Bilateral analgesic effects of abobotulinumtoxinA (Dysport®) following unilateral administration in the rat

Background In addition to inhibition of muscle and glandular hyperactivity, botulinum neurotoxin (BoNT) type A also interferes with pain processing. Previously, in a rat model of paclitaxel‐induced polyneuropathy, abobotulinumtoxinA (aboBoNT‐A) elicited analgesic effects not only in the injected paw...

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Veröffentlicht in:European journal of pain 2017-05, Vol.21 (5), p.927-937
Hauptverfasser: Favre‐Guilmard, C., Chabrier, P.‐E., Kalinichev, M.
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creator Favre‐Guilmard, C.
Chabrier, P.‐E.
Kalinichev, M.
description Background In addition to inhibition of muscle and glandular hyperactivity, botulinum neurotoxin (BoNT) type A also interferes with pain processing. Previously, in a rat model of paclitaxel‐induced polyneuropathy, abobotulinumtoxinA (aboBoNT‐A) elicited analgesic effects not only in the injected paw, but also in the contralateral, non‐injected paw. Methods Here, we assessed bilateral analgesic effects of unilateral aboBoNT‐A in several chronic pain models in Sprague‐Dawley rats. Effects of aboBoNT‐A on the paw withdrawal threshold in response to mechanical pressure was assessed in models of streptozotocin‐induced diabetic polyneuropathy, chronic constriction injury (CCI)‐associated mononeuropathy, and bilateral carrageenan‐induced inflammatory pain. Results In diabetic polyneuropathy, aboBoNT‐A (15, 20 U/kg) reversed hyperalgesia in the toxin‐injected and non‐injected paws. In unilateral CCI‐exposed animals, 20 U/kg aboBoNT‐A given ipsilateral to the injury reversed mechanical hyperalgesia, while 30 U/kg aboBoNT‐A given contralateral to the injury had no effect. In carrageenan‐induced bilateral inflammatory pain, aboBoNT‐A (20, 30 U/kg) reversed hyperalgesia in both toxin‐injected and non‐injected paws. Discussion These results suggest that unilateral administration of aboBoNT‐A results in bilateral reduction in mechanical hyperalgesia across neuropathic and inflammatory pain conditions, bilateral activation of sensory neurons being prerequisite for its expression. Future studies involving effects on other sensory modalities as well as those evaluating diffusion and migration of the toxin away from the injection site can shed light on mechanisms of this phenomenon. Significance The results expand evidence on bilateral analgesic effects of aboBoNT‐A following unilateral administration across pain modalities, as the phenomenon is seen in more than one model of polyneuropathy as well as in a model of chronic inflammatory pain when the latter is rendered bilateral. The mechanism of bilateral analgesic effects of aboBoNT‐A may require activation of the peripheral sensory neurons and involve retrograde axonal transport of the toxin into the spinal cord.
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Previously, in a rat model of paclitaxel‐induced polyneuropathy, abobotulinumtoxinA (aboBoNT‐A) elicited analgesic effects not only in the injected paw, but also in the contralateral, non‐injected paw. Methods Here, we assessed bilateral analgesic effects of unilateral aboBoNT‐A in several chronic pain models in Sprague‐Dawley rats. Effects of aboBoNT‐A on the paw withdrawal threshold in response to mechanical pressure was assessed in models of streptozotocin‐induced diabetic polyneuropathy, chronic constriction injury (CCI)‐associated mononeuropathy, and bilateral carrageenan‐induced inflammatory pain. Results In diabetic polyneuropathy, aboBoNT‐A (15, 20 U/kg) reversed hyperalgesia in the toxin‐injected and non‐injected paws. In unilateral CCI‐exposed animals, 20 U/kg aboBoNT‐A given ipsilateral to the injury reversed mechanical hyperalgesia, while 30 U/kg aboBoNT‐A given contralateral to the injury had no effect. In carrageenan‐induced bilateral inflammatory pain, aboBoNT‐A (20, 30 U/kg) reversed hyperalgesia in both toxin‐injected and non‐injected paws. Discussion These results suggest that unilateral administration of aboBoNT‐A results in bilateral reduction in mechanical hyperalgesia across neuropathic and inflammatory pain conditions, bilateral activation of sensory neurons being prerequisite for its expression. Future studies involving effects on other sensory modalities as well as those evaluating diffusion and migration of the toxin away from the injection site can shed light on mechanisms of this phenomenon. Significance The results expand evidence on bilateral analgesic effects of aboBoNT‐A following unilateral administration across pain modalities, as the phenomenon is seen in more than one model of polyneuropathy as well as in a model of chronic inflammatory pain when the latter is rendered bilateral. 