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UNIVERSITY OF ILLINOIS AT CHICAGO Department of Psychiatry Fifth Annual Research Forum – Extravaganza 2014 POSTER TITLE Mesenchymal stem cells inhibit morphine-mediated tolerance development DISEASE/KEY WORDS: Stem cells; morphine-mediated tolerance; enkephalin; pain therapy AUTHORS: MENTEE CATEGORY: Yan Li, Feng Wang, HongNa Yang, and Tingyu Qu Visiting scientist, Post- doc, RESEARCH MENTOR: PhD student BACKGROUND: Previous studies demonstrated that transplantation of adrenal chromaffin cells in humans play an important role in the analgesia and the inhibition of opioid tolerance, which may be attributed to a synergistic action of endogenous molecules such as opioid peptides and catecholamines released by these cells. It has been reported recently that mesenchymal stem cells (MSCs) express preproenkephalin (PPE), a protein precursor of the opioids peptides Met- and Leu-enkephalins, and are also capable of spontaneously releasing Met-enkephalin and anti-inflammatory cytokines in cultured condition, these cells may also produce analgesic and anti-tolerance effects to chronic opioids. METHODS: We investigated the potential effect of MSCs to the development of morphine-induced tolerance in vitro by a co-culture system of human MSCs (hMSCs) and the neuronallydifferentiated SH-SY5Y cells and in vivo by spinal transplantation of rat MSCs (rMSCs) in a rat pain model. We also investigated the expression level of enkephalins in the culture supernatant of hMSCs by ELISA and in situ immunofluorescence. RESULTS: We found that chronic treatment with 10μM morphine led to cAMP upregulation in neuronally-differentiated SH-SY5Y cells, a well-accepted cell response for morphine tolerance and that naïve hMSCs at the early passage (P<5) demonstrated an inhibition to the development of morphine tolerance and resulted in significant reduction to the morphine-induced cAMP production in these neuronal cells differentiated from SH-SY5Y cells in our co-culture system. However, this inhibition did not occur in co-cultures of neuronally-differentiated SH-SY5Y cells with the hMSCs at late passage (P>5). The level of enkephalins in both of the supernatant of hMSC culture and in situ was significantly augmented compared to the controls. More importantly, spinal transplantation of rMSCs at ealy stage (P<3) produced significant analgesic and robust anti-tolerance effects in the model rats with pain. CONCLUSIONS: Our studies, both in vitro and in vivo, reveled that MSCs may serve as valuable therapeutic cells for treating morphine tolerance and dependence to minimize the risk of drug abuse and addiction. This research is supported by grants of DoD Tingyu Qu (PR100499P1) & the Boothroyd Foundation to T. QU.