RT Journal Article T1 The Balance of MU-Opioid, Dopamine D2 and Adenosine A2A Heteroreceptor Complexes in the Ventral Striatal-Pallidal GABA Antireward Neurons May Have a Significant Role in Morphine and Cocaine Use Disorders. A1 Borroto-Escuela, Dasiel O A1 Wydra, Karolina A1 Fores-Pons, Ramon A1 Vasudevan, Lakshmi A1 Romero-Fernandez, Wilber A1 Frankowska, Małgorzata A1 Ferraro, Luca A1 Beggiato, Sarah A1 Crespo-Ramirez, Minerva A1 Rivera, Alicia A1 Rocha, Luisa L A1 Perez de la Mora, Miguel A1 Stove, Christophe A1 Filip, Małgorzata A1 Fuxe, Kjell K1 G protein-coupled receptor K1 adenosine A2A receptor K1 cocaine use disorder K1 dopamine D2 receptor K1 morphine use disorder K1 mu opioid receptor K1 oligomerization, morphine AB The widespread distribution of heteroreceptor complexes with allosteric receptor-receptor interactions in the CNS represents a novel integrative molecular mechanism in the plasma membrane of neurons and glial cells. It was proposed that they form the molecular basis for learning and short-and long-term memories. This is also true for drug memories formed during the development of substance use disorders like morphine and cocaine use disorders. In cocaine use disorder it was found that irreversible A2AR-D2R complexes with an allosteric brake on D2R recognition and signaling are formed in increased densities in the ventral enkephalin positive striatal-pallidal GABA antireward neurons. In this perspective article we discuss and propose how an increase in opioid heteroreceptor complexes, containing MOR-DOR, MOR-MOR and MOR-D2R, and their balance with each other and A2AR-D2R complexes in the striatal-pallidal enkephalin positive GABA antireward neurons, may represent markers for development of morphine use disorders. We suggest that increased formation of MOR-DOR complexes takes place in the striatal-pallidal enkephalin positive GABA antireward neurons after chronic morphine treatment in part through recruitment of MOR from the MOR-D2R complexes due to the possibility that MOR upon morphine treatment can develop a higher affinity for DOR. As a result, increased numbers of D2R monomers/homomers in these neurons become free to interact with the A2A receptors found in high densities within such neurons. Increased numbers of A2AR-D2R heteroreceptor complexes are formed and contribute to enhanced firing of these antireward neurons due to loss of inhibitory D2R protomer signaling which finally leads to the development of morphine use disorder. Development of cocaine use disorder may instead be reduced through enkephalin induced activation of the MOR-DOR complex inhibiting the activity of the enkephalin positive GABA antireward neurons. Altogether, we propose that these altered complexes could be pharmacological targets to modulate the reward and the development of substance use disorders. SN 1663-9812 YR 2021 FD 2021-03-15 LK https://hdl.handle.net/10668/25678 UL https://hdl.handle.net/10668/25678 LA en DS RISalud RD Apr 17, 2025