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Previously, in a rat model of paclitaxel‐induced polyneuropathy, abobotulinumtoxinA (aboBoNT‐A) elicited analgesic effects not only in the injected paw, but also in the contralateral, non‐injected paw. Methods Here, we assessed bilateral analgesic effects of unilateral aboBoNT‐A in several chronic pain models in Sprague‐Dawley rats. Effects of aboBoNT‐A on the paw withdrawal threshold in response to mechanical pressure was assessed in models of streptozotocin‐induced diabetic polyneuropathy, chronic constriction injury (CCI)‐associated mononeuropathy, and bilateral carrageenan‐induced inflammatory pain. Results In diabetic polyneuropathy, aboBoNT‐A (15, 20 U/kg) reversed hyperalgesia in the toxin‐injected and non‐injected paws. In unilateral CCI‐exposed animals, 20 U/kg aboBoNT‐A given ipsilateral to the injury reversed mechanical hyperalgesia, while 30 U/kg aboBoNT‐A given contralateral to the injury had no effect. In carrageenan‐induced bilateral inflammatory pain, aboBoNT‐A (20, 30 U/kg) reversed hyperalgesia in both toxin‐injected and non‐injected paws. Discussion These results suggest that unilateral administration of aboBoNT‐A results in bilateral reduction in mechanical hyperalgesia across neuropathic and inflammatory pain conditions, bilateral activation of sensory neurons being prerequisite for its expression. Future studies involving effects on other sensory modalities as well as those evaluating diffusion and migration of the toxin away from the injection site can shed light on mechanisms of this phenomenon. Significance The results expand evidence on bilateral analgesic effects of aboBoNT‐A following unilateral administration across pain modalities, as the phenomenon is seen in more than one model of polyneuropathy as well as in a model of chronic inflammatory pain when the latter is rendered bilateral. The mechanism of bilateral analgesic effects of aboBoNT‐A may require activation of the peripheral sensory neurons and involve retrograde axonal transport of the toxin into the spinal cord.</description><subject>Analgesics - pharmacology</subject><subject>Analgesics - therapeutic use</subject><subject>Animals</subject><subject>Botulinum Toxins, Type A - pharmacology</subject><subject>Botulinum Toxins, Type A - therapeutic use</subject><subject>Chronic Pain - drug therapy</subject><subject>Chronic Pain - physiopathology</subject><subject>Diabetic Neuropathies - drug therapy</subject><subject>Diabetic Neuropathies - physiopathology</subject><subject>Disease Models, Animal</subject><subject>Hyperalgesia - drug therapy</subject><subject>Hyperalgesia - physiopathology</subject><subject>Inflammation - drug therapy</subject><subject>Inflammation - physiopathology</subject><subject>Male</subject><subject>Pain Threshold - drug effects</subject><subject>Pain Threshold - physiology</subject><subject>Polyneuropathies - drug therapy</subject><subject>Polyneuropathies - physiopathology</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Spinal Cord - drug effects</subject><subject>Spinal Cord - physiopathology</subject><issn>1090-3801</issn><issn>1532-2149</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtOwzAURS0EoqUgdoA8A4RSnuN8h20pP1WCAYwjJ7aLK8eOYkelm2IRrIxU5TNi9N6Vjs7gIHRKYEwAwmuxasZ5Hu-hIYlpGIQkyvf7H3IIaAZkgI6cWwFAlAI9RIMwCxMKBIZIT5VmXrRMY2aYXgqnKiykFJV32ErMSlta32llutrbd2Um-OJm4xrb-s-PSyyt1natzBJ35k_Ea2WU8y3zyhqsDPZvAvfrGB1Ipp04-b4j9Ho7f5ndB4unu4fZZBFUlKRxQGMJlJOkjHgKJCr7wUkp41LSKGVxznkmU8iEoDkLIUwY4yyjkEGSgyRVRUfofOetWutcK2TRtKpm7aYgUGx7FX2vou_Vk2c7sunKWvBf7idQD1ztgLXSYvOfp5g_Pm91X3s7doQ</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Favre‐Guilmard, C.</creator><creator>Chabrier, P.‐E.</creator><creator>Kalinichev, M.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>201705</creationdate><title>Bilateral analgesic effects of abobotulinumtoxinA (Dysport®) following unilateral administration in the rat</title><author>Favre‐Guilmard, C. ; Chabrier, P.