Omote Keiichi, Kawamata Tomoyuki, Nakayama Yoshito, Yamamoto Hiroki, Kawamata Mikito, Namiki Akiyoshi
Department of Anesthesiology, Sapporo Medical University School of Medicine, Chuoku, Sapporo, Japan.
Anesthesiology. 2002 Jul;97(1):170-6. doi: 10.1097/00000542-200207000-00024.
Cytokines have crucial role in the development and maintenance of inflammation and pain in arthritis. Activation of prostaglandin receptor subtype EP(4) suppresses cytokine production in immune cells. The purpose of this study was to evaluate whether a novel EP(4) agonist would be able to suppress thermal and mechanical hyperalgesia and paw swelling in acute and chronic phases in rat monoarthritic model.
Monoarthritis was induced by an injection of complete Freund's adjuvant (CFA) intracapsularly into the tibiotarsal joint of the rats. Withdrawal latencies to thermal stimulation on the hind paw, withdrawal thresholds to mechanical stimulation, paw volume, and ankle diameter were measured 24 h and 4 weeks after the CFA injection. A novel selective EP(4) receptor agonist, ONO-AE1-329 (10, 25, or 50 microg) or saline was administered intracapsularly into the joint.
Withdrawal latencies and withdrawal thresholds were significantly (P < 0.05) shortened and decreased, respectively, on the arthritic side but not on the contralateral side 24 h and 4 weeks after the CFA injection. In addition, significant (P < 0.05) increases in paw volume and ankle diameter on the arthritic side were observed. Intracapsularly administered ONO-AE1-329 showed significant (P < 0.05) inhibition of thermal and mechanical hyperalgesia and significant (P < 0.05) decrease in paw volume and ankle diameter in a dose-dependent manner at 24 h and 4 weeks after CFA.
Intracapsular administration of EP(4) receptor agonist effectively inhibited mechanical and thermal hyperalgesia and inflammatory reactions in acute and chronic monoarthritis. An EP(4) agonist would be a potential strategy for inflammatory pain in arthritis.
细胞因子在关节炎炎症和疼痛的发生及维持过程中起关键作用。前列腺素受体亚型EP(4)的激活可抑制免疫细胞中细胞因子的产生。本研究旨在评估一种新型EP(4)激动剂是否能够抑制大鼠单关节炎模型急性和慢性阶段的热痛觉过敏、机械性痛觉过敏以及爪肿胀。
通过向大鼠胫跗关节囊内注射完全弗氏佐剂(CFA)诱导单关节炎。在注射CFA后24小时和4周测量后爪对热刺激的缩足潜伏期、对机械刺激的缩足阈值、爪体积和踝关节直径。将新型选择性EP(4)受体激动剂ONO-AE1-329(10、25或50微克)或生理盐水关节囊内注射到关节中。
在注射CFA后24小时和4周,关节炎侧的缩足潜伏期显著缩短(P < 0.05),缩足阈值显著降低(P < 0.05),而对侧则无此变化。此外,观察到关节炎侧的爪体积和踝关节直径显著增加(P < 0.05)。关节囊内注射ONO-AE1-329在CFA注射后24小时和4周时,以剂量依赖性方式显著抑制热痛觉过敏和机械性痛觉过敏(P < 0.05),并显著降低爪体积和踝关节直径(P < 0.05)。
关节囊内注射EP(4)受体激动剂可有效抑制急性和慢性单关节炎的机械性和热痛觉过敏以及炎症反应。EP(4)激动剂可能是治疗关节炎炎症性疼痛的一种潜在策略。