Abstract Body: Introduction:
Naltrindole (NTI), known as a delta opioid receptor antagonist, inhibited phorbol 12-myristate 13-acetate (PMA) induced superoxide (SO) release in polymorphonuclear leukocytes (PMNs). PMNs do not express opioid receptors. We propose NTI reduces PMN SO by reducing intracellular calcium (Ca²⁺). To test this hypothesis, we did experiments using KB-R7943 (KB) as a positive control, known to reduce intracellular Ca²⁺ via inhibition of the reverse mode Na⁺/Ca²⁺ exchanger. Naloxone (NX), a broad-spectrum opioid receptor antagonist, was used as a negative control. We predict that NTI will diminish PMA-induced PMN SO release similar to KB, while NX will have no effect, and that there will be no difference in cell viability compared to vehicle controls.

Methods:
Male Sprague Dawley (SD) rat PMNs (5x10⁶) were incubated for 15 min at 37^oC in the presence or absence (dH₂O vehicle control) of NTI (10-200 µM), KB (5-20 µM), and NX (100-200 µM). PMN SO release was measured by the change in absorbance at 550 nm over 420 sec via ferricytochrome c reduction after PMA stimulation (100 nM). The cell viability was determined microscopically by 0.2% trypan blue exclusion at the end of PMN SO release assay. Data were analyzed using ANOVA Fisher’s PLSD post-hoc test.

Results:
NTI significantly decreased PMN SO release at 200 μM (n=10, 0.196±0.06, p<0.05) compared to vehicle control (n=22, 0.731±0.07) or NX 100/200 μM (n=3, 0.593±0.06), and NTI at 100 μM (n=7, 0.461±0.08, p<0.05) versus vehicle control. Likewise, KB significantly decreased PMN SO release at 20 μM (n=7, 0.507±0.07), 10 μM (n=7, 0.552±0.07), and 5 μM (n=5, 0.615±0.11) compared to vehicle control (n=10, 0.908±0.07). Cell viability was statistically similar (80-90±5%) among all study groups.

Conclusion:
NTI (10-200 μM) and KB (5-20 µM) exhibited concentration-dependent effects in reducing PMN SO release without compromising cell viability. The results suggest that the novel effect of NTI maybe mediated through a reduction in intracellular Ca²⁺ and independent of delta opioid receptor antagonism. These results are consistent with the effects of NTI, KB and NX in myocardial ischemia/reperfusion injuries. Future studies will assess the effects of NTI on ROS attenuation in human umbilical vein endothelial cells.