What are opioids, and how do they work in the brain?

A poppy plant, a pharmacist in 1804 and a lab bench in 1973 explain why one family of molecules can ease pain and also stop breathing.

Opioids are a family of drugs that come from the opium poppy or imitate its chemistry. They work by fitting onto opioid receptors, which are docking points on nerve cells in the brain, the spinal cord and the gut. Once they dock, they turn down pain signals, and they also bring drowsiness, a feeling of calm or , and slower breathing.

The story starts with a pharmacist. In 1804 Friedrich Sertürner isolated morphine from opium, probably the first time anyone pulled a medicinal ingredient out of a plant in pure form. He named it after Morpheus, the Greek god of dreams, because it made people sleepy. Doctors have used morphine and its relatives ever since, mainly to relieve severe pain, including during surgery. They are also used to calm a cough or diarrhoea and, in carefully supervised treatment, to help people with opioid addiction.

Why do poppy chemicals fit into our nerves at all? Because our own bodies make opioid molecules, such as endorphins, that dock on the same receptors. In 1973 Candace Pert and Solomon Snyder published the first detailed evidence of a of this kind, now called the mu opioid receptor. A drug like morphine is a borrowed key that happens to fit our own lock.

Lock and key in the nervous system
  1. Step 1: Opioid molecule

    From the opium poppy, or a lookalike made in a lab

  2. Step 2: Fits a

    Docks on a mu opioid on a nerve cell

  3. Step 3: Pain signals dampen

    The same lock the body's own endorphins use

  4. Step 4: Other effects follow

    Pleasure, drowsiness and slower breathing

That is also the catch. The same receptors that dampen pain also sit in a brain area called the pleasure centre, and activating them slows breathing. With repeated use the body adapts: it needs bigger amounts for the same effect (), and stopping suddenly causes unpleasant . Because opioids are addictive and can cause a fatal overdose, most are controlled substances.

Try it

What tolerance does to the curve

00.250.50.751036912Amount of drug (arbitrary units)Effect, as a share of the maximum (simple model)

y = 1 / (1 + e^(−1(x − 3)))

Challenge · Tolerance pushes the curve to the right. Move the midpoint from 3 to 6: how many times more drug now gives the same half effect?

A simple model in made-up units, not real doses: with tolerance, a bigger amount is needed for the same effect, which is what the lesson means by tolerance.

Quiz me

0/3

  1. 1.Why can a chemical from a poppy plant relieve pain in a human brain?
  2. 2.What is the difference between an opiate and an opioid?
  3. 3.What happens to the body's response with long-term opioid use?

Recap

Opioids work by fitting the body's own opioid receptors, so one drug can relieve pain, bring euphoria and slow breathing.

💡 A trick to remember it · A borrowed key in the body's own lock: it opens pain relief, but the same lock sits next to the breathing switch.

Surprising fact · Morphine, isolated in 1804, was named after Morpheus, the Greek god of dreams.

Sources (5)

No source, no claim. Every fact in this lesson (13 claims) cites at least one of these.

  1. [1]Opioid · Wikipedia
  2. [2]Morphine · Wikipedia
  3. [3]Opioid receptor · Wikipedia
  4. [4]Mu-opioid receptor · Wikipedia
  5. [5]Opioid overdose · Wikipedia
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