Marendes John, Muench Marissa A, Young Camille L, Ghaly Amira A, Tunstall Brendan J
Department of Pharmacology, Addiction Science, and Toxicology, University of Tennessee Health Science Center, Memphis, TN, USA.
Department of Pharmacology, Addiction Science, and Toxicology, University of Tennessee Health Science Center, Memphis, TN, USA.
Alcohol. 2025 Mar;123:27-38. doi: 10.1016/j.alcohol.2024.12.002. Epub 2024 Dec 21.
Chronic alcohol exposure in humans and rodents causes tolerance to the analgesic effects of alcohol, and enhances pain sensitivity during alcohol withdrawal (i.e., hyperalgesia). The available literature suggests a bidirectional enhancement between chronic alcohol consumption and chronic pain sensitivity. We previously found that oxytocin administration could reduce alcohol consumption in alcohol-dependent rats, and now hypothesize that oxytocin, through analgesic action in the central nervous system, could ameliorate the hyperalgesia induced by alcohol-dependence. To test this hypothesis, we assessed the ability of central and peripheral oxytocin administration to alter thermal (Hargreaves assay) and mechanical (Von Frey assay) pain sensitivity, in male and female rats, made alcohol dependent through repeated cycles of chronic-intermittent ethanol-vapor exposure (CIEV; compared to air-exposed controls).
Male and female cohorts of Wistar rats were surgically prepared with an ICV cannula and assigned to two groups matched in terms of initial response in the Hargreaves assay. Rats in the alcohol dependent group were exposed to chronic-intermittent alcohol-vapor, while air-exposed control rats were exposed only to room air and served as the control group. The thermal nociception sensitivity of all rats was monitored via weekly Hargreaves assay to determine alcohol-dependence-induced hyperalgesia in dependent rats. Next, rats were ICV administered oxytocin (0, 0.5, or 5 μg in 2.5 μL saline) prior to Hargreaves testing (Experiment 1) or Von Frey testing (Experiment 2). Finally, rats were IP administered oxytocin (0, 0.1, or 1 mg/kg) prior to Hargreaves testing (Experiment 3) or Von Frey testing (Experiment 4). In a follow-up experiment, female rats were tested to directly compare three methods for applying the Von Frey test.
Male and female alcohol-dependent rats developed hyperalgesia, observed in the Hargreaves assay (Experiment 1 & 3), however, hyperalgesia was not so readily observed when the same rats were tested in the Von Frey assay (Experiments 2 & 4, with the exception of female rats in Experiment 4; follow-up testing indicated that the method of Von Frey test employed is likely important to explain this discrepancy). In both the Hargreaves and Von Frey assays, and in both male and female rats, following central or peripheral administration, oxytocin produced analgesia similarly in both alcohol dependent rats and air-exposed controls.
Together, these data suggest the oxytocin system could be targeted to produce therapeutic action in disease that produce hyperalgesia such as in alcohol dependence. We discuss methodological considerations and future experiments that could further elucidate a role for oxytocin in the overlapping neurobiology of alcohol dependence and chronic pain.
人类和啮齿动物长期接触酒精会导致对酒精镇痛作用产生耐受性,并在酒精戒断期间增强疼痛敏感性(即痛觉过敏)。现有文献表明,长期饮酒与慢性疼痛敏感性之间存在双向增强作用。我们之前发现,给予催产素可以减少酒精依赖大鼠的酒精摄入量,现在推测,催产素通过在中枢神经系统中的镇痛作用,可以改善酒精依赖引起的痛觉过敏。为了验证这一假设,我们评估了对通过慢性间歇性乙醇蒸汽暴露(CIEV)形成酒精依赖的雄性和雌性大鼠(与暴露于空气中的对照组相比),经中枢和外周给予催产素后对热(哈格里夫斯试验)和机械(von Frey试验)疼痛敏感性的影响。
对雄性和雌性Wistar大鼠进行手术,植入脑室内插管,并根据哈格里夫斯试验的初始反应将其分为两组。酒精依赖组的大鼠暴露于慢性间歇性酒精蒸汽中,而暴露于空气中的对照大鼠仅暴露于室内空气中,作为对照组。通过每周一次的哈格里夫斯试验监测所有大鼠的热伤害感受敏感性,以确定依赖大鼠中酒精依赖引起的痛觉过敏。接下来,在哈格里夫斯试验(实验1)或von Frey试验(实验2)之前,给大鼠脑室内注射催产素(0、0.5或5μg于2.5μL生理盐水中)。最后,在哈格里夫斯试验(实验3)或von Frey试验(实验4)之前,给大鼠腹腔注射催产素(0、0.1或1mg/kg)。在后续实验中,对雌性大鼠进行测试,以直接比较应用von Frey试验的三种方法。
在哈格里夫斯试验(实验1和3)中观察到,雄性和雌性酒精依赖大鼠出现了痛觉过敏,然而,当在von Frey试验中对相同的大鼠进行测试时,痛觉过敏并不那么容易观察到(实验2和4,实验4中的雌性大鼠除外;后续测试表明,所采用的von Frey试验方法可能对解释这种差异很重要)。在哈格里夫斯试验和von Frey试验中,以及在雄性和雌性大鼠中,经中枢或外周给药后,催产素在酒精依赖大鼠和暴露于空气中的对照组中产生的镇痛作用相似。
总之,这些数据表明,催产素系统可能是治疗产生痛觉过敏疾病(如酒精依赖)的治疗靶点。我们讨论了方法学上的考虑因素以及未来的实验,这些实验可能会进一步阐明催产素在酒精依赖和慢性疼痛重叠神经生物学中的作用。