Serotonin therapies for opioid-induced disordered swallow and respiratory depression

Author:

Frazure Michael1ORCID,Morimoto In2,Fielder Nathan3,Mellen Nicholas4,Iceman Kimberly5ORCID,Pitts Teresa5ORCID

Affiliation:

1. Department of Physiology, School of Medicine, University of Louisville, Louisville, Kentucky, United States

2. Department of Mechanical and Intelligent Systems Engineering, The University of Electro-Communications, Tokyo, Japan

3. School of Medicine, University of Louisville, Louisville, Kentucky, United States

4. Department of Neurology, School of Medicine, University of Louisville, Louisville, Kentucky, United States

5. Department of Speech, Language, and Hearing Sciences and Dalton Cardiovascular Center, University of Missouri, Columbia, Missouri, United States

Abstract

This is the first study, to our knowledge, to evaluate sex-specific effects of opioid administration on pharyngeal swallow. We expand on a small but growing number of studies that report a lower threshold for opioid-induced respiratory depression in females compared with males, and we are the first to produce this effect with the partial μ-opioid-receptor agonist buprenorphine. This is the first demonstration, to our knowledge, that activation of 5-HT1A receptors can improve swallow and breathing outcomes following systemic buprenorphine administration.

Funder

Kentucky Challenge for Excellence

Craig H. Neilsen Foundation

HHS | National Institutes of Health

Kentucky Spinal Cord and Head Injury Research Trust

Publisher

American Physiological Society

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