Department of Pharmacodynamics, College of Pharmacy, University of Florida, P.O. Box 100487, Gainesville, FL, USA.
Psychopharmacology (Berl). 2022 May;239(5):1475-1486. doi: 10.1007/s00213-021-06031-2. Epub 2021 Nov 30.
Pain is one of the most common reasons to seek medical attention, and chronic pain is a worldwide epidemic. Anecdotal reports suggest cannabis may be an effective analgesic. As cannabis contains the terpenes α-terpineol, β-caryophyllene, and γ-terpinene, we hypothesized these terpenes would produce analgesia in a mouse model of neuropathic pain. We used the chronic constriction injury of the sciatic nerve mouse model, which produces mechanical allodynia, assessed via the von Frey assay, as well as thermal hyperalgesia assessed via the hotplate assay. Compounds were further assessed in tests of locomotor activity, hypothermia, and acute antinociception. Each terpene produced dose-related reversal of mechanical allodynia and thermal hyperalgesia. Thermal hyperalgesia displayed higher sensitivity to the effects of each terpene than mechanical allodynia, and the rank order potency of the terpenes was α-terpineol > β-caryophyllene > γ-terpinene. To examine the involvement of cannabinoid receptors, further tests were conducted in mice lacking either functional cannabinoid type 1 receptors (CBR (-/-)) or cannabinoid type 2 receptors (CBR (-/-)). Compared to wild type mice, CBR (-/-) mice treated with α-terpineol displayed a 2.91-fold decrease in potency to reverse mechanical allodynia; in CBR (-/-) mice, the potency of α-terpineol was decreased 11.73-fold. The potency of β-caryophyllene to reverse mechanical allodynia decreased 1.80-fold in CBR (-/-) mice. Each terpene produced a subset of effects in tests of locomotor activity, hypothermia, and acute antinociception. These findings suggest α-terpineol, β-caryophyllene, and γ-terpinene may have differential cannabinoid receptor activity and a pharmacological profile that may yield new efficacious analgesics.
疼痛是寻求医疗关注的最常见原因之一,慢性疼痛是一种全球性的流行疾病。传闻报道表明大麻可能是一种有效的镇痛剂。由于大麻中含有萜品醇、β-石竹烯和γ-萜品烯等萜类化合物,我们假设这些萜类化合物在神经病理性疼痛的小鼠模型中会产生镇痛作用。我们使用慢性缩窄性坐骨神经损伤的小鼠模型,该模型产生机械性痛觉过敏,通过 von Frey 测定法进行评估,以及通过热板测定法评估热痛觉过敏。化合物进一步在运动活动、体温过低和急性镇痛作用的测试中进行评估。每种萜类化合物都产生了与剂量相关的机械性痛觉过敏和热痛觉过敏的逆转。热痛觉过敏对每种萜类化合物的作用比机械性痛觉过敏更敏感,萜类化合物的效价顺序为α-萜品醇>β-石竹烯>γ-萜品烯。为了研究大麻素受体的参与,进一步的测试在缺乏功能性大麻素 1 型受体(CBR(-/-))或大麻素 2 型受体(CBR(-/-))的小鼠中进行。与野生型小鼠相比,用α-萜品醇治疗的 CBR(-/-)小鼠逆转机械性痛觉过敏的效力降低了 2.91 倍;在 CBR(-/-)小鼠中,α-萜品醇的效力降低了 11.73 倍。β-石竹烯逆转机械性痛觉过敏的效力在 CBR(-/-)小鼠中降低了 1.80 倍。每种萜类化合物在运动活动、体温过低和急性镇痛作用的测试中产生了一组作用。这些发现表明,α-萜品醇、β-石竹烯和γ-萜品烯可能具有不同的大麻素受体活性和药理学特征,可能产生新的有效镇痛药。