Leukotriene B4 induced decrease in mechanical and thermal thresholds of C-fiber mechanonociceptors in rat hairy skin.

We have recently shown that leukotriene B4 (LTB4), a product of the 5-lipoxygenase pathway of arachidonic acid metabolism, sensitizes nociceptors to mechanical stimuli. The present study examined whether LTB4 also induces a thermal sensitization of cutaneous C-fiber high-threshold mechanonociceptors (C-HTMs). C-HTMs were characterized according to their responsiveness to noxious mechanical, thermal and chemical stimuli, including glacial acetic acid, bradykinin and capsaicin. C-HTMs were found to be either heat responsive (heat C-HTMs) or heat and chemically responsive (polymodal C-HTMs). Ninety-four percent of polymodal C-HTMs and 60% of C-HTMs were sensitized to thermal and mechanical stimuli by LTB4 (75 ng). All sensitized C-HTMs showed decreases in both thermal and mechanical thresholds. LTB4 lowered in both subclasses of C-HTMs average thermal threshold from 45 to 35 degrees C and produced an average decrease in the mechanical threshold of approximately 82-86%. For both heat and polymodal C-HTMs, the magnitude of LTB4-evoked decreases in thermal and mechanical thresholds was similar to that produced by 75 ng of PGE2. The possibility was discussed that LTB4 may contribute to the component of hyperalgesia that is resistant to non-steroidal anti-inflammatory agents.