Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
Korean J Pain. 2011 Sep;24(3):131-6. doi: 10.3344/kjp.2011.24.3.131. Epub 2011 Sep 6.
Pregabalin is an anticonvulsant and analgesic agent that interacts selectively with the voltage-sensitive-Ca(2+)-channel alpha-2-delta subunit. The aim of this study was to evaluate whether the analgesic action of intrathecal (IT) pregabalin is associated with K(ATP) channels in the rat formalin test.
IT PE-10 catheters were implanted in male Sprague-Dawley rats (250-300 g) under inhalation anesthesia using enflurane. Nociceptive behavior was defined as the number of hind paw flinches during 60 min after formalin injection. Ten min before formalin injection, IT drug treatments were divided into 3 groups: normal saline (NS) 20 µl (CON group); pregabalin 0.3, 1, 3 and 10 µg in NS 10 µl (PGB group); glibenclamide 100 µg in DMSO 5 µl with pregabalin 0.3, 1, 3 and 10 µg in NS 5 µl (GBC group). All the drugs were flushed with NS 10 µl. Immunohistochemistry for the K(ATP) channel was done with a different set of rats divided into naïve, NS and PGB groups.
IT pregabalin dose-dependently decreased the flinching number only in phase 2 of formalin test. The log dose response curve of the GBC group shifted to the right with respect to that of the PGB group. Immunohistochemistry for the K(ATP) channel expression on the spinal cord dorsal horn showed no difference among the groups 1 hr after the formalin test.
The antinociceptive effect of pregabalin in the rat formalin test was associated with the activation of the K(ATP) channel. However, pregabalin did not induce K(ATP) channel expression in the spinal cord dorsal horn.
普瑞巴林是一种抗惊厥和镇痛药物,它选择性地与电压敏感性钙通道的α-2-δ亚基相互作用。本研究旨在评估鞘内(IT)普瑞巴林在大鼠福尔马林试验中的镇痛作用是否与 K(ATP)通道有关。
雄性 Sprague-Dawley 大鼠(250-300g)在异氟醚吸入麻醉下植入 IT PE-10 导管。在福尔马林注射后 60 分钟内,将疼痛行为定义为后爪抽搐的次数。在福尔马林注射前 10 分钟,将 IT 药物治疗分为 3 组:生理盐水(NS)20μl(CON 组);NS 中普瑞巴林 0.3、1、3 和 10μg(PGB 组);DMSO 中格列本脲 5μl 加 NS 中普瑞巴林 0.3、1、3 和 10μg(GBC 组)。所有药物均用 NS 10μl 冲洗。用另一组大鼠进行 K(ATP)通道免疫组织化学染色,分为正常、NS 和 PGB 组。
IT 普瑞巴林剂量依赖性地仅降低福尔马林试验第二阶段的抽搐次数。GBC 组的对数剂量反应曲线相对于 PGB 组向右移位。福尔马林试验后 1 小时,脊髓背角的 K(ATP)通道表达免疫组织化学无差异。
普瑞巴林在大鼠福尔马林试验中的镇痛作用与 K(ATP)通道的激活有关。然而,普瑞巴林并没有诱导脊髓背角的 K(ATP)通道表达。