Greco R, Bandiera T, Mangione A S, Demartini C, Siani F, Nappi G, Sandrini G, Guijarro A, Armirotti A, Piomelli D, Tassorelli C
Laboratory of Neurophysiology of Integrative Autonomic Systems, Headache Science Centre, C. Mondino National Neurological Institute, Italy
Dept. of Drug Discovery and Development, Istituto Italiano di Tecnologia, Italy.
Cephalalgia. 2015 Oct;35(12):1065-76. doi: 10.1177/0333102414566862. Epub 2015 Jan 21.
Systemic nitroglycerin (NTG) activates brain nuclei involved in nociceptive transmission as well as in neuroendocrine and autonomic functions in rats. These changes are considered relevant for migraine because NTG consistently provokes spontaneous-like migraine attacks in migraineurs. Several studies have suggested a relationship between the endocannabinoid levels and pain mediation in migraine. URB937, a peripheral inhibitor of fatty acid amide hydrolase (FAAH)-the enzyme that degrades anandamide, produces analgesia in animal models of pain, but there is no information on its effects in migraine.
We evaluated whether URB937 alters nociceptive responses in the animal model of migraine based on NTG administration in male rats, using the tail flick test and the plantar and orofacial formalin tests, under baseline conditions and after NTG administration. Furthermore, we investigated whether URB937 affects NTG-induced c-Fos expression in the brain.
During the tail flick test, URB937 showed an antinociceptive effect in baseline conditions and it blocked NTG-induced hyperalgesia. URB937 also proved effective in counteracting NTG-induced hyperalgesia during both the plantar and orofacial formalin tests. Mapping of brain nuclei activated by NTG indicates that URB937 significantly reduces c-Fos expression in the nucleus trigeminalis caudalis and the locus coeruleus.
The data suggest that URB937 is capable of changing, probably via indirect mechanisms, the functional status of central structures that are important for pain transmission in an animal model of migraine.
全身性硝酸甘油(NTG)可激活大鼠中参与伤害性感受传递以及神经内分泌和自主功能的脑核。这些变化被认为与偏头痛相关,因为NTG始终会诱发偏头痛患者出现类似自发的偏头痛发作。多项研究表明内源性大麻素水平与偏头痛中的疼痛调节之间存在关联。URB937是脂肪酸酰胺水解酶(FAAH,一种降解花生四烯乙醇胺的酶)的外周抑制剂,在动物疼痛模型中具有镇痛作用,但尚无关于其对偏头痛影响的信息。
我们评估了URB937是否会在基于雄性大鼠NTG给药的偏头痛动物模型中改变伤害性反应,使用甩尾试验以及足底和口面部福尔马林试验,分别在基线条件下和NTG给药后进行评估。此外,我们研究了URB937是否会影响NTG诱导的大脑中c-Fos表达。
在甩尾试验中,URB937在基线条件下显示出镇痛作用,并阻断了NTG诱导的痛觉过敏。在足底和口面部福尔马林试验中,URB937也被证明可有效抵消NTG诱导的痛觉过敏。对由NTG激活的脑核进行定位显示,URB937可显著降低三叉神经尾侧核和蓝斑中的c-Fos表达。
数据表明,URB937可能通过间接机制改变在偏头痛动物模型中对疼痛传递很重要的中枢结构的功能状态。