Keratinocytes and PDGF-B/PDGFRβ signaling modulate peripheral opioid tolerance
Abstract
Peripheral opioids are safer than systemic opioids by avoiding central side effects. However, peripheral tolerance hampers their clinical use. We highlight an epithelial-neuronal communication mechanism for peripheral opioid tolerance. We discovered that both repeated intraplantar (i.pl.) morphine injections or repeated keratinocyte photostimulation in mice cause peripheral tolerance in a platelet-derived growth factor type B (PDGF-B) and PDGF receptor beta (PDGFRβ)-dependent manner. We also find that morphine i.pl. increases PDGF-B in mu-opioid receptor-expressing keratinocytes and alters the electrophysiological properties of keratinocytes. This underscores the importance of keratinocytes and the necessity for PDGF-B release for peripheral tolerance, though the source of PDGF-B remains undetermined. Nevertheless, we show that PDGFRβ inhibition completely blocks peripheral tolerance in peripheral chronic pain models, highlighting the translational relevance of our findings. Overall, we highlight that keratinocytes and PDGFRβ are promising targets to reduce peripheral tolerance, which could allow shifting from systemic to peripheral opioid delivery and increase opioid safety.
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BibTeX
@article{posa2026keratinocytes,
title = {{Keratinocytes and PDGF-B/PDGFRβ signaling modulate peripheral opioid tolerance}},
author = {Luca Posa and Angelique Buton and Anita Khasnavis and Sophia Miracle and Kathryn Albers and Matthew Fanelli and Timmy Le and Mackenzie Gamble and Ashley Mcdonald and Gilles Martin and Salomé Fabri‐ruiz and Zachary Freyberg and Ryan Logan and Stephanie Puig},
journal = {iScience},
year = {2026},
month = oct,
doi = {10.1016/j.isci.2026.116634},
url = {https://hal.inrae.fr/hal-05797435v1},
note = {CC BY},
}
RIS
TY - JOUR
TI - Keratinocytes and PDGF-B/PDGFRβ signaling modulate peripheral opioid tolerance
AU - Luca Posa
AU - Angelique Buton
AU - Anita Khasnavis
AU - Sophia Miracle
AU - Kathryn Albers
AU - Matthew Fanelli
AU - Timmy Le
AU - Mackenzie Gamble
AU - Ashley Mcdonald
AU - Gilles Martin
AU - Salomé Fabri‐ruiz
AU - Zachary Freyberg
AU - Ryan Logan
AU - Stephanie Puig
PY - 2026
DA - 2026/10/13
JO - iScience
DO - 10.1016/j.isci.2026.116634
UR - https://hal.inrae.fr/hal-05797435v1
AB - Peripheral opioids are safer than systemic opioids by avoiding central side effects. However, peripheral tolerance hampers their clinical use. We highlight an epithelial-neuronal communication mechanism for peripheral opioid tolerance. We discovered that both repeated intraplantar (i.pl.) morphine injections or repeated keratinocyte photostimulation in mice cause peripheral tolerance in a platelet-derived growth factor type B (PDGF-B) and PDGF receptor beta (PDGFRβ)-dependent manner. We also find that morphine i.pl. increases PDGF-B in mu-opioid receptor-expressing keratinocytes and alters the electrophysiological properties of keratinocytes. This underscores the importance of keratinocytes and the necessity for PDGF-B release for peripheral tolerance, though the source of PDGF-B remains undetermined. Nevertheless, we show that PDGFRβ inhibition completely blocks peripheral tolerance in peripheral chronic pain models, highlighting the translational relevance of our findings. Overall, we highlight that keratinocytes and PDGFRβ are promising targets to reduce peripheral tolerance, which could allow shifting from systemic to peripheral opioid delivery and increase opioid safety.
SN - 2589-0042
ER -