Assessment of memory function of offspring rats born to mothers under treating with buprenorphine during pregnancy and lactation

Authors
1 Noncommunicable Diseases Research Center, Neyshabur University of Medical Sciences, Neyshabur, Iran
2 Rocky Mountain Poison and Drug Safety, Denver Health, Denver, CO 80204, USA; Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran
3 Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran
4 Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran
5 Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran; Faculty Pharmacy, Birjand University of Medical Sciences, Birjand, Iran
Abstract
Introduction: Buprenorphine is an opioid drug that is prescribed as an opioid maintenance therapy for addiction during pregnancy and lactation, but its adverse effects on the fetus and infant have not been well studied. Therefore, in the present study, we investigated the effect of buprenorphine administration during pregnancy and lactation on the memory function of offspring animals.

Method: 30 female rats in gestation and lactation stages are allocated in the controls, gestation and lactation treat groups. After parturition, dams and their pups were kept in one cage during lactation without BUP administration. After parturition, other groups subcutaneously receiving one dose of vehicle as a control group, and lactation treat group (0.5 and 1 BUP) subcutaneously receiving BUP 0.5 and 1 mg/kg once a day and pups are weaned on postnatal (PN) day 28. Six offspring from each group were randomly selected to evaluate the memory function. The spatial memory function was checked using the Y-maze test.

Results: In this study, there was no significant difference between the groups exposed to buprenorphine in the embryonic and breastfeeding period and the control group in the alternative percentage.

Conclusion: The present study showed that exposure to buprenorphine in the fetal and infant stage has no effect on the spatial memory function, but this study does not confirm the safety of this drug and further studies are needed to show the effect of buprenorphine on cognitive function.
Keywords

