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氯诺昔康、吡罗昔康和美洛昔康在大鼠尾部福尔马林注射诱导的热后爪痛觉过敏模型中的作用。

Effects of lornoxicam, piroxicam, and meloxicam in a model of thermal hindpaw hyperalgesia induced by formalin injection in rat tail.

作者信息

Bianchi Mauro, Panerai Alberto E

机构信息

Department of Pharmacology, University of Milano, 20129 Milano, Via Vanvitelli 32, Italy.

出版信息

Pharmacol Res. 2002 Feb;45(2):101-5. doi: 10.1006/phrs.2001.0921.

Abstract

Non-steroidal anti-inflammatory drugs (NSAIDs) are frequently used as analgesics. Although the results of clinical studies indicate considerable disparity in the analgesic efficacy of NSAIDs, the pre-clinical models generally used for the study of nociception do not allow a clear distinction to be made between the analgesic properties of agents belonging to this family. As clinical pain is characterized by hyperalgesia, we evaluated the effects of NSAIDs with similar chemical structures but different selectivities for cyclo-oxygenase (COX)-1 and COX-2 in a new behavioural model of central hyperalgesia in rats. We assessed the effects of lornoxicam, piroxicam, and meloxicam on the reduction of hindpaw nociceptive thresholds to thermal stimulation produced by a 10% formaldehyde (formalin) injection into rat tail. Each drug was administered intraperitoneally (i.p.) at its ED(50)for the anti-inflammatory effect (namely the inhibition of carrageenan-induced hindpaw oedema). At this dose (1.3 mg kg(-1), 1.0 mg kg(-1), and 5.8 mg kg(-1), respectively), lornoxicam, piroxicam, and meloxicam produced the same anti-inflammatory effect, did not modify thermal nociceptive thresholds, and significantly reduced the hyperalgesia. However, only lornoxicam was fully effective for prevention of hyperalgesia. Our results indicate a dissociation between the anti-inflammatory and the anti-hyperalgesic activity of NSAIDs, where the latter seems to be more evident after the block of both COX-1 and COX-2. Finally, they suggest that our experimental model of thermal hindpaw hyperalgesia can be effectively utilized to assess the ability of different drugs to reduce central sensitization, and thus hyperalgesia.

摘要

非甾体抗炎药(NSAIDs)常被用作镇痛药。尽管临床研究结果表明NSAIDs的镇痛效果存在显著差异,但通常用于伤害感受研究的临床前模型无法明确区分该类药物的镇痛特性。由于临床疼痛的特征是痛觉过敏,我们在一种新的大鼠中枢痛觉过敏行为模型中评估了化学结构相似但对环氧化酶(COX)-1和COX-2选择性不同的NSAIDs的作用。我们评估了氯诺昔康、吡罗昔康和美洛昔康对大鼠尾部注射10%甲醛(福尔马林)所产生的热刺激后足伤害性感受阈值降低的影响。每种药物均以其抗炎作用的半数有效剂量(ED50)腹腔内(i.p.)给药(即抑制角叉菜胶诱导的后足水肿)。在此剂量下(分别为1.3 mg kg-1、1.0 mg kg-1和5.8 mg kg-1),氯诺昔康、吡罗昔康和美洛昔康产生相同的抗炎作用,未改变热伤害性感受阈值,并显著减轻痛觉过敏。然而,只有氯诺昔康对预防痛觉过敏完全有效。我们的结果表明NSAIDs的抗炎和抗痛觉过敏活性之间存在分离,其中后者在COX-1和COX-2均被阻断后似乎更为明显。最后,结果表明我们的热后足痛觉过敏实验模型可有效用于评估不同药物减轻中枢敏化从而减轻痛觉过敏的能力。

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