Khodorova Alla, Zou Shiping, Ren Ke, Dubner Ronald, Davar Gudarz, Strichartz Gary
Pain Research Center, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Open Pain J. 2009;2:30-40. doi: 10.2174/1876386300902010030.
Injection of endothelin-1 (ET-1) into the plantar rat hindpaw causes acute pain at high concentrations and tactile sensitization at low concentrations. The pro-nociceptive actions are driven through ET(A) receptors for both levels of [ET-1], but the ET(B) receptors are only pro-nociceptive for allodynia from low [ET-1] and anti-nociceptive for pain from high [ET-1]. The goal of the present work was to discriminate the roles of the ET receptors in the acute hyperalgesia from inflammation by complete Freund's adjuvant (CFA, 20 mg/paw) into the rat hindpaw. Selective antagonists were injected l0 min before and then together with CFA. An ET(A) receptor antagonist, BQ-123, reduced CFA-induced thermal hyperalgesia (by up to 50%), as did an ET(B) receptor antagonist, BQ-788 (by up to 66%). BQ-123 and BQ-788 also delayed the onset (by 1.5 - 2 h) but insignificantly reduced the maximum degree of CFA-induced allodynia (~10%). Surprisingly, an ET(B) receptor agonist, IRL-1620, also reduced maximum thermal hyperalgesia induced by CFA, suppressed peak allodynia and delayed its occurrence by ~ 3 h. The latter actions of IRL-1620 were reversed by co-administration of BQ-788, naloxone hydrochloride and the peripherally restricted opiate receptor antagonist naloxone methiodide, and by antiserum against β-endorphin. These findings demonstrate an important role for endogenous ET-1 in acute inflammatory pain and a dual action of ET(B) receptors, including a pro-algesic action along with the important activation of a local analgesic pathway, implying that at least two different ET(B) receptors contribute to modulation of inflammatory pain.
将内皮素 -1(ET -1)注射到大鼠后足底,高浓度时会引起急性疼痛,低浓度时会引起触觉敏感。两种浓度的[ET -1]引发的伤害感受性作用均通过ET(A)受体介导,但ET(B)受体仅在低[ET -1]引起的异常性疼痛中起伤害感受促进作用,而在高[ET -1]引起的疼痛中起镇痛作用。本研究的目的是通过向大鼠后足底注射完全弗氏佐剂(CFA,20 mg/爪)来区分ET受体在炎症引起的急性痛觉过敏中的作用。在注射CFA前10分钟注射选择性拮抗剂,然后与CFA一起注射。ET(A)受体拮抗剂BQ -123可减轻CFA诱导的热痛觉过敏(最多减轻50%),ET(B)受体拮抗剂BQ -788也有同样效果(最多减轻66%)。BQ -123和BQ -788还延迟了CFA诱导的异常性疼痛的发作(延迟1.5 - 2小时),但对其最大程度的减轻不明显(约10%)。令人惊讶的是,ET(B)受体激动剂IRL -1620也可减轻CFA诱导的最大热痛觉过敏,抑制异常性疼痛峰值,并将其发生延迟约3小时。IRL -1620的后述作用可被同时给予BQ -788、盐酸纳洛酮和外周限制性阿片受体拮抗剂甲基碘化纳洛酮以及抗β -内啡肽抗血清所逆转。这些发现表明内源性ET -1在急性炎症性疼痛中起重要作用,且ET(B)受体具有双重作用,包括促痛作用以及激活局部镇痛途径的重要作用,这意味着至少两种不同的ET(B)受体参与了炎症性疼痛的调节。
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