咖啡因可预防加巴喷丁在复杂性区域疼痛综合征I型动物模型中的抗痛觉过敏作用:脊髓腺苷A1受体参与的证据

Caffeine prevents antihyperalgesic effect of gabapentin in an animal model of CRPS-I: evidence for the involvement of spinal adenosine A1 receptor.

作者信息

Martins Daniel F, Prado Marcos R B, Daruge-Neto Eduardo, Batisti Ana P, Emer Aline A, Mazzardo-Martins Leidiane, Santos Adair R S, Piovezan Anna P

机构信息

Post-Graduate Program of Health Sciences, University of Southern Santa Catarina, Palhoça, Santa Catarina, Brazil.

Experimental Neuroscience Laboratory, University of Southern Santa Catarina, Palhoça, Santa Catarina, Brazil.

出版信息

J Peripher Nerv Syst. 2015 Dec;20(4):403-9. doi: 10.1111/jns.12149.

Abstract

This study was designed to determine whether 3 weeks of gabapentin treatment is effective in alleviating neuropathic pain-like behavior in animal models of complex regional pain syndrome type-I and partial sciatic nerve ligation (PSNL). We investigated the contribution of adenosine subtypes to the antihyperalgesic effect of gabapentin by examining the effect of caffeine, a non-selective adenosine A1 and A2 receptor antagonist or 1,3-dipropyl-8-cyclopentylxanthine (DPCPX), a selective adenosine A1 subtype receptor antagonist on this effect. Neuropathic pain was produced by unilateral prolonged hind paw ischemia and reperfusion (I/R) or PSNL procedures which resulted in stimulus-evoked mechanical hyperalgesia. After procedures, animals received gabapentin (10, 30, or 100 mg/kg intraperitoneal, respectively), caffeine (10 mg/kg intraperitoneal or 150 nmol intrathecally) or DPCPX (3 µg intrathecally) alone or in combination. Mice were tested for tactile mechanical hyperalgesia at 1, 2, and 3 weeks following procedures. Gabapentin produced dose-related inhibition of mechanical hyperalgesia over a 3-week period, and this effect was blocked by concomitant caffeine or DPCPX administration 1 week after injuries. The results of this study demonstrated that the mechanism through which gabapentin produces its effect may involve the activation of adenosine A1 subtype receptor.

摘要

本研究旨在确定加巴喷丁3周治疗是否能有效减轻I型复杂性区域疼痛综合征和部分坐骨神经结扎(PSNL)动物模型中的神经性疼痛样行为。我们通过检查咖啡因(一种非选择性腺苷A1和A2受体拮抗剂)或1,3 - 二丙基 - 8 - 环戊基黄嘌呤(DPCPX,一种选择性腺苷A1亚型受体拮抗剂)对该效应的影响,来研究腺苷亚型对加巴喷丁抗痛觉过敏作用的贡献。通过单侧后爪长时间缺血再灌注(I/R)或PSNL手术产生神经性疼痛,这会导致刺激诱发的机械性痛觉过敏。手术后,动物分别接受加巴喷丁(腹腔注射,剂量分别为10、30或100 mg/kg)、咖啡因(腹腔注射10 mg/kg或鞘内注射150 nmol)或DPCPX(鞘内注射3 µg)单独给药或联合给药。在手术后1、2和3周对小鼠进行触觉机械性痛觉过敏测试。加巴喷丁在3周内产生了与剂量相关的机械性痛觉过敏抑制作用,并且在受伤1周后,这种作用被同时给予的咖啡因或DPCPX阻断。本研究结果表明,加巴喷丁发挥作用的机制可能涉及腺苷A1亚型受体的激活。

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