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Neurobiologyof Aging, Vol. 4, pp. 187-190, 1983. ©Ankho InternationalInc. Printed in the U.S.A.

/3-Endorphin: Effect on Thermoregulation


in Aged Monkeys
M . T. M U R P H Y A N D J. M . L I P T O N j

Physiology and Anesthesiology Departments, University o f Texas Health Science Center at Dallas
Dallas, TX 75235

R e c e i v e d 18 J u l y 1983

MURPHY, M. T. AND J. M. LIPTON. ~-Endorphin: Effect on thermoregulation in aged monkeys. NEUROBIOL


AGING 4(3) 187-190, 1983.--In previous experiments small doses of the opiate morphine produced greater hyperthermia in
aged than in younger sub-human primates. To test whether this augmented response is due to enhanced sensitivity of CNS
opioid receptors with age,/3-endorphin (0.625-5 tzg), an endogenous opioid peptide, was injected into the lateral cerebral
ventricle (ICV) of young (<9 years) and aged (>9 years) squirrel monkeys. Significantly greater hypertherrnias developed
in the older primates after each dose. In the aged monkeys, all but the smallest dose increased core temperature about 1.5°C
within I hr after injection. Mean rectal temperature in the younger animals rose 0.5--0.7° after all but the largest dose
(I-I.5oc rise). Both groups maintained an elevated body temperature after central /9-endorphin throughout the 5 hr
recording period. 1.25/zg ~8-endorphin given ICV in a hot environment (30"C) caused greater hyperthermia in older animals.
This dose given in the cold (18oc) caused large changes in temperature of the aged monkeys, either hyperthermia or marked
decreases, whereas the young primates developed only moderate rises in body temperature. The same dose of morphine
sulfate 0.25 p.g) ICV produced similar changes in core temperature in the two age groups in each ambient temperature.
These results indicate that: (I) stimulation of CNS opioid receptors influences thermoregulation and (2) aging increases
responsiveness to such stimulation.

/3-Endorphin Thermoregulation Aging Squirrel monkey Hypenhermia

R E C E N T research has shown that certain drugs and endog- after/3-endorphin administration were found, the tempera-
enous substances preferentially promote dysthermia in aged ture effects of an intermediate dose were chosen and com-
animals [5, 6, 19, 21, 24, 25]. Thermoregulatory mechanisms pared to those caused by morphine in young and older mon-
are altered in aged homeotherms, and it may be that en- keys in cold (18 °) and hot (30°C) environments to further
hanced sensitivity of the CNS to the temperature-altering determine the degree o f alteration of CNS opioid sensitivity
effects of various compounds renders the elderly especially with age.
susceptible to mild dysthermia, accidental hypothermia and
heatstroke [17, 31, 33]. Drugs commonly prescribed for the METHOD
elderly, such as chlorpromazine, diazepam and morphine,
Animals
and others widely used by this population, including ethanol,
have greater effects on temperature regulation of older lab- Male and female squirrel monkeys (Saimiri sciureus)
oratory animals [.5, 7, 21, 25]. Certain endogenous CNS pep- ranging in age from 3--16 + years and 500-1000 g in weight
tides, including those derived from proopiomelanocortin were used. Birthdates o f these animals were documented,
(POMC), affect thermoregulation [14, 19, 24, 36]. The or, in the case o f some animals over 12 yrs old, the date of
structurally-related neuropeptides A C T H (I-24) and a - M S H importation was known. The imported animals were known
(!-13) have significant effects on central temperature control to be over ! year old at the time o f importation. All animals
[14, 24, 36]. Central and peripheral injections of a - M S H were free o f tuberculosis, and only those in good health were
lower body temperature [14] and reduce fever [26], effects used in the experiments. The animals were individually
that are significantly enhanced in aged homeotherms [ 19,24]. caged in a 23--25"C environment with a 12-hr light-dark cycle
Because systemic and central administration o f small and they had lived in the environment for at least 3 months
amounts of morphine sulfate, a drug presumed to exert its prior to testing. All experiments were performed during the
effect via central opioid receptors, produce greater changes |ight cycle and were initiated at approximately the same time
in body temperature o f aged animals [7, 23, 30, 32], the en- each day. They were maintained on monkey biscuits
dogenous opioid peptide ~ e n d o r p h i n was tested in the pres- (Wayne, Allied Mills, Inc.) and fruit; water was available ad
ent experiments to determine if the thermoregulatory re- lib. Before formal testing was begun each monkey was
sponse to this POMC derivative is also altered with age in trained to sit quietly for 8-hr periods in a restraining chair
primates. When age-related changes in core temperature designed for the species (Piaslab, Inc.). The animals were

