Abstract
Background and Purpose: β-arrestin2 plays an important role in opioid
receptor signaling, but its involvement in morphine- and
fentanyl-induced respiratory depression is widely debated. The aim of
this study was to determine whether β-arrestin2 signaling is associated
with fentanyl- and morphine-induced respiratory depression. Experimental
Approach: This study investigated whether β-arrestin2 is involved in
respiratory depression induced by fentanyl or morphine by inhibiting the
upstream signaling molecule GRK2 and knocking out β-arrestin2 in mice,
using whole-body plethysmography chambers to assess changes in
respiratory function. Key Results: In the experiment of inhibiting GRK
molecules, GRK inhibitors significantly improved the respiratory
depression induced by morphine, but had no effect on fentanyl. In
experiment of knocking out β-arrestin2, respiratory depression was
significantly improved in the morphine group, but less affected in the
fentanyl group. Conclusion and Implications: Our results suggested that
inhibition of β-arrestin2 signaling alleviated morphine-induced
respiratory depression but had little effect on fentanyl-induced
respiratory depression in both models, suggesting differences in the
respiratory depression mechanisms between fentanyl and morphine. This
suggests that we may need to give a differentiated dosing regimen in
clinical treatment of respiratory depression caused by the two drugs.