Ahn Dong K, Chae Jong M, Choi Hyo S, Kyung Hee M, Kwon Oh W, Park Hyo S, Youn Dong H, Bae Yong C
Department of Oral Physiology, School of Dentistry, Kyungpook National University, 188-1 Sam Deok 2 ga, Chung-gu, Daegu 700-412, South Korea.
Pain. 2005 Sep;117(1-2):204-13. doi: 10.1016/j.pain.2005.06.009.
Microinjection of formalin (5%, 50 microl) into a temporomandibular joint (TMJ) causes noxious behavioral responses in freely moving rats. In the present study, we investigated the role of central cyclooxygenase (COX) pathways in IL-1beta-induced hyperalgesia with formalin-induced TMJ pain model. Intra-articular injection of 100 pg or 1 ng of IL-1beta significantly facilitated formalin-induced behavior by 130 or 174% in the number of scratches. Intracisternal administration of 100 pg or 1 ng of IL-1beta also significantly increased formalin-induced behavior by 166 or 82% in the number of scratches. IL-1beta-induced hyperalgesia was blocked by pretreatment with IL-1 receptor antagonist. Intracisternal pretreatment with SC-560, a selective COX-1 inhibitor, or NS-398, a selective COX-2 inhibitor, abolished intra-articular administration of IL-1beta-induced hyperalgesic response. Intracisternal pretreatment with NS-398, a selective COX-2 inhibitor, abolished the intracisternal administration of IL-1beta-induced hyperalgesic response, while pretreatment with SC-560, a selective COX-1 inhibitor, did not change IL-1beta-induced hyperalgesic responses. On the other hand, pretreatment with acetaminophen, a tentative COX-3 inhibitor, also abolished both intra-articular and intracisternal administration of IL-1beta-induced hyperalgesic responses. These results indicate that central COX-2 plays important role in the central administration of IL-1beta-induced hyperalgesia and that central COX-1/2 pathways mediate peripheral administration of IL-1beta-induced hyperalgesia in the TMJ. Central COX-3 inhibitor seems to play an important role in the nociceptive process associated with both peripheral and central administration of IL-1beta-induced hyperalgesia in TMJ. It is concluded that central acting of COX-3 inhibitors may be of therapeutic value in the treatment of inflammatory pain in TMJ.
将福尔马林(5%,50微升)微量注射到大鼠颞下颌关节(TMJ)会在自由活动的大鼠中引发伤害性行为反应。在本研究中,我们利用福尔马林诱导的TMJ疼痛模型,研究了中枢环氧化酶(COX)通路在白细胞介素-1β(IL-1β)诱导的痛觉过敏中的作用。关节内注射100皮克或1纳克的IL-1β可使福尔马林诱导的抓挠次数行为显著增加130%或174%。脑池内注射100皮克或1纳克的IL-1β也可使福尔马林诱导的抓挠次数行为显著增加166%或82%。IL-1β诱导的痛觉过敏可被IL-1受体拮抗剂预处理所阻断。脑池内用选择性COX-1抑制剂SC-560或选择性COX-2抑制剂NS-398预处理,可消除关节内注射IL-1β诱导的痛觉过敏反应。脑池内用选择性COX-2抑制剂NS-398预处理,可消除脑池内注射IL-1β诱导的痛觉过敏反应,而用选择性COX-1抑制剂SC-560预处理则不会改变IL-1β诱导的痛觉过敏反应。另一方面,用暂定的COX-3抑制剂对乙酰氨基酚预处理,也可消除关节内和脑池内注射IL-1β诱导的痛觉过敏反应。这些结果表明,中枢COX-2在IL-1β诱导的痛觉过敏的中枢给药中起重要作用,且中枢COX-1/2通路介导了TMJ中IL-1β诱导的痛觉过敏的外周给药。中枢COX-3抑制剂似乎在与TMJ中IL-1β诱导的痛觉过敏的外周和中枢给药相关的伤害性过程中起重要作用。结论是,COX-3抑制剂的中枢作用可能在TMJ炎症性疼痛的治疗中具有治疗价值。