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Annual Review of How the Body's Natural Opioid Peptides Affect Behavior — 2021 Edition

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The takeaway

This 44th annual review compiles research from 2021 on how endogenous opioid peptides influence pain, addiction, mood, eating, learning, and numerous other behaviors and physiological functions.

18 topic areas reviewed

The 44th annual installment covers all aspects of endogenous opioid peptide research from molecular studies to behavior, spanning 2021 publications

What the researchers found

This review consolidates research from 2021 across 18 major topic areas related to endogenous opioid peptides: molecular/biochemical studies, animal and human pain/analgesia, nonopioid analgesics, tolerance and dependence, stress and social status, learning and memory, eating and drinking, drug abuse and alcohol, sexual activity and hormones, mental illness and mood, seizures, neurophysiology, locomotion, gastrointestinal/renal/hepatic function, cardiovascular responses, respiration and thermoregulation, and immunological responses.

As a comprehensive anthology, the review does not present a single finding but rather synthesizes the state of the field across all behavioral dimensions of opioid peptide research from a single year.

Why it matters

The endogenous opioid system is central to pain management, addiction, mood regulation, and numerous other physiological processes. This annual review series provides an invaluable consolidated reference that helps researchers track progress across the entire field and identify emerging trends in opioid peptide research.

How the study worked

This is a systematic annual review of published literature from 2021 covering all aspects of endogenous opioid peptide research. The author compiled and organized studies by topic area, covering molecular, pharmacological, and genetic manipulation of opioid peptides and receptors.

What this study cannot tell us

As a review article, this does not present new experimental data. The quality and conclusions depend on the underlying studies reviewed, which vary in rigor. The breadth of coverage (18 topics) means individual studies receive limited detailed analysis. Only studies from 2021 are included.

How to read the evidence

This is a narrative review article that compiles and summarizes existing research. It does not present original data but serves as a valuable reference for the field's progress in a given year.

When this study was published

Published in 2023, this review covers research from 2021. As part of a continuous 44-year annual review series, it provides historical context alongside recent findings.

The bigger picture

Understanding endogenous opioid peptides is crucial for developing better pain treatments, addressing the opioid addiction crisis, and understanding how the brain regulates mood and behavior. This review series, spanning over four decades, provides unique longitudinal perspective on how the field has evolved.

Questions still open

  • Which areas of endogenous opioid research showed the most significant advances in 2021?
  • How are endogenous opioid peptides being explored as alternatives to synthetic opioids for pain management?
  • What new therapeutic targets in the opioid peptide system have emerged from recent research?

Common questions

What are endogenous opioid peptides?
They are naturally produced molecules in the body — including endorphins, enkephalins, and dynorphins — that bind to opioid receptors and influence pain perception, mood, reward, appetite, and many other functions. They are the body's own version of opioid drugs.
Why is this review published every year?
This annual review series has run for 44 consecutive years, providing the field with a systematic yearly summary of all published research on endogenous opioid peptides and behavior. It serves as a comprehensive reference that tracks the evolution of the field over decades.

Read the original research

Endogenous opiates and behavior: 2021.

Peptides, 164, 171004

Citation

Bodnar, Richard J. (2023). Endogenous opiates and behavior: 2021.. Peptides, 164, 171004. https://doi.org/10.1016/j.peptides.2023.171004