Medical College of Wisconsin, USA.
Medical College of Wisconsin, USA; Department of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Neuropharmacology. 2021 Sep 15;196:108701. doi: 10.1016/j.neuropharm.2021.108701. Epub 2021 Jul 10.
There is a need to develop a novel analgesic for pain associated with interstitial cystitis/painful bladder syndrome (IC/PBS). The use of the conventional μ-opioid receptor agonists to manage IC/PBS pain is controversial due to adverse CNS effects. These effects are attenuated in benzylideneoxymorphone (BOM), a low-efficacy μ-opioid receptor agonist/δ-opioid receptor antagonist that attenuates thermal pain and is devoid of reinforcing effects. We hypothesize that BOM will inhibit bladder pain by attenuating responses of urinary bladder distension (UBD)-sensitive afferent fibers. Therefore, the effect of BOM was tested on responses of UBD-sensitive afferent fibers in L6 dorsal root from inflamed and non-inflamed bladder of rats. Immunohistochemical (IHC) examination reveals that following the induction of inflammation there were significant high expressions of μ, δ, and μ-δ heteromer receptors in DRG. BOM dose-dependently (1-10 mg/kg, i.v) attenuated mechanotransduction properties of these afferent fibers from inflamed but not from non-inflamed rats. In behavioral model of bladder pain, BOM significantly attenuated visceromotor responses (VMRs) to UBD only in inflamed group of rats when injected either systemically (10 mg/kg, i.v.) or locally into the bladder (0.1 ml of 10 mg/ml). Furthermore, oxymorphone (OXM), a high-efficacy μ-opioid receptor agonist, attenuated responses of mechanosensitive bladder afferent fibers and VMRs to UBD. Naloxone (10 mg/kg, i.v.) significantly reversed the inhibitory effects of BOM and OXM on responses of bladder afferent fibers and VMRs suggesting μ-opioid receptor-related analgesic effects of these compounds. The results reveal that a low-efficacy, bifunctional opioid-based compound can produce analgesia by attenuating mechanotransduction functions of afferent fibers innervating the urinary bladder.
需要开发一种新型的镇痛药,用于治疗间质性膀胱炎/膀胱疼痛综合征(IC/PBS)相关疼痛。由于中枢神经系统不良反应,传统的 μ 阿片受体激动剂在管理 IC/PBS 疼痛方面存在争议。苯甲酰基氧吗啡酮(BOM)是一种低效能 μ 阿片受体激动剂/δ 阿片受体拮抗剂,可减轻热痛,且无强化作用,可减轻这些作用。我们假设 BOM 通过减轻尿囊扩张(UBD)敏感传入纤维的反应来抑制膀胱疼痛。因此,测试了 BOM 对来自炎症和非炎症大鼠膀胱的 L6 背根中 UBD 敏感传入纤维反应的影响。免疫组织化学(IHC)检查显示,在炎症诱导后,DRG 中 μ、δ 和 μ-δ 杂合体受体的表达明显升高。BOM 呈剂量依赖性(1-10mg/kg,iv)减弱了来自炎症但不是非炎症大鼠的这些传入纤维的机械转导特性。在膀胱疼痛行为模型中,当全身注射(10mg/kg,iv)或局部注射到膀胱(0.1ml 10mg/ml)时,BOM 仅在炎症组大鼠中显著减弱了对 UBD 的内脏运动反应(VMR)。此外,高效能 μ 阿片受体激动剂奥吗啡酮(OXM)减弱了机械敏感膀胱传入纤维和 UBD 对 VMR 的反应。纳洛酮(10mg/kg,iv)显著逆转了 BOM 和 OXM 对膀胱传入纤维和 VMR 反应的抑制作用,表明这些化合物具有 μ 阿片受体相关的镇痛作用。结果表明,一种低效能的双功能阿片类化合物可以通过减弱支配膀胱的传入纤维的机械转导功能来产生镇痛作用。