Centralization of noxious stimulus-induced analgesia (NSIA) is related to activity at inhibitory synapses in the spinal cord

The duration of noxious stimulus-induced antinociception (NSIA) has been shown to outlast the pain stimulus that elicited it, however, the mechanism that determines the duration of analgesia is unknown. We evaluated the role of spinal excitatory and inhibitory receptors (NMDA, mGluR5, μ-opioid, GABA...

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Veröffentlicht in:Pain (Amsterdam) 2009-06, Vol.143 (3), p.228-232
Hauptverfasser: Tambeli, Claudia H., Levine, Jon D., Gear, Robert W.
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Levine, Jon D.
Gear, Robert W.
description The duration of noxious stimulus-induced antinociception (NSIA) has been shown to outlast the pain stimulus that elicited it, however, the mechanism that determines the duration of analgesia is unknown. We evaluated the role of spinal excitatory and inhibitory receptors (NMDA, mGluR5, μ-opioid, GABAA, and GABAB), previously implicated in NSIA initiation, in its maintenance. As in our previous studies, the supraspinal trigeminal jaw-opening reflex (JOR) in the rat was used for nociceptive testing because of its remoteness from the region of drug application, the lumbar spinal cord. NSIA was reversed by antagonists for two inhibitory receptors (GABAB and μ-opioid) but not by antagonists for either of the two excitatory receptors (NMDA and mGluR5), indicating that NSIA is maintained by ongoing activity at inhibitory synapses in the spinal cord. Furthermore, spinal administration of the GABAB agonist baclofen mimicked NSIA in that it could be blocked by prior injection of the μ-opioid receptor antagonist H-D-Phe-Cys-Tyr-D-Trp-Arg-Thr-Pen-Thr-NH2 (CTAP) in nucleus accumbens. CTAP also blocked baclofen antinociception when administered in the spinal cord. We conclude that analgesia induced by noxious stimulation is maintained by activity in spinal inhibitory receptors.
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We evaluated the role of spinal excitatory and inhibitory receptors (NMDA, mGluR5, μ-opioid, GABAA, and GABAB), previously implicated in NSIA initiation, in its maintenance. As in our previous studies, the supraspinal trigeminal jaw-opening reflex (JOR) in the rat was used for nociceptive testing because of its remoteness from the region of drug application, the lumbar spinal cord. NSIA was reversed by antagonists for two inhibitory receptors (GABAB and μ-opioid) but not by antagonists for either of the two excitatory receptors (NMDA and mGluR5), indicating that NSIA is maintained by ongoing activity at inhibitory synapses in the spinal cord. Furthermore, spinal administration of the GABAB agonist baclofen mimicked NSIA in that it could be blocked by prior injection of the μ-opioid receptor antagonist H-D-Phe-Cys-Tyr-D-Trp-Arg-Thr-Pen-Thr-NH2 (CTAP) in nucleus accumbens. CTAP also blocked baclofen antinociception when administered in the spinal cord. We conclude that analgesia induced by noxious stimulation is maintained by activity in spinal inhibitory receptors.</description><subject>Analgesics - antagonists &amp; inhibitors</subject><subject>Animals</subject><subject>Antinociception</subject><subject>Baclofen - pharmacology</subject><subject>Biological and medical sciences</subject><subject>Capsaicin</subject><subject>Capsaicin - antagonists &amp; inhibitors</subject><subject>Drug Interactions - physiology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>GABA Agonists - pharmacology</subject><subject>GABA Antagonists - pharmacology</subject><subject>GABA-B Receptor Agonists</subject><subject>GABA-B Receptor Antagonists</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Narcotic Antagonists - pharmacology</subject><subject>Neural Inhibition - drug effects</subject><subject>Neural Inhibition - physiology</subject><subject>Nucleus accumbens</subject><subject>Pain - chemically induced</subject><subject>Pain - physiopathology</subject><subject>Pain Threshold - drug effects</subject><subject>Pain Threshold - physiology</subject><subject>Pain-induced analgesia</subject><subject>Peptides - pharmacology</subject><subject>Rat</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Receptors, GABA-B - metabolism</subject><subject>Receptors, Opioid, mu - antagonists &amp; inhibitors</subject><subject>Receptors, Opioid, mu - metabolism</subject><subject>Sensory System Agents - antagonists &amp; inhibitors</subject><subject>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</subject><subject>Spinal cord</subject><subject>Spinal Cord - drug effects</subject><subject>Spinal Cord - physiology</subject><subject>Synapses - drug effects</subject><subject>Synapses - physiology</subject><subject>Synaptic Transmission - drug effects</subject><subject>Synaptic Transmission - physiology</subject><subject>Traumas. 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Psychology</topic><topic>GABA Agonists - pharmacology</topic><topic>GABA Antagonists - pharmacology</topic><topic>GABA-B Receptor Agonists</topic><topic>GABA-B Receptor Antagonists</topic><topic>Injuries of the nervous system and the skull. 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Sensory receptors</topic><topic>Spinal cord</topic><topic>Spinal Cord - drug effects</topic><topic>Spinal Cord - physiology</topic><topic>Synapses - drug effects</topic><topic>Synapses - physiology</topic><topic>Synaptic Transmission - drug effects</topic><topic>Synaptic Transmission - physