Spinal cord transection-induced allodynia in rats--behavioral, physiopathological and pharmacological characterization

In humans, spinal cord lesions induce not only major motor and neurovegetative deficits but also severe neuropathic pain which is mostly resistant to classical analgesics. Better treatments can be expected from precise characterization of underlying physiopathological mechanisms. This led us to thor...

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Veröffentlicht in:PloS one 2014-07, Vol.9 (7), p.e102027
Hauptverfasser: M'Dahoma, Saïd, Bourgoin, Sylvie, Kayser, Valérie, Barthélémy, Sandrine, Chevarin, Caroline, Chali, Farah, Orsal, Didier, Hamon, Michel
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container_start_page e102027
container_title PloS one
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creator M'Dahoma, Saïd
Bourgoin, Sylvie
Kayser, Valérie
Barthélémy, Sandrine
Chevarin, Caroline
Chali, Farah
Orsal, Didier
Hamon, Michel
description In humans, spinal cord lesions induce not only major motor and neurovegetative deficits but also severe neuropathic pain which is mostly resistant to classical analgesics. Better treatments can be expected from precise characterization of underlying physiopathological mechanisms. This led us to thoroughly investigate (i) mechanical and thermal sensory alterations, (ii) responses to acute treatments with drugs having patent or potential anti-allodynic properties and (iii) the spinal/ganglion expression of transcripts encoding markers of neuronal injury, microglia and astrocyte activation in rats that underwent complete spinal cord transection (SCT). SCT was performed at thoracic T8-T9 level under deep isoflurane anaesthesia, and SCT rats were examined for up to two months post surgery. SCT induced a marked hyper-reflexia at hindpaws and strong mechanical and cold allodynia in a limited (6 cm2) cutaneous territory just rostral to the lesion site. At this level, pressure threshold value to trigger nocifensive reactions to locally applied von Frey filaments was 100-fold lower in SCT- versus sham-operated rats. A marked up-regulation of mRNAs encoding ATF3 (neuronal injury) and glial activation markers (OX-42, GFAP, P2×4, P2×7, TLR4) was observed in spinal cord and/or dorsal root ganglia at T6-T11 levels from day 2 up to day 60 post surgery. Transcripts encoding the proinflammatory cytokines IL-1β, IL-6 and TNF-α were also markedly but differentially up-regulated at T6-T11 levels in SCT rats. Acute treatment with ketamine (50 mg/kg i.p.), morphine (3-10 mg/kg s.c.) and tapentadol (10-20 mg/kg i.p.) significantly increased pressure threshold to trigger nocifensive reaction in the von Frey filaments test, whereas amitriptyline, pregabalin, gabapentin and clonazepam were ineffective. Because all SCT rats developed long lasting, reproducible and stable allodynia, which could be alleviated by drugs effective in humans, thoracic cord transection might be a reliable model for testing innovative therapies aimed at reducing spinal cord lesion-induced central neuropathic pain.
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Better treatments can be expected from precise characterization of underlying physiopathological mechanisms. This led us to thoroughly investigate (i) mechanical and thermal sensory alterations, (ii) responses to acute treatments with drugs having patent or potential anti-allodynic properties and (iii) the spinal/ganglion expression of transcripts encoding markers of neuronal injury, microglia and astrocyte activation in rats that underwent complete spinal cord transection (SCT). SCT was performed at thoracic T8-T9 level under deep isoflurane anaesthesia, and SCT rats were examined for up to two months post surgery. SCT induced a marked hyper-reflexia at hindpaws and strong mechanical and cold allodynia in a limited (6 cm2) cutaneous territory just rostral to the lesion site. At this level, pressure threshold value to trigger nocifensive reactions to locally applied von Frey filaments was 100-fold lower in SCT- versus sham-operated rats. A marked up-regulation of mRNAs encoding ATF3 (neuronal injury) and glial activation markers (OX-42, GFAP, P2×4, P2×7, TLR4) was observed in spinal cord and/or dorsal root ganglia at T6-T11 levels from day 2 up to day 60 post surgery. Transcripts encoding the proinflammatory cytokines IL-1β, IL-6 and TNF-α were also markedly but differentially up-regulated at T6-T11 levels in SCT rats. Acute treatment with ketamine (50 mg/kg i.p.), morphine (3-10 mg/kg s.c.) and tapentadol (10-20 mg/kg i.p.) significantly increased pressure threshold to trigger nocifensive reaction in the von Frey filaments test, whereas amitriptyline, pregabalin, gabapentin and clonazepam were ineffective. 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A marked up-regulation of mRNAs encoding ATF3 (neuronal injury) and glial activation markers (OX-42, GFAP, P2×4, P2×7, TLR4) was observed in spinal cord and/or dorsal root ganglia at T6-T11 levels from day 2 up to day 60 post surgery. Transcripts encoding the proinflammatory cytokines IL-1β, IL-6 and TNF-α were also markedly but differentially up-regulated at T6-T11 levels in SCT rats. Acute treatment with ketamine (50 mg/kg i.p.), morphine (3-10 mg/kg s.c.) and tapentadol (10-20 mg/kg i.p.) significantly increased pressure threshold to trigger nocifensive reaction in the von Frey filaments test, whereas amitriptyline, pregabalin, gabapentin and clonazepam were ineffective. 