Wu Chaoran, Gavva Narender R, Brennan Timothy J
Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
Anesthesiology. 2008 Jun;108(6):1100-8. doi: 10.1097/ALN.0b013e31817302b3.
Studies on postoperative pain examine the etiology of incisional pain with the goal to develop new treatments for patients' pain after surgery. The current study examined the analgesic effects of a recently developed transient receptor potential vanilloid 1 (TRPV1) antagonist, AMG0347, on incisional pain in rats. Doses of morphine lower than those used in most rodent studies were also examined.
Adult Sprague-Dawley rats were underwent plantar incision. The effect of either AMG0347 or morphine was tested for its effects on guarding pain score, heat withdrawal latency, and mechanical withdrawal threshold. AMG0347 was also tested against nociceptive behaviors caused by capsaicin.
For incisional pain, AMG0347 did not change the withdrawal threshold to mechanical stimulation or the guarding pain score. The withdrawal latency to heat increased from 3 h through 1 day after AMG0347 administration. AMG0347 prevented the decreases in heat withdrawal latency and mechanical withdrawal threshold caused by capsaicin infiltration and prevented the increase in activity caused by intrathecal capsaicin injection. Doses of morphine less than 1 mg/kg inhibited both the guarding and heat hyperalgesia; only the 1-mg/kg does affected mechanical responses.
AMG0347 decreased capsaicin-induced heat and mechanical hyperalgesia and blocked central TRPV1 receptors. AMG0347 only decreased heat hyperalgesia after plantar incision even though both peripheral and central TRPV1 receptors were blocked. The smallest doses of morphine affected guarding pain and heat responses.
术后疼痛研究旨在探究切口疼痛的病因,以便开发针对术后患者疼痛的新治疗方法。本研究考察了一种新开发的瞬时受体电位香草酸亚型1(TRPV1)拮抗剂AMG0347对大鼠切口疼痛的镇痛效果。同时也研究了低于大多数啮齿动物研究中使用剂量的吗啡的作用。
成年Sprague-Dawley大鼠接受足底切口手术。测试AMG0347或吗啡对警戒性疼痛评分、热缩足潜伏期和机械缩足阈值的影响。还测试了AMG0347对辣椒素引起的伤害性反应的作用。
对于切口疼痛,AMG0347未改变对机械刺激的缩足阈值或警戒性疼痛评分。AMG0347给药后3小时至1天,热缩足潜伏期延长。AMG0347可防止辣椒素浸润引起的热缩足潜伏期缩短和机械缩足阈值降低,并防止鞘内注射辣椒素引起的活动增加。低于1mg/kg的吗啡剂量可抑制警戒性疼痛和热痛觉过敏;只有1mg/kg的剂量影响机械反应。
AMG0347可减轻辣椒素诱导的热和机械性痛觉过敏,并阻断中枢TRPV1受体。尽管外周和中枢TRPV1受体均被阻断,但AMG0347仅减轻了足底切口后的热痛觉过敏。最小剂量的吗啡影响警戒性疼痛和热反应。