JRequests for reprints should be addressed to J. M. Lipton, Physiology Department, Southwestern Medical School, UTHSCD, 5323 Harry
Hines Blvd., Dallas, TX 75235.

187
188 MURPHY AND LIPTON

J e<9yr A 2.0
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0.0 M.g o>gyT
t.5

'1.0

0.5
"05; * ~ ~ J J J

I-- 15 [ 6~.5¢,.Q B O0 q
<X
re I i t i i t i
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n
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..J
4.0
(.J O0
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re O5
_z 2O
425~g C
bJ O~
45
0 l 2 3 4 5

0 ~0 TIME AFTER INJECTION {hrs}

05

O0 $
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0 4 2 3 4 5
TIME AFTER INJECTION (hrs)

FIG. 1. Hyperthermia (mean change+-S.E.M.) produced by ICV fl-endorphin


(0.625-5 #g) in young (n=6) and older (n=5) squirrel monkeys in a thermoneutral
(25"C) environment.

divided into two age groups: a younger group under nine ture was monitored for 5 hr after drug or control injections.
years o f age (range: 3-8 years), and an older group aged /3-Endorphin (human, Boehringer Mannheim Biochemicals)
10--16+ years. This division at nine years was made to insure and morphine sulfate (MS, Mallinckrodt) were dissolved in
that the responses o f definitely aged monkeys were used in non-pyrogenic isotonic saline and injected ICV (50/11 vol-
the comparisons [4]. ume + 20/zl saline flush). The doses were administered to
each monkey in randomly assigned order. All injections were
Surgical Procedure separated by at least 72 hr to avoid development of
tolerance.
The monkeys were pre-treated with ketamine hydrochlo-
ride (Vetalar, Parke-Davis; 2-3 mg, IM), atropine sulfate
Calculations
(Atrosed, Burns-Biotec; 0.02 mg/kg IM) and dexamethasone
(Azium, Schering Veterinary; 0.25 mg/kg, IM) and they were The Thermal Response Index (TRI), the area under the
anesthetized with sodium pentobarbital (Nembutal, Abbott temperature curve expressed as A°C x hr [9], was used to
Laboratories; 15 mg/kg, IP). Each animal was placed in a quantify the effects o f fl-endorphin and morphine on body
K o p f stereotaxic instrument designed for the species, and a temperature. A N O V A and Student's t-tests were performed
cannula (Kc No. 201) was implanted aseptically into a lat- on TRI~ scores, the temperature response for two hours after
eral cerebra_ ventricle (ICV) using coordinates (6.0 mm injection.
anterior, 3.0 mm lateral, vertical until cerebrospinal fluid
appeared in the cannula) derived from the atlas of Emmers RESULTS
and Akert [1 l]. Dental acrylic was used to secure the cannula
/~-Endorphin (0.625-5/~g) injected ICV in a thermoneutral
to stainless steel screws driven into the calvarium. Experi-
environment increased rectal temperature of both young and
ments were begun 18-31 days later.
old monkeys. Old animals developed a maximum rise in
body temperature of at least 1.5°C after all but the smallest
Temperature Measurement and Injections (0.625 /~g) dose of fl-endorphin, and maintained core tem-
Monkeys were placed in a restraining chair in an en- perature at least 1° above baseline throughout the 5 hr re-
vironmental chamber (Hotpack Corporation) maintained at cording period (Fig. 1). Young animals also developed long-
25", 18" or 30*(+_I'C, range). A thermistor probe (Yellow term hyperthermias o f approximately 0.6 ° after all but the
Springs International No. 701) was inserted 10 cm into the largest (5/~g) dose, which caused an approximate 1.2°C rise
rectum and held in place with tape. Body temperature was in rectal temperature. The increases in body temperature in
recorded at 10-rain intervals using a digital temperature re- the older monkeys were significantly greater (p<0.05 or bet-
corder (Digitec Corporation) connected to a MINC I 1 online ter) than those in the younger group after each dose. There
computer. Injections were made up daily from a stock solu- was no significant difference in pre-injection baseline tem-
tion and administered after a period of 1 hr or more during peratures o f young (38.22-+0.40 °, S.E.M.) and old
which base-line temperature was recorded. Rectal tempera- (38.43 +-0.47°C) animals.
~8-ENDORPHIN AND THERMOREGULATION 189

