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Chapter category: Immunology

Experimental Evidence for Immunomodulatory Effects of Opioids

This chapter appears in the following book:

Immune Mechanisms of Pain and Analgesia

Edited by: Halina Machelska and Christoph Stein
ISBN: 0-306-47692-4
» Get more information about this book at landesbioscience.com «

Chapter authors:
Paola Sacerdote, Elena Limiroli and Leda Gaspani


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In recent years the experimental and clinical research has made it clear that the immune system does not stand alone, but it is profoundly affected by other organ systems, especially the central nervous and neuroendocrine systems. It is also increasingly clear that the immune system can in turn affect the functioning of these systems as well.1

The research on opioid peptides plays a fundamental role in the development of this awareness. Among the first experimental evidences suggesting the existence of a bidirectional link between brain and immune system we must include the observation by Wybran et al.2 who in 1979 showed that morphine, a drug considered to alter only neuronal functions, could affect also the responses of human B lymphocytes. This report stimulated the research in the field of Neuroimmunomodulation, leading to the identification of several neuropeptide receptors on immune cells, and to the observations that many, if not all, neuropeptides, hormones and neurotransmitters can affect the immune responses.

However, although 21 years have passed and a wide literature is now available, the real significance of the role of opioids in the modulation of the immune system has not yet been ascertained.

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