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N-type calcium
channel
potassium
voltage-gated
channel
subfamily J
Adenylate
cyclase type 2
GABAA receptor
Gamma-
aminobutyric
acid type B
receptor
ABC
transporter,
substrate-
binding
lipoprotein
ATP-binding
cassette
sub-family C
member 3
Cytochrome P450
2D6
Mu-type opioid
receptor
Gβ
Gγ
γ-Aminobutyric acid
Morphine
cAMP
Ca
+
Ca
+
Na
+
Na
+
γ-Aminobutyric acid
Ethylmorphine
Ethylmorphine
Morphine
Morphine
Morphine
ATP
PP
i
Heme
GTP
Pain
Guanine
nucleotide-
binding protein
G(i) subunit
alpha-1
Magnesium
Morphine depresses neurons
in the cough centre of the
brainstem
Less GABA leads to
disinhibition of dopamine
cell firing in the spinal
chord pain transmission
neurons. This leads to the
suppression of the cough
centre of the brain
Decreased calcium levels
lead to decreased
neurotransmitter release.
Less GABA is released for
synaptic vesicles.
Morphine binds to pre
synaptic mu opioid type
receptors.
The Gi subunit of the mu
opioid receptor activates
the inwardly rectifying
potassium channel increasing
K+ conductance. This causes
membrane hyperpolarization
decreasing the chances of
neuronal firing/action
potential.
Post-Synaptic Neuron
Pre-Synaptic Neuron
Synapse
Cytosol
Synaptic Vesicle
The mu opioid receptor
through the gamma subunit
inhibits voltage gated
N-type calcium channels
stopping the influx of
calcium into the neuron.
Blood-Brain Barrier
Morphine diffuses across the
blood-brain barrier
With the inhibition of
adenylate cyclase, it is
unable to synthesize cAMP
which further prevents
calcium from entering the
neuron and depolarization of
the neuron
Hepatocyte
Liver
Diffusion
Ethylmorphine is taken
orally
CACNB1
KCNJ9
ADCY2
GABRG2
GABBR1
CDR20291_0805
ABCC3
CYP2D6
OPRM1
GNB1
GNG2
γ-Aminobutyric
acid
Morphine
cAMP
Calcium
Calcium
Sodium
Sodium
γ-Aminobutyric
acid
Ethylmorphine
Ethylmorphine
Morphine
Morphine
Morphine
Adenosine
triphosphate
Pyrophosphate
Guanosine
triphosphate
Pain
GNAI1