To, 25"C 1"= • ~ O ' C ¥o, W°C


An intermediate dose (I.25/J,g) W a s selected to test in cold
( 18°) and hot (30°) environments. This dose was chosen since ~s
in a thermoneutral environment it produced a maximum rise
in core temperature in the aged animals, while causing only a 4o
slight increase in body temperature in the younger animals.
Hence any increased sensitivity with age might be evident ! o5
under thermal stress at this dose. ICV administration of 1.25
/~g /3-endorphin in the cold caused either hypothermia or ~ oo
hyperthermia in the older animals. In contrast, younger
animals developed moderate rises in core temperature after ~.~/49 ICV
this dose of/3-endorphin (p<0.04, Fig. 2). In the heat, hyper- i -to I--"I < 9 I~
thermia was enhanced in the older monkeys compared with :'91"
the younger group (p <0.03). The same dose of MS (1.25/~g)
given ICV produced similar changes in body temperature in
each age group at each ambient temperature (Fig. 2). Mean ~ -20
(_+S.E.M.) baseline temperature of the two groups was not
significantly different in the cold (young--38.30__+0.34°;
oid--38.06_+0.68 °) or in the heat (young--38.38_+0.30°;
oid---38.61_+.+0.48°C). Vehicle injection did not change rectal -~c
temperature of either age group in either ambient tempera- FIG. 2. Changes in rectal temperature (mean_+S.E.M.) produced by
ture. 1.25 p.g/3-endorphin and morphine sulphate ICV in thermoneutral
No marked behavioral changes were observed in either (25°), hot (30°) and cold (18°C) environments in young (n=6) and
age group after /3-endorphin or MS administration in the older (nffi6) squirrel monkeys. At 18°C older primates developed
three ambient temperatures. either hyperthermia (n=2) or hypothermia (n=4).

DISCUSSION

Central administration of/3-endorphin altered body tem- may be related to the "biphasic" temperature effect of mor-
perature in young and aged sub-human primates with the phine described previously [2,8]. In certain aged primates
greatest effects in the aged monkeys. In response to each subjected to cold, intermediate doses of opiate substances
dose of/3-endorphin given in a thermoneutral environment appear to have the same thermal effect (hypothermia) as
both young and older groups developed significant rises in larger doses of morphine in a thermoneutral environment.
body temperature. Aged monkeys developed a maximum The hypothermia after large doses of morphine is believed to
rise after administration of 1.25 p.g whereas in the younger reflect a general depression of thermoregulation [8].
animals 5/zg was required to elicit a comparable hyperther- The enhanced response of the older monkeys to stimula-
mia. The aged primates also developed significantly greater tion of opioid receptors by fl-endorphin may reflect a greater
dysthermia when 1.25/~g of the opioid peptide was given in central responsiveness to this peptide with age, perhaps be-
hot and cold environments. In 30°C they developed greater cause of a change in the opioid receptor population. Since it
hyperthermia. Both hyperthermia and hypothermia occurred has been shown that/3-endorphin levels within the hypothal-
in the aged animals after central injection of/3-endorphin in amus decline with age [1,13], it may be that the enhanced
the cold. The younger animals developed only moderate thermal response results from increased sensitivity, perhaps
rises in body temperature in each environment. A selected similar to denervation supersensitivity, of the aged CNS to
dose of morphine (1.25/zg), an opiate previously shown to this neuropeptide. Alternatively, the increased response may
alter normal thermoregulation when given centrally and pe- be due to a more general decrease in CNS temperature con-
ripherally [7, 23, 30, 32], had effects on temperature that trols with aging, resulting in a failure to counter rises in
were similar to those after/3-endorphin [2, 18]. temperature caused by fi-endorphin. Both explanations are
In previous research [7] age-related differences in thermal tenable.
response were observed in squirrel monkeys after small It is not yet clear whether central/3-endorphin has a role
doses of morphine sulfate. In this earlier study a weak but in normal control of thermoregulatory processes. Research
statistically significant correlation between maximum tem- on rats [2, 15, 29] and cats [I0] indicates that the opioid
perature change and age was noted after the smallest sub- antagonist naloxone has little or no effect on normal body
cutaneous dose was given (0.5 mg/kg). For 2.5 and 5.0/~g temperature. However, ~-endorphin is found in significant
doses of morphine given centrally, the positive correlation concentrations in brain regions that are important to tem-
between temperature and age were significant, and smaller perature control [3, 12, 16, 34] and direct injection of this
doses (0.625 and 1.25 p.g) consistently caused increases in peptide into the primary temperature control in the preop-
temperature of monkeys 8.5--16 years old, but only slight tic/anterior hypothalamic region causes hyperthermia [2, 22,
rises in body temperature in the young animals. The 28]. Although there are questions about the role of central
age/temperature relations were marked by increased varia- /3-endorphin in thermoregulation, the age difference in ther-
bility after larger doses of morphine given either centrally or mal response to this peptide is striking. Consequently, any
peripherally. Thus it appears that the age-related hyper- drug that influences opiate receptors in the aged brain might
thermia caused by/3-endorphin in the present experiments is be expected to cause dysthermia, whether the endogenous
more like the effect noted after low doses of morphine in opioid peptides are significant to normal thermoregulation or
prior research on this species. The mixed hypotherma/ not. If opioid peptides do have a role in central temperature
hyperthermia observed in the aged animals after both control, changes with age in concentration, activity and/or
/3-endorphin and morphine in the cold was not expected and metabolism might underlie certain age-related modifications
190 MURPHY AND LIPTON

in temperature regulation and lead to thermolability, heat strates that aged subhuman primates are capable of developing
stroke and accidental hypothermia, conditions that are more and sustaining marked rises in body temperature. The reduced
c o m m o n in the aged [17, 31, 33]. responses to pyrogens and hyperthermic agents observed in
D e c r e a s e d febrile responses in aged rabbits, squirrel previous experiments may not be the result of diminished pe-
m o n k e y s and man [4, 20, 27, 35], and age-related reduction ripheral capacity to produce and c o n s e r v e heat, but rather
in prostaglandin-induced hyperthermia [20], have been reflect alterations in C N S temperature control mechanisms
documented. The diminished responses to pyrogens and pros- with age.
taglandins in the previous research might simply reflect an
inability o f the aged animals to develop and maintain significant ACKNOWLEDGEMENTS
rises in core temperature due to reductions in peripheral ther- This research was supported by National Institute on Aging grant
moeffector capacity. H o w e v e r , the present research demon- AG 00109.

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