Differential Effectiveness of Clinically-Relevant Analgesics in a Rat Model of Chemotherapy-Induced Mucositis

Chemotherapy-induced intestinal mucositis is characterized by pain and a pro-inflammatory tissue response. Rat models are frequently used in mucositis disease investigations yet little is known about the presence of pain in these animals, the ability of analgesics to ameliorate the condition, or the...

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Veröffentlicht in:PloS one 2016-07, Vol.11 (7), p.e0158851-e0158851
Hauptverfasser: Whittaker, Alexandra L, Lymn, Kerry A, Wallace, Georgia L, Howarth, Gordon S
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description Chemotherapy-induced intestinal mucositis is characterized by pain and a pro-inflammatory tissue response. Rat models are frequently used in mucositis disease investigations yet little is known about the presence of pain in these animals, the ability of analgesics to ameliorate the condition, or the effect that analgesic administration may have on study outcomes. This study investigated different classes of analgesics with the aim of determining their analgesic effects and impact on research outcomes of interest in a rat model of mucositis. Female DA rats were allocated to 8 groups to include saline and chemotherapy controls (n = 8). Analgesics included opioid derivatives (buprenorphine; 0.05mg/kg and tramadol 12.5mg/kg) and NSAID (carprofen; 15mg/kg) in combination with either saline or 5-Fluorouracil (5-FU; 150mg/kg). Research outcome measures included daily clinical parameters, pain score and gut histology. Myeloperoxidase assay was performed to determine gut inflammation. At the dosages employed, all agents had an analgesic effect based on behavioural pain scores. Jejunal myeloperoxidase activity was significantly reduced by buprenorphine and tramadol in comparison to 5-FU control animals (53%, p = 0.0004 and 58%, p = 0.0001). Carprofen had no ameliorating effect on myeloperoxidase levels. None of the agents reduced the histological damage caused by 5-FU administration although tramadol tended to increase villus length even when administered to healthy animals. These data provide evidence that carprofen offers potential as an analgesic in this animal model due to its pain-relieving efficacy and minimal effect on measured parameters. This study also supports further investigation into the mechanism and utility of opioid agents in the treatment of chemotherapy-induced mucositis.
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Jejunal myeloperoxidase activity was significantly reduced by buprenorphine and tramadol in comparison to 5-FU control animals (53%, p = 0.0004 and 58%, p = 0.0001). Carprofen had no ameliorating effect on myeloperoxidase levels. None of the agents reduced the histological damage caused by 5-FU administration although tramadol tended to increase villus length even when administered to healthy animals. These data provide evidence that carprofen offers potential as an analgesic in this animal model due to its pain-relieving efficacy and minimal effect on measured parameters. This study also supports further investigation into the mechanism and utility of opioid agents in the treatment of chemotherapy-induced mucositis.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27463799</pmid><doi>10.1371/journal.pone.0158851</doi><tpages>e0158851</tpages><oa>free_for_read</oa></addata></record>
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subjects 5-Fluorouracil
Analgesics
Analgesics - pharmacology
Analgesics - therapeutic use
Animal models
Animals
Antineoplastic Agents - adverse effects
Behavior, Animal - drug effects
Biology and Life Sciences
Buprenorphine
Cancer therapies
Chemotherapy
Complications and side effects
Cytotoxicity
Diagnosis
Digestive system
Digestive tract
Disease Models, Animal
Dosage and administration
Drug therapy
Female
Gastrointestinal tract
Histology
Immune system
Inflammation
Intestinal Mucosa - drug effects
Intestinal Mucosa - enzymology
Intestinal Mucosa - pathology
Intestine
Laboratory animals
Mathematical models
Medicine and Health Sciences
Metabolism
Mucositis
Mucositis - chemically induced
Mucositis - drug therapy
Mucositis - pathology
Narcotics
Opioids
Pain
Peroxidase
Peroxidase - metabolism
Rats
Risk factors
Rodents
Tramadol
Villus
title Differential Effectiveness of Clinically-Relevant Analgesics in a Rat Model of Chemotherapy-Induced Mucositis
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