Zhao Ya-Qun, Wang Hai-Yan, Yin Jun-Bin, Sun Yan, Wang Yong, Liang Jin-Chuan, Guo Xiao-Ju, Tang Ke, Wang Yu-Tong
Department of Neurosurgery, the 309th Hospital of Chinese People's Liberation Army, Beijing, China.
Department of Cardiology, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Pain Physician. 2017 May;20(4):E575-E584.
The non-steroidal anti-inflammatory drug celecoxib has long been used for reducing pain, in spite of moderate gastrointestinal side effects. In previous studies, it has been shown that celecoxib can inhibit formalin-induced spontaneous pain and secondary hyperalgesia. Injecting formalin into a rodent's hind paw not only induces acute pain behaviors, but also produces long-lasting hyperalgesia. Whether celecoxib can also have long-lasting effects is still unknown. Our results show that pretreatment with an intraperitoneal injection of celecoxib at one hour before formalin injection induced inhibition on the spontaneous flinch and licking behaviors in the second phase but not the first phase. Meanwhile, FOS expressions were also reduced with celecoxib pretreatment. Consecutive administration of celecoxib also protects the hind paw from hypoalgesia and relieves formalin-induced, long-lasting hyperalgesia in the ipsilateral hind paw. These analgesic effects may be related to suppression of the activation of neurons and astrocytes indicated by FOS and GFAP expressions. Based on the above findings, celecoxib demonstrated analgesic effects not only on acute spontaneous pain behavior but also on long-lasting hyperalgesia induced by formalin injection. The inhibition of neurons and astrocytes by celecoxib may be possible reasons for its analgesia.
非甾体抗炎药塞来昔布长期以来一直用于减轻疼痛,尽管有中度胃肠道副作用。在先前的研究中,已表明塞来昔布可抑制福尔马林诱导的自发疼痛和继发性痛觉过敏。将福尔马林注射到啮齿动物的后爪不仅会引发急性疼痛行为,还会产生持久的痛觉过敏。塞来昔布是否也能产生持久作用仍不清楚。我们的结果表明,在福尔马林注射前一小时腹腔注射塞来昔布进行预处理,可抑制第二阶段而非第一阶段的自发退缩和舔舐行为。同时,塞来昔布预处理也降低了FOS表达。连续给予塞来昔布还可保护后爪免受痛觉减退,并减轻福尔马林诱导的同侧后爪持久痛觉过敏。这些镇痛作用可能与FOS和GFAP表达所表明的神经元和星形胶质细胞激活的抑制有关。基于上述发现,塞来昔布不仅对急性自发疼痛行为有镇痛作用,而且对福尔马林注射诱导的持久痛觉过敏也有镇痛作用。塞来昔布对神经元和星形胶质细胞的抑制可能是其镇痛的原因。