Pelissier Teresa, Pajot Jacques, Dallel Radhouane
Programa de Farmacología Molecular y Clínica, ICBM, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Pain. 2002 Mar;96(1-2):81-7. doi: 10.1016/s0304-3959(01)00432-8.
The aim of this study was to develop a rat model of capsaicin-induced pain in the orofacial region. We examined the effects of subcutaneous injection of different doses of capsaicin (0.25, 0.4, 0.8, 1.5, 2.5, 25, 50, 100, 500 microg) on the face-grooming response. Injection of capsaicin into the vibrissa pad produced an immediate grooming of the injected area with ipsilateral fore- or hindpaw. A positive relationship between the amplitude of the grooming response and the capsaicin dose was observed until 1.5 microg, but with the highest concentrations (ranging from 25 to 500 microg) the amplitude of the response decreased. Morphine administered either systemically (in the neck, 0.5-4.0 mg/kg) or locally (0.25-1.0 mg/kg) reduced in a dose-dependent fashion the face grooming provoked by subcutaneous capsaicin (1.5 microg). The systemic and local morphine effects could be reversed by systemic (0.1 mg/kg) and local (0.05 mg/kg) administration of naloxone, respectively. The local administration of morphine (ED(50): 0.65 mg/kg) was more potent than systemic injection (ED50: 2.54 mg/kg) in reducing the grooming behavior. In conclusion, the orofacial capsaicin test appears to be a valid and reliable method for studying trigeminal pain mechanisms and testing analgesic drugs. The results of the present study also support the clinical use of peripheral opioid administration for the treatment of orofacial painful conditions.
本研究的目的是建立一种辣椒素诱导的口面部疼痛大鼠模型。我们研究了皮下注射不同剂量辣椒素(0.25、0.4、0.8、1.5、2.5、25、50、100、500微克)对面部梳理反应的影响。将辣椒素注射到触须垫会立即引起同侧前爪或后爪对注射区域的梳理。在1.5微克之前,观察到梳理反应的幅度与辣椒素剂量呈正相关,但在最高浓度(25至500微克)时,反应幅度下降。全身(颈部,0.5 - 4.0毫克/千克)或局部(0.25 - 1.0毫克/千克)给予吗啡可剂量依赖性地减少皮下注射辣椒素(1.5微克)引起的面部梳理。全身(0.1毫克/千克)和局部(0.05毫克/千克)给予纳洛酮可分别逆转全身和局部吗啡的作用。在减少梳理行为方面,局部给予吗啡(ED(50):0.65毫克/千克)比全身注射(ED50:2.54毫克/千克)更有效。总之,口面部辣椒素试验似乎是研究三叉神经痛机制和测试镇痛药的一种有效且可靠的方法。本研究结果也支持外周给予阿片类药物用于治疗口面部疼痛疾病的临床应用。