1. Rudolf GD. Buprenorphine in the Treatment of Chronic PainPhys Med Rehabil Clin N Am. 2020;31(2):195.
2. Yamamoto T, Shono K, Tanabe S. Buprenorphine activates μ and opioid receptor like-1 receptors simultaneously, but the analgesic effect is mainly mediated by μ receptor activation in the rat formalin test. J Pharmacol Exp Ther. 2006;318(1):206-13.
3. Chen H-H, Chiang Y-C, Yuan ZF, Kuo C-C, Lai M-D, Hung T-W. Buprenorphine, methadone, and morphine treatment during pregnancy: behavioral effects on the offspring in rats. Neuropsychiatric disease and treatment. 2015;11:609.
4. Nanovskaya T. Deshmukh S, Brooks M, Ahmed MS. Transplacental transfer and metabolism of buprenorphine J Pharmacol Exp Ther. 2002 Jan 1;300(1):26-33.
5. Nanovskaya TN, Nekhayeva IA, Hankins GD, Ahmed MS. Transfer of methadone across the dually perfused preterm human placental lobule. Am J Obstet Gynecol. 2008;198(1):126. e1-. e4.
6. Sapkota K, Mao Z, Synowicki P, Lieber D, Liu M, Ikezu T, et al. GluN2D N-methyl-d-aspartate receptor subunit contribution to the stimulation of brain activity and gamma oscillations by ketamine: implications for schizophrenia. J Pharmacol Exp Ther. 2016;356(3):702-11.
7. Lindemalm S, Nydert P, Svensson J-O, Stahle L, Sarman I. Transfer of buprenorphine into breast milk and calculation of infant drug dose. J Hum Lact. 2009;25(2):199-205.
8. Nath RP, Upton RA, Everhart ET, Cheung P, Shwonek P, Jones RT, et al. Buprenorphine pharmacokinetics: relative bioavailability of sublingual tablet and liquid formulations. Br J Clin Pharmacol. 1999;39(6):619-23.
9. Kahila H, Saisto T, KIVITIE‐KALLIO S, Haukkamaa M, Halmesmäki E. A prospective study on buprenorphine use during pregnancy: effects on maternal and neonatal outcome. Acta Obstet Gynecol Scand. 2007;86(2):185-90.
10. Scott TM, Mindt MR, Cunningham CO, Arias F, Coulehan K, Mangalonzo A, et al. Neuropsychological function is improved among opioid dependent adults who adhere to opiate agonist treatment with buprenorphine-naloxone: a preliminary study. Substance abuse treatment, prevention, and policy. 2017;12(1):48.
11. Konijnenberg C, Sarfi M, Melinder A. Mother-child interaction and cognitive development in children prenatally exposed to methadone or buprenorphine. Early Hum Dev. 2016;101:91-7.
12. Strand MC, Vindenes V, Gjerde H, Mørland JG, Ramaekers JG. A clinical trial on the acute effects of methadone and buprenorphine on actual driving and cognitive function of healthy volunteers. Br J Clin Pharmacol. 2019;85(2):442-53.
13. Kosten TR, Graham DP, Nielsen DA. Opioid Use Disorder After Self-medicating Pain From Traumatic Brain Injury. JAMA psychiatry. 2018;75(6):649-50.
14. Nakamura M, Minami K, Uezono Y, Horishita T, Ogata J, Shiraishi M, et al. The effects of the tramadol metabolite O-desmethyl tramadol on muscarinic receptor-induced responses in Xenopus oocytes expressing cloned M1 or M3 receptors. Anesth Analg. 2005;101(1):180-6.
15. Roghani M, Joghataie MT, Jalali MR, Baluchnejadmojarad T. Time course of changes in passive avoidance and Y-maze performance in male diabetic rats. Iranian Biomedical Journal. 2006;10(2):99-104.
16. Chiang Y-C, Ye L-C, Hsu K-Y, Liao C-W, Hung T-W, Lo W-J, et al. Beneficial effects of co-treatment with dextromethorphan on prenatally methadone-exposed offspring. Journal of biomedical science. 2015;22(1):19.
17. Hung C-J, Wu C-C, Chen W-Y, Chang C-Y, Kuan Y-H, Pan H-C, et al. Depression-like effect of prenatal buprenorphine exposure in rats. PLoS One. 2013;8(12):e82262.
18. Kongstorp M, Bogen IL, Stiris T, Andersen JM. Prenatal exposure to methadone or buprenorphine impairs cognitive performance in young adult rats. Drug Alcohol Depend. 2020; 100,108008.
19. Konijnenberg C, Jondalen NM, Husby MF, Melinder A. ERP correlates of cognitive control in children prenatally exposed to methadone or buprenorphine. Developmental Neuropsychology. 2018;43(7):642-55.
20. Konijnenberg C, Melinder A. Visual selective attention is impaired in children prenatally exposed to opioid agonist medication. European addiction research. 2015;21(2):63-70.
21. Levine TA, Woodward LJ. Early inhibitory control and working memory abilities of children prenatally exposed to methadone. Early Hum Dev. 2018;116:68-75.
22. Wilson GS, Desmond MM, Wait RB. Follow-up of methadone-treated and untreated narcotic-dependent women and their infants: health, developmental, and social implications. J Pediatr. 1981;98(5):716-22.
23. Jantzie LL, Maxwell JR, Newville JC, Yellowhair TR, Kitase Y, Madurai N, et al. Prenatal opioid exposure: The next neonatal neuroinflammatory disease. Brain Behav Immun. 2020;84:45-58.
24. Peters MA. The effect of maternally administered methadone on brain development in the offspring. J Pharmacol Exp Ther. 1977 203(2), 340–346
25. Van Wagoner S, Risser J, Moyer M, Lasky D. Effect of maternally administered methadone on discrimination learning of rat offspring. Percept Mot Skills. 1980;50(3_suppl):1119-24.
26. Zagon IS, McLaughlin PJ, Thompson CI. Learning ability in adult female rats perinatally exposed to methadone. Pharmacology Biochemistry and Behavior. 1979;10(6):889-94.
27. Clark RE, West AN, Zola SM, Squire LR. Rats with lesions of the hippocampus are impaired on the delayed nonmatching‐to‐sample task. Hippocampus. 2001;11(2):176-86.
28. Hauser KF, McLaughlin PJ, Zagon IS. Endogenous opioids regulate dendritic growth and spine formation in developing rat brain. Brain research. 1987;416(1):157-61.
29. Zagon IS, MacLaughlin PJ. Endogenous opioid systems regulate cell proliferation in the developing rat brain. Brain research. 1987;412(1):68-72.
30. Williams J. Christie MJ, Manzoni O. Cellular and synaptic adaptations mediating opioid dependence Physiol Rev. 2001;81:299-343.
31. Hosseini-Sharifabad A, Rabbani M, Sharifzadeh M, Bagheri N. Acute and chronic tramadol administration impair spatial memory in rat. Research in pharmaceutical sciences. 2016;11(1):49.
32. Baghishani F, Mohammadipour A, Hosseinzadeh H, Hosseini M, Ebrahimzadeh-Bideskan A. The effects of tramadol administration on hippocampal cell apoptosis, learning and memory in adult rats and neuroprotective effects of crocin. Metab Brain Dis. 2018;33(3):907-16.
33. Mehdizadeh H, Pourahmad J, Taghizadeh G, Vousooghi N, Yoonessi A, Naserzadeh P, et al. Mitochondrial impairments contribute to spatial learning and memory dysfunction induced by chronic tramadol administration in rat: Protective effect of physical exercise. Prog Neuropsychopharmacol Biol Psychiatry. 2017;79:426-33.
34. Hemshekhar M, Anaparti V, Hitchon C, Mookherjee N. Buprenorphine alters inflammatory and oxidative stress molecular markers in arthritis. Mediators Inflamm. 2017;2017.
35. Bader N, Bosy-Westphal A, Koch A, Rimbach G, Weimann A, Poulsen HE, et al. Effect of hyperbaric oxygen and vitamin C and E supplementation on biomarkers of oxidative stress in healthy men. Br J Nutr. 2007;98(4):826-33.
36. Romano AD, Serviddio G, De Matthaeis A, Bellanti F, Vendemiale G. Oxidative stress and aging. Journal of nephrology. 2010;23:S29-36.
37. Weber D, Kneschke N, Grimm S, Bergheim I, Breusing N, Grune T. Rapid and sensitive determination of protein-nitrotyrosine by ELISA: Application to human plasma. Free Radical Research. 2012;46(3):276-85.
38. Popa-Wagner A, Mitran S, Sivanesan S, Chang E, Buga A-M. ROS and brain diseases: the good, the bad, and the ugly. Oxidative medicine and cellular longevity. 2013;2013.
39. Eidson LN, Inoue K, Young LJ, Tansey MG, Murphy AZ. Toll-like receptor 4 mediates morphine-induced neuroinflammation and tolerance via soluble tumor necrosis factor signaling. Neuropsychopharmacol. 2017;42(3):661-70.