Opioid-Induced Tolerance (OIT) Model

Pain is a major social issue requiring the continuous development of new analgesics. With a lack of effective and safe non-opioid options for pain management, the use of drugs with opioid-based mechanisms of action remains widespread and is associated with numerous adverse effects, including a high risk of substance abuse in some people. Opioid misuse has developed in recent years, leading to a public health crisis. When taken in the prescribed quantities and for a short duration, opioids do not usually result in serious health complications, but their use to excess, compulsive intake or prolonged self-administration can lead, among other issues, to tolerance.

The morphine-induced tolerance assay is widely used for revealing the potency of a new chemical entity to induce a tolerance phenomenon in conscious mice.

In Transpharmation’s model, mice receive morphine (10 mg/kg) twice daily from day 0. The analgesic effect of a morphine dose is measured by hot plate and von Frey 30 minutes after dosing on day 0, and again on day 3, by which point it has fallen significantly. On day 4 the test compound is given with the morning morphine dose to measure whether it restores morphine’s analgesic effect.

Ketamine and dexmedetomidine serve as positive controls, each fully restoring morphine analgesia on day 4. The model lets clients compare the tolerance their compounds produce with that of morphine, or test a compound’s ability to attenuate tolerance.

Opioid-induced tolerance (OIT)
Study timeline. Morphine twice daily from day 0 to day 2; morphine on day 3, with von Frey and hot plate testing 30 minutes later; morphine with the test compound on day 4, with testing 30 minutes later.

BID dosing of Morphine (10mg/kg) D0-D4
Primary species: Mouse
Primary endpoint: Thermal allodynia (hot plate) and Mechanical allodynia (von Frey)
Positive control: Ketamine, Dexmedetomidine
Recommended N of 10

Key for both charts: sham (white), vehicle (red), ketamine 10 mg/kg (light green) and dexmedetomidine 0.05 mg/kg (dark green).
Mouse: Hot plate
Bar chart of hot plate latency (s) at baseline and 30 minutes after morphine on days 0, 3 and 4, for four groups. On day 0 morphine raises latency to the 150-second cut-off; by day 3 it has fallen significantly, and by day 4 further in vehicle mice; ketamine 10 mg/kg and dexmedetomidine 0.05 mg/kg restore it to near day 0 levels.
Mouse: von Frey
Bar chart of paw withdrawal threshold (g) at baseline and 30 minutes after morphine on days 0, 3 and 4, for the same groups. On day 0 morphine raises the threshold to about 4 g; by day 3 it has fallen significantly, and by day 4 further in vehicle mice; ketamine 10 mg/kg and dexmedetomidine 0.05 mg/kg restore it to near day 0 levels.

* - vs vehicle at same time point
# - vs vehicle D0 30min
$ - vs vehicle D3 30min
Two-way repeated measure ANOVA with Tukey's multiple comparisons post-hoc test