar property of being able to produce an abatement of depression that endures well after the substances have been metabolized and excreted from the body. Weak support for this hypothesis comes in the fact that the (partial) NMDA antagonist Memantine does not have any antidepressant effect and certainly not one that endures for weeks after a single dose. So what's the difference between Memantine and Ketamine? Simply that Memantine only partially antagonizes the NMDA receptor? Is that the ONLY reason it doesn't have an antidepressant effect at ANY dose?
The dysphoric component of stress is encoded by activation of the dynorphin kappa-opioid system.
Stress is a complex human experience having both positive and negative motivational properties. When chronic and uncontrollable, the adverse effects of stress on human health are considerable and yet poorly understood. Here, we report that the dysphoric properties of chronic stress are encoded by the endogenous opioid peptide dynorphin acting on specific stress-related neuronal circuits. Using different forms of stress presumed to evoke dysphoria in mice, we found that repeated forced swim and inescapable footshock both produced aversive behaviors that were blocked by a kappa-opioid receptor (KOR) antagonist and absent in mice lacking dynorphin. Injection of corticotropin-releasing factor (CRF) or urocortin III, key mediators of the stress response, produced place aversion that was also blocked by dynorphin gene deletion or KOR antagonism. CRF-induced place aversion was blocked by the CRF2 receptor antagonist antisauvigine-30, but not by the CRF1 receptor antagonist antalarmin. In contrast, place aversion induced by the KOR agonist U50,488 was not blocked by antisauvigine-30. These results suggest that the aversive effects of stress were mediated by CRF2 receptor stimulation of dynorphin release and subsequent KOR activation. Using a phospho-selective antibody directed against the activated KOR to image sites of dynorphin action in the brain, we found that stress and CRF each caused dynorphin-dependent KOR activation in the basolateral amygdala, nucleus accumbens, dorsal raphe, and hippocampus. The convergence of stress-induced aversive inputs on the dynorphin system was unexpected, implicates dynorphin as a key mediator of dysphoria, and emphasizes kappa-receptor antagonists as promising therapeutics.
http://jpet.aspetjournals.org/cgi/content/full/292/2/803
Hydrocodone has an affinity (Ki) for the human µ-receptor of 36.4 nM, which is 28 and 20 times greater than its affinity for the delta -opioid and kappa -opioid receptors, respectively (Maguire et al., 1993).
To summarize the salient and relevant information of these studies:
Agonism of KORs = antagonism of MORs, DORs, and D2 receptors and to the sensitization and upregulation thereof as well as, of course, to the desensitization and downregulation of the KOR and prodynorphin.
Agonism of MORs = downstream activation of D2 receptors and inhibition of KORs, and all the other obvious crap that I needn't explain at all.
D2 agonism = downregulation of DORs, possibly MORs, and upregulation of KORs and prodynorphin mRNA transcription.
Being that I have long been extremely depressed (i.e. paucity or densensitization of MORs, DORs, and/or D2 receptors); that I have abused phenylethylamine on a long-term basis (meaning further downregulation of D2 receptors, DORs, MORs, and upregulation of KORs, and prodynorphin expression); and finally that hydrocodone or one of its metabolites has some considerable affinity for KORs, especially when there is a paucity of MORs and DORs, it is only to be expected that in higher doses hydrocodone should cause extreme dysphoria and depersonalization as it did to me and that in lower doses it would produce only the mildest euphoria, which, again, is exactly what happened.
I further speculate that buprenorphine, a kappa opioid receptor antagonist, and a (partial) mu opioid receptor agonist would be highly apt to produce euphoria in me and very unlikely to produce dysphoria.
I also wonder whether or not it would be beneficial for me to undertake long-term low-dose Salvia Divinorum therapy or low-dose Naltrexone/Naloxone therapy, as horrific as either undertaking should be until the desired upregulation and the desired downregulation occurred.
http://www.ncbi.nlm.nih.gov/pubmed/15464069
Pharmacological properties of JDTic: a novel kappa-opioid receptor antagonist.
Biological studies were conducted on (3R)-7-Hydroxy-N-[(1S)-1-[[(3R,4R)-4-(3-hydroxyphenyl)-3,4-dimethyl-1-piperidinyl]methyl]-2-methylpropyl]-1,2,3,4-tetrahydro-3-isoquinoline-carboxamide (JDTic), the first potent kappa-selective opioid receptor antagonist not derived from an opiate class of compounds. In the mouse tail-flick test, JDTic, administered subcutaneously (s.c.), blocked anticociceptive activity for up to 2 weeks. When JDTic was administered either s.c. or p.o. 24 h before the selective KOP (kappa)-opioid receptor agonist, enadoline, AD(50s) of 4.1 and 27.3, respectively, were obtained. A time-course study of JDTic versus enadoline indicated significant antagonist p.o. activity up to 28 days. In contrast, JDTic, s.c., failed to antagonize the analgesic effects of the selective MOP mu-opioid receptor agonist, sufentanil. In the squirrel monkey shock titration antinociception test, JDTic given intramuscularly (i.m.) shifted the trans-3,4-dichloro-N-methyl-N-(2-[1-pyrrolidinyl] cyclohexyl) benzeneacetamide (U50,488) dose-effect curve to the right. In the U50,488-induced diuresis rat test, JDTic, s.c., suppressed diuretic activity with a greater potency than that of nor-binaltorphimine (nor-BNI). Thus, JDTic is a potent long- and orally acting selective kappa-opioid antagonist.
http://www.ncbi.nlm.nih.gov/pubmed/17702750
Long-acting kappa opioid antagonists disrupt receptor signaling and produce noncompetitive effects by activating c-Jun N-terminal kinase.