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adverse effects</subject><subject>Hyperalgesia - drug therapy</subject><subject>Hyperalgesia - etiology</subject><subject>Hyperalgesia - physiopathology</subject><subject>Inflammation</subject><subject>Interleukin 6</subject><subject>Intermediate filament proteins</subject><subject>Isoflurane</subject><subject>Ketamine</subject><subject>Ketamine - therapeutic use</subject><subject>Lesions</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Markers</subject><subject>Medical innovations</subject><subject>Medicine and Health Sciences</subject><subject>Microglia</subject><subject>Model testing</subject><subject>Morphine</subject><subject>Morphine - therapeutic use</subject><subject>Nerve Tissue Proteins - metabolism</subject><subject>Neuralgia</subject><subject>Neuronal-glial interactions</subject><subject>Neurons and Cognition</subject><subject>Neuropathy</subject><subject>Neurosciences</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Pain perception</subject><subject>Pharmacology</subject><subject>Phenols - 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therapeutic use</topic><topic>Nerve Tissue Proteins - metabolism</topic><topic>Neuralgia</topic><topic>Neuronal-glial interactions</topic><topic>Neurons and Cognition</topic><topic>Neuropathy</topic><topic>Neurosciences</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Pain perception</topic><topic>Pharmacology</topic><topic>Phenols - therapeutic use</topic><topic>Pressure</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>Real-Time Polymerase Chain Reaction</topic><topic>Research and Analysis Methods</topic><topic>Reverse Transcriptase Polymerase Chain Reaction</topic><topic>Rodents</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - complications</topic><topic>Surgery</topic><topic>Territory</topic><topic>Thorax</topic><topic>Toll-like receptors</topic><topic>Transcription factors</topic><topic>Tumor necrosis factor-TNF</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>M'Dahoma, Saïd</creatorcontrib><creatorcontrib>Bourgoin, Sylvie</creatorcontrib><creatorcontrib>Kayser, Valérie</creatorcontrib><creatorcontrib>Barthélémy, Sandrine</creatorcontrib><creatorcontrib>Chevarin, Caroline</creatorcontrib><creatorcontrib>Chali, Farah</creatorcontrib><creatorcontrib>Orsal, Didier</creatorcontrib><creatorcontrib>Hamon, Michel</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - 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Better treatments can be expected from precise characterization of underlying physiopathological mechanisms. This led us to thoroughly investigate (i) mechanical and thermal sensory alterations, (ii) responses to acute treatments with drugs having patent or potential anti-allodynic properties and (iii) the spinal/ganglion expression of transcripts encoding markers of neuronal injury, microglia and astrocyte activation in rats that underwent complete spinal cord transection (SCT). SCT was performed at thoracic T8-T9 level under deep isoflurane anaesthesia, and SCT rats were examined for up to two months post surgery. SCT induced a marked hyper-reflexia at hindpaws and strong mechanical and cold allodynia in a limited (6 cm2) cutaneous territory just rostral to the lesion site. At this level, pressure threshold value to trigger nocifensive reactions to locally applied von Frey filaments was 100-fold lower in SCT- versus sham-operated rats. A marked up-regulation of mRNAs encoding ATF3 (neuronal injury) and glial activation markers (OX-42, GFAP, P2×4, P2×7, TLR4) was observed in spinal cord and/or dorsal root ganglia at T6-T11 levels from day 2 up to day 60 post surgery. Transcripts encoding the proinflammatory cytokines IL-1β, IL-6 and TNF-α were also markedly but differentially up-regulated at T6-T11 levels in SCT rats. Acute treatment with ketamine (50 mg/kg i.p.), morphine (3-10 mg/kg s.c.) and tapentadol (10-20 mg/kg i.p.) significantly increased pressure threshold to trigger nocifensive reaction in the von Frey filaments test, whereas amitriptyline, pregabalin, gabapentin and clonazepam were ineffective. Because all SCT rats developed long lasting, reproducible and stable allodynia, which could be alleviated by drugs effective in humans, thoracic cord transection might be a reliable model for testing innovative therapies aimed at reducing spinal cord lesion-induced central neuropathic pain.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25019623</pmid><doi>10.1371/journal.pone.0102027</doi><orcidid>https://orcid.org/0000-0001-7801-4398</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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issn 1932-6203
1932-6203
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subjects Activating transcription factor 3
Activating Transcription Factor 3 - metabolism
Activation
Amitriptyline
Analgesics
Analysis of Variance
Anesthesia
Animals
Biology and Life Sciences
Cell cycle
Clonazepam
Coding
Cytokines
Cytokines - metabolism
Dorsal root ganglia
Drugs
Filaments
Gabapentin
Ganglia
Ganglia, Spinal - metabolism
Glial fibrillary acidic protein
Hot Temperature - adverse effects
Hyperalgesia - drug therapy
Hyperalgesia - etiology
Hyperalgesia - physiopathology
Inflammation
Interleukin 6
Intermediate filament proteins
Isoflurane
Ketamine
Ketamine - therapeutic use
Lesions
Life Sciences
Male
Markers
Medical innovations
Medicine and Health Sciences
Microglia
Model testing
Morphine
Morphine - therapeutic use
Nerve Tissue Proteins - metabolism
Neuralgia
Neuronal-glial interactions
Neurons and Cognition
Neuropathy
Neurosciences
Pain
Pain Measurement
Pain perception
Pharmacology
Phenols - therapeutic use
Pressure
Rats
Rats, Sprague-Dawley
Real-Time Polymerase Chain Reaction
Research and Analysis Methods
Reverse Transcriptase Polymerase Chain Reaction
Rodents
Spinal cord injuries
Spinal Cord Injuries - complications
Surgery
Territory
Thorax
Toll-like receptors
Transcription factors
Tumor necrosis factor-TNF
title Spinal cord transection-induced allodynia in rats--behavioral, physiopathological and pharmacological characterization
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