‐E. ; Kalinichev, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3175-35f03d16b4d7014b03dd1bf5bf347a59dd8f708ee39a2026aada83080690f1cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Analgesics - pharmacology</topic><topic>Analgesics - therapeutic use</topic><topic>Animals</topic><topic>Botulinum Toxins, Type A - pharmacology</topic><topic>Botulinum Toxins, Type A - therapeutic use</topic><topic>Chronic Pain - drug therapy</topic><topic>Chronic Pain - physiopathology</topic><topic>Diabetic Neuropathies - drug therapy</topic><topic>Diabetic Neuropathies - physiopathology</topic><topic>Disease Models, Animal</topic><topic>Hyperalgesia - drug therapy</topic><topic>Hyperalgesia - physiopathology</topic><topic>Inflammation - drug therapy</topic><topic>Inflammation - physiopathology</topic><topic>Male</topic><topic>Pain Threshold - drug effects</topic><topic>Pain Threshold - physiology</topic><topic>Polyneuropathies - drug therapy</topic><topic>Polyneuropathies - physiopathology</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>Spinal Cord - drug effects</topic><topic>Spinal Cord - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Favre‐Guilmard, C.</creatorcontrib><creatorcontrib>Chabrier, P.‐E.</creatorcontrib><creatorcontrib>Kalinichev, M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>European journal of pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Favre‐Guilmard, C.</au><au>Chabrier, P.‐E.</au><au>Kalinichev, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral analgesic effects of abobotulinumtoxinA (Dysport®) following unilateral administration in the rat</atitle><jtitle>European journal of pain</jtitle><addtitle>Eur J Pain</addtitle><date>2017-05</date><risdate>2017</risdate><volume>21</volume><issue>5</issue><spage>927</spage><epage>937</epage><pages>927-937</pages><issn>1090-3801</issn><eissn>1532-2149</eissn><abstract>Background In addition to inhibition of muscle and glandular hyperactivity, botulinum neurotoxin (BoNT) type A also interferes with pain processing. Previously, in a rat model of paclitaxel‐induced polyneuropathy, abobotulinumtoxinA (aboBoNT‐A) elicited analgesic effects not only in the injected paw, but also in the contralateral, non‐injected paw. Methods Here, we assessed bilateral analgesic effects of unilateral aboBoNT‐A in several chronic pain models in Sprague‐Dawley rats. Effects of aboBoNT‐A on the paw withdrawal threshold in response to mechanical pressure was assessed in models of streptozotocin‐induced diabetic polyneuropathy, chronic constriction injury (CCI)‐associated mononeuropathy, and bilateral carrageenan‐induced inflammatory pain. Results In diabetic polyneuropathy, aboBoNT‐A (15, 20 U/kg) reversed hyperalgesia in the toxin‐injected and non‐injected paws. In unilateral CCI‐exposed animals, 20 U/kg aboBoNT‐A given ipsilateral to the injury reversed mechanical hyperalgesia, while 30 U/kg aboBoNT‐A given contralateral to the injury had no effect. In carrageenan‐induced bilateral inflammatory pain, aboBoNT‐A (20, 30 U/kg) reversed hyperalgesia in both toxin‐injected and non‐injected paws. Discussion These results suggest that unilateral administration of aboBoNT‐A results in bilateral reduction in mechanical hyperalgesia across neuropathic and inflammatory pain conditions, bilateral activation of sensory neurons being prerequisite for its expression. Future studies involving effects on other sensory modalities as well as those evaluating diffusion and migration of the toxin away from the injection site can shed light on mechanisms of this phenomenon. Significance The results expand evidence on bilateral analgesic effects of aboBoNT‐A following unilateral administration across pain modalities, as the phenomenon is seen in more than one model of polyneuropathy as well as in a model of chronic inflammatory pain when the latter is rendered bilateral. The mechanism of bilateral analgesic effects of aboBoNT‐A may require activation of the peripheral sensory neurons and involve retrograde axonal transport of the toxin into the spinal cord.</abstract><cop>England</cop><pmid>28263010</pmid><doi>10.1002/ejp.995</doi><tpages>11</tpages></addata></record>
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subjects Analgesics - pharmacology
Analgesics - therapeutic use
Animals
Botulinum Toxins, Type A - pharmacology
Botulinum Toxins, Type A - therapeutic use
Chronic Pain - drug therapy
Chronic Pain - physiopathology
Diabetic Neuropathies - drug therapy
Diabetic Neuropathies - physiopathology
Disease Models, Animal
Hyperalgesia - drug therapy
Hyperalgesia - physiopathology
Inflammation - drug therapy
Inflammation - physiopathology
Male
Pain Threshold - drug effects
Pain Threshold - physiology
Polyneuropathies - drug therapy
Polyneuropathies - physiopathology
Rats
Rats, Sprague-Dawley
Spinal Cord - drug effects
Spinal Cord - physiopathology
title Bilateral analgesic effects of abobotulinumtoxinA (Dysport®) following unilateral administration in the rat
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