Norbinaltorphimine (NorBNI), guanidinonaltrindole, and atrans-(3R,4R)-dimethyl-4-(3-hydroxyphenyl) piperidine (JDTic) are selective kappa opioid receptor (KOR) antagonists having very long durations of action in vivo despite binding non-covalently in vitro and having only moderately high affinities. Consistent with this, we found that antagonist treatment significantly reduced the subsequent analgesic response of mice to the KOR agonist U50,488 in the tail-withdrawal assay for 14-21 days. Receptor protection assays were designed to distinguish between possible explanations for this anomalous effect, and we found that mice pretreated with the readily reversible opioid antagonists naloxone or buprenorphine before norBNI responded strongly in the tail-flick analgesia assay to a subsequent challenge with U50,488 1 week later. Protection by a rapidly cleared reagent indicates that norBNI did not persist at the site of action. In vitro binding of [(3)H]U69,593 to KOR showed that K(d) and Bmax values were not significantly affected by prior in vivo norBNI exposure, indicating that the agonist binding site was intact. Consistent with the concept that the long-lasting effects might be caused by a functional disruption of KOR signaling, both norBNI and JDTic were found to stimulate c-Jun N-terminal kinase (JNK) phosphorylation in HEK293 cells expressing KOR-GFP but not in untransfected cells. Similarly, norBNI increased phospho-JNK in both the striatum and spinal cord in wild type mice but not in KOR knock-out mice. Pretreatment of mice with the JNK inhibitor SP600125 before norBNI attenuated the long acting antagonism. Together, these results suggest that the long duration KOR antagonists disrupt KOR signaling by activating JNK.
http://www.ncbi.nlm.nih.gov/pubmed/16184376
Differential effects of the novel kappa opioid receptor antagonist, JDTic, on reinstatement of cocaine-seeking induced by footshock stressors vs cocaine primes and its antidepressant-like effects in rats.
RATIONALE: Stress and depression have been linked to relapse of cocaine abuse. Antagonism of the kappa opioid receptor (KOR) has been reported to attenuate some effects of stressors, and antagonism of the KOR has been reported to have antidepressant-like properties. OBJECTIVES: Our objective was to determine whether the potent and selective KOR antagonist, (3R)-7-hydroxy-N-{(1S)-1-{[(3R,4R)-4-(3-hydroxyphenyl)-3,4-dimethyl-1-piperidinyl]methyl}-2-methylpropyl}-1,2,3,4-tetrahydro-3-isoquinoline-carboxamide (JDTic), can reduce the ability of a stressor (intermittent footshock) to reinstate cocaine-seeking behavior and to have antidepressant-like effects in the forced swim test (FST). METHODS: Male Long-Evans hooded rats were trained to lever-press, reinforced with 0.5 mg/kg i.v. infusion of cocaine, according to fixed ratio 1 reinforcement schedules during daily 2-h experimental sessions. After performance had stabilized, lever pressing was extinguished for 12 consecutive sessions, and doses of 0 (vehicle), 3, 10, and 30 mg/kg JDTic were then administered i.g. to separate groups of 12 rats. Twenty four hours later, the rats were given 15 min of intermittent footshock (0.87 mA, 0.5 s activation time, average inter-activation interval of 40 s) or a 17-mg/kg i.p. administration of cocaine prime followed by a 2-h reinstatement test session. JDTic was also evaluated for its ability to block diuresis induced by the KOR agonist, U50,488H (10 mg/kg, s.c.), during 5-h test sessions beginning 1 h after footshock reinstatement tests to verify its KOR antagonist activity. In the FST, male Sprague-Dawley rats were treated with either nor-binaltorphimine (nor-BNI) or JDTic (both at 0.3, 1, 3, or 10 mg/kg, injected s.c. 23 h before), or desipramine (5.6, 10, or 17 mg/kg, injected i.p. 23, 5, and 1 h before) and placed in a cylinder of water, during which the predominance of immobility, swimming, and climbing were scored during 5-s intervals for 5 min. RESULTS: The 10- and 30-mg/kg doses of JDTic significantly reduced footshock-induced reinstatement of responding previously reinforced by cocaine and significantly attenuated U50,488H-induced diuresis. In contrast, JDTic did not affect cocaine-prime-induced reinstatement. Both nor-BNI and JDTic decreased immobility and increased swimming time in the FST, similar to the antidepressant desipramine. CONCLUSIONS: Depression and stress are two states during cocaine abstinence which users identify as precipitating relapse, and JDTic may have properties which attenuate both.
I wonder whether or not Ketamine is a kappa opioid receptor antagonist. According to the SAR paradigm, it's not entirely impossible. It may also be that it is an inducer of c-Jun N-terminal kinases as JDTic is. This may be shallow and fallacious reasoning, but it seems attractive to conclude that there is some considerable similarity between the pharmacodynamics of ketamine and KOR antagonists based on the fact that they both have the peculiar property of being able to produce an abatement of depression that endures well after the substances have been metabolized and excreted from the body. Weak support for this hypothesis comes in the fact that the (partial) NMDA antagonist Memantine does not have any antidepressant effect and certainly not one that endures for weeks after a single dose. So what's the difference between Memantine and Ketamine? Simply that Memantine only partially antagonizes the NMDA receptor? Is that the ONLY reason it doesn't have an antidepressant effect at ANY dose?