Laboratório de Síntese, Reatividade e Avaliação Farmacológica e Toxicológica de Organocalcogênios, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, CEP 97105-900, Santa Maria, RS, Brazil.
Psychopharmacology (Berl). 2010 Dec;212(4):513-22. doi: 10.1007/s00213-010-1977-6. Epub 2010 Aug 6.
Neuropathic pain is associated with significant co-morbidities, including depression, which impact considerably on the overall patient experience. Pain co-morbidity symptoms are rarely assessed in animal models of neuropathic pain. Neuropathic pain is characterized by hyperexcitability within nociceptive pathways and remains difficult to treat with standard analgesics.
The present study determined the effect of bis selenide and conventional antidepressants (fluoxetine, amitriptyline, and bupropion) on neuropathic pain using mechanical allodynic and on depressive-like behavior.
Male mice were subjected to chronic constriction injury (CCI) or sham surgery and were assessed on day 14 after operation. Mice received oral treatment with bis selenide (1-5 mg/kg), fluoxetine, amitriptyline, or bupropion (10-30 mg/kg). The response frequency to mechanical allodynia in mice was measured with von Frey hairs. Mice were evaluated in the forced swimming test (FST) test for depression-like behavior.
The CCI procedure produced mechanical allodynia and increased depressive-like behavior in the FST. All of the drugs produced antiallodynic effects in CCI mice and produced antidepressant effects in control mice without altering locomotor activity. In CCI animals, however, only the amitriptyline and bis selenide treatments significantly reduced immobility in the FST.
These data demonstrate an important dissociation between the antiallodynic and antidepressant effects in mice when tested in a model of neuropathic pain. Depressive behavior in CCI mice was reversed by bis selenide and amitriptyline but not by the conventional antidepressants fluoxetine and buproprion. Bis selenide was more potent than the other drugs tested for antidepressant-like and antiallodynic effects in mice.
神经性疼痛与多种共病相关,包括抑郁症,这对整体患者体验有重大影响。神经性疼痛的动物模型中很少评估疼痛共病症状。神经性疼痛的特征是伤害感受通路的过度兴奋,用标准镇痛药仍然难以治疗。
本研究使用机械性触诱发痛和抑郁样行为,确定二硒化物和常规抗抑郁药(氟西汀、阿米替林和安非他酮)对神经性疼痛的影响。
雄性小鼠接受慢性缩窄性损伤(CCI)或假手术,并在手术后第 14 天进行评估。小鼠口服二硒化物(1-5mg/kg)、氟西汀、阿米替林或安非他酮(10-30mg/kg)。使用 von Frey 毛发测量小鼠对机械性触诱发痛的反应频率。通过强迫游泳试验(FST)评估小鼠的抑郁样行为。
CCI 程序导致机械性触诱发痛,并增加 FST 中的抑郁样行为。所有药物均在 CCI 小鼠中产生抗触诱发痛作用,并在对照小鼠中产生抗抑郁作用,而不改变运动活性。然而,在 CCI 动物中,只有阿米替林和二硒化物治疗显著减少 FST 中的不动时间。
这些数据表明,在神经性疼痛模型中测试时,在小鼠中观察到抗触诱发痛和抗抑郁作用之间存在重要的分离。CCI 小鼠的抑郁行为被二硒化物和阿米替林逆转,但不是被常规抗抑郁药氟西汀和安非他酮逆转。二硒化物在小鼠中的抗抑郁样和抗触诱发痛作用比其他测试药物更有效。