Which receptor does morphine primarily act upon to provide analgesia?

Explore the USMLE Step 3 Drug MOA Test. Use flashcards and multiple-choice questions, each with hints and explanations. Ace your exam with confidence!

Morphine primarily exerts its analgesic effects by acting on the µ (mu) opioid receptor. This receptor is a subtype of opioid receptors that are widely distributed throughout the central nervous system and other tissues. When morphine binds to the mu receptor, it activates a signaling cascade that leads to a decrease in the perception of pain.

The activation of mu receptors results in the inhibition of the release of neurotransmitters involved in pain signaling and promotes descending pain control pathways. This is instrumental in mediating both the pain relief (analgesia) and the other effects associated with morphine usage, including sedation and euphoria.

In contrast, while delta receptors are also opioid receptors, they play a less dominant role in pain relief compared to mu receptors. Alpha and beta receptors, on the other hand, are primarily associated with adrenergic signaling and do not mediate the analgesic effects of morphine. Understanding the primary action of morphine on mu receptors is critical for its clinical use in pain management and for predicting its effects and potential side effects.

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