Table of Contents

Repeated Morphine Exposure Reversibly Impairs Spike Generation and Repetitive Firing in a Functionally Distinct Subpopulation of Orexin Neurons

  1. Christopher S. Leonard1
  1. 1Department of Physiology, New York Medical College, Valhalla, New York 10595
  2. 2Department of Neurophysiology, Hamamatsu University School of Medicine, Hamamatsu 431-3192, Japan
  3. 3Neuropsychiatric Institute, University of California, Los Angeles, California 90095
  4. 4Veterans Administration, Greater Los Angeles Healthcare System, Los Angeles, California 91343
  1. Author contributions: E.A.B., M.I., R.M., J.M.S., and C.S.L. designed research; E.A.B., E.N.H., and M.I. performed research; E.A.B., E.N.H., M.I., and C.S.L. analyzed data; E.A.B., M.I., R.M., J.M.S., and C.S.L. wrote the paper.

Abstract

Orexin (hypocretin) neuropeptides regulate numerous essential functions including sleep/wake state stability and reward processing. Orexin synthesizing neurons respond to drug cues and undergo structural changes following persistent drug exposure. Postmortem brains from opioid users and opioid-treated rodents have orexin somata that become ∼20% smaller and ∼50% more numerous and are postulated to promote hypermotivation for drug seeking though increased orexin release. Biophysical considerations suggest that the decreased soma size should increase cellular excitability; however, the impact of chronic opioids on firing ability, which drives peptide release, has not been explored. To test this, we assessed the intrinsic electrophysiological properties of orexin neurons by whole-cell recordings in slices from male orexin-EGFP mice treated for 2 weeks by daily morphine or saline injections. Paradoxically, we found that while daily morphine decreased the average soma size, it impaired excitability in a subpopulation of orexin neurons identified by electrophysiological criteria as “H-type” while entirely sparing “D-type” neurons. This impairment was manifest by smaller, broader action potentials, variable firing, and a downscaling of firing gain. These adaptations required more than a single morphine dose and recovered, along with soma size, after 4 weeks of passive withdrawal. Taken together, these observations indicate that daily opioid exposure differentially impacts H-type orexin neurons and predicts that the ability of these neurons to encode synaptic inputs into spike trains and to release neuropeptides becomes impaired in conjunction with opioid dependence.

  • Received March 20, 2025.
  • Revision received October 8, 2025.
  • Accepted October 12, 2025.