Abstract
Morphine-induced analgesic tolerance limits its clinical use. This study shows that metformin alleviates such tolerance by inhibiting the TXNIP/NLRP3/GSDMD axis, reducing microglial activation and proinflammatory cytokines in CD-1 mice (metformin 200 mg/kg i.p.; morphine 10 mg/kg s.c.) and BV-2 cells (metformin 100 μM; morphine 200 μM). TXNIP is critical, as its overexpression weakens metformin’s effect. The TXNIP siRNA/metformin coloaded TM@ZIF-8/HA nanosystem enhances efficacy via pH-responsive, CD44-targeted delivery with good biocompatibility, providing a perioperative pain management strategy.
| Original language | English |
|---|---|
| Pages (from-to) | 11075-11088 |
| Number of pages | 14 |
| Journal | ACS Applied Bio Materials |
| Volume | 8 |
| Issue number | 12 |
| DOIs | |
| State | Published - 15 Dec 2025 |
| Externally published | Yes |
Keywords
- TXNIP/NLRP3/GSDMD
- metformin
- microglia
- morphine tolerance
- nanodelivery
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