TY - BOOK AU - Tefera, Eshetu TI - Opioid treatment of experimental pain activates nuclear factor-kappaB SN - 1551-7489 PY - 2015/// KW - *Analgesics, Opioid/tu [Therapeutic Use] KW - *Fentanyl/tu [Therapeutic Use] KW - *NF-kappa B/bl [Blood] KW - *Pain/dt [Drug Therapy] KW - Adult KW - Female KW - Follow-Up Studies KW - Healthy Volunteers KW - Humans KW - Injections, Intravenous KW - Male KW - Monocytes/de [Drug Effects] KW - Pain/bl [Blood] KW - Signal Transduction/de [Drug Effects] KW - MedStar Health Research Institute KW - Journal Article KW - Observational Study KW - Randomized Controlled Trial KW - Research Support, N.I.H., Extramural KW - Research Support, Non-U.S. Gov't N2 - CONCLUSIONS: The combination of acute pain with opioids, as occurs in clinical situations, activates a key transcription factor involved in proinflammatory responses; DESIGN: NF-kappaB activation was compared within-subjects following four randomly ordered experimental sessions of opioid-only (intravenous fentanyl 1 mug/kg), painonly (cold-pressor), opioid + pain, and a resting condition; INTERVENTIONS: Following exposure to treatment (fentanyl administration and/or cold-pressor pain), blood samples for NF-kappaB analysis were obtained; MAIN OUTCOME MEASURES: Intracellular levels of activated NF-kappaB, in unstimulated and stimulated peripheral blood mononuclear cells at 15 and 30 minutes; OBJECTIVE: To determine the independent and combined effects of pain and opioids on the activation of an early marker of inflammation, nuclear factor-kappaB (NF-kappaB); PARTICIPANTS: Twenty-one (11 female) healthy controls; RESULTS: Neither pain nor opioid administration alone effected NF-kappaB levels in cell populations; however, the combination of treatments induced significant increases of NF-kappaB in stimulated peripheral blood mononuclear cell, lymphocytes, and monocytes; SETTING: University General Clinical Research Center UR - http://dx.doi.org/10.5055/jom.2015.0261 ER -