opiates suppress immune system
Yes.
And after lurking/eavesdropping on multiple forums/conversations, there still appears to be an inordinate degree of uncertainty regarding the amphetamines' actual mechanism of action. Is this discrepancy still reflected in the literature? Because it seems like those with advanced pharmacological knowledge briskly brush past the topic like it's old news while the rest of the world wonders: HOW does amphetamine phosphorylate the transporter? An allosteric binding site? Some weird direct mechanism as a modifying substrate? Kinase modulation? And is the old 'weak base' theory of amphetamine-mediated monoamine release still viable, or has some academic consensus been reached of which I've been completely unaware? I got tired of scavenging Google Scholar a long time ago, and nothing I found appeared conclusive in the least.
EDIT: In other words, if amphetamine-elicited monoamine release is truly nothing more sophisticated than typical exchange diffusion, then why haven't the DAT, SERT, NET and others been reclassified as functional antiporters? And further, why would this dramatic aberration of basal neurotransmitter release be so highly dependent upon increased intracellular PKC and MAPK? And how would the transporter become/have to be phosphorylated by a kinase-dependant mechanism in the first place if it already exists as an antiporter capable of sucking up these exogenous releasing agents in exchange for the endogenous amines? Or are these researchers actually suggesting that each of the many,
many structurally diverse releasing agents each happen to have three separate, essentially identical actions [one extra- and two intracellular] that mediate their effects? That just sounds way too unlikely and convoluted, but again, maybe I'm missing something big here.
Also, does anyone have the nanomolar affinities for dextrorphan at the SERT and nicotinic receptors? I tried extensively UTFSEing, but with no luck whatsoever. And to what extent is methorphan's pharmacology even relevant to its dissociative properties, given its comparatively low affinity for the PCP site? Is its 'recreational' role simply that of a practically inert prodrug, and if so, what's with all the cautionary tales regarding serotonin syndrome? Typical hysteria, or is there something of a biphasic metabolism here? Or is dextrorphan's affinity at the transporter comparable to that of the parent compound?