Sakin Y S, Dogrul A, Ilkaya F, Seyrek M, Ulas U H, Gulsen M, Bagci S
Department of Gastroenterology, Gulhane Military Medical Academy, Ankara, Turkey.
Department of Medical Pharmacology, Gulhane Military Medical Academy, Ankara, Turkey.
Neurogastroenterol Motil. 2015 Jul;27(7):936-44. doi: 10.1111/nmo.12563. Epub 2015 Apr 13.
Recent studies showed that the pharmacological inhibition of endocannabinoid degrading enzymes such as fatty acid amide hydrolase (FAAH) and monoacyl glycerol lipase (MAGL) elicit promising analgesic effects in a variety of nociceptive models without serious side effects. However, the full spectrum of activities is not observed upon inhibition of either FAAH or MAGL enzymes alone and thus dual FAAH and MAGL inhibitors have been described. Visceral pain is strongly associated with inflammation and distension of the gut. Thus, we explored the comparable effects of FAAH, MAGL, and dual FAAH/MAGL inhibitors on inflammatory and mechanically evoked visceral pain models.
Visceral inflammatory and distension-induced pain were assessed with the 0.6% acetic acid writhing test in mice and colorectal distension (CRD) test in rats, respectively. The selective FAAH inhibitor PF 3845, MAGL inhibitor JZL 184, dual inhibitor JZL 195, and the cannabis analog CP 55,940 were given systemically 30 min prior to nociceptive testing.
PF 3845 (5, 10, and 20 mg/kg), JZL 184 (5, 10, and 20 mg/kg), and JZL 195 (5, 10, and 20 mg/kg) elicit dose-dependent antinociceptive in the acetic acid writhing test. In the CRD model, while JZL 195 (5, 10, or 20 mg/kg) and PF3845 (10, 20, and 40 mg/kg) produced dose-dependent antinociceptive effects comparable to those of CP 55,940 (0.1, 0.3, or 1 mg/kg), JZL 184 (10, 20, and 40 mg/kg) alone did not alter the visceromotor response (VMR).
CONCLUSIONS & INFERENCES: The selective FAAH inhibitor and dual FAAH/MAGL inhibitors were effective in both inflammatory and mechanically evoked visceral pain, while the MAGL inhibitor elicited an analgesic effect in inflammatory, but not in distension-induced, visceral pain.
最近的研究表明,对内源性大麻素降解酶如脂肪酸酰胺水解酶(FAAH)和单酰甘油脂肪酶(MAGL)进行药理抑制,在多种伤害性模型中可产生有前景的镇痛作用,且无严重副作用。然而,单独抑制FAAH或MAGL酶时并未观察到全部活性谱,因此已出现双FAAH和MAGL抑制剂。内脏痛与肠道炎症和扩张密切相关。因此,我们探究了FAAH、MAGL及双FAAH/MAGL抑制剂对炎症性和机械性诱发的内脏痛模型的类似作用。
分别通过小鼠0.6%醋酸扭体试验和大鼠结直肠扩张(CRD)试验评估内脏炎症性疼痛和扩张诱发的疼痛。在伤害性测试前30分钟,全身给予选择性FAAH抑制剂PF 3845、MAGL抑制剂JZL 184、双抑制剂JZL 195和大麻类似物CP 55,940。
PF 3845(5、10和20毫克/千克)、JZL 184(5、10和20毫克/千克)和JZL 195(5、10和20毫克/千克)在醋酸扭体试验中产生剂量依赖性抗伤害感受作用。在CRD模型中,虽然JZL 195(5、10或20毫克/千克)和PF3845(10、20和40毫克/千克)产生的剂量依赖性抗伤害感受作用与CP 55,940(0.1、0.3或1毫克/千克)相当,但单独使用JZL 184(10、20和40毫克/千克)并未改变内脏运动反应(VMR)。
选择性FAAH抑制剂和双FAAH/MAGL抑制剂在炎症性和机械性诱发的内脏痛中均有效,而MAGL抑制剂在炎症性内脏痛中产生镇痛作用,但在扩张诱发的内脏痛中无效。