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What resolves this contention: Opioids directly activate TLR4 on microglia, triggering neuroinflammation that opposes analgesia and promotes dependence / TLR4 knockout studies show inconsistent effects on opioid reward; the direct opioid-TLR4 binding model has been challenged by biophysical studies showing weak or nonspecific interactions
Asked
May 16, 2026
Updated
May 17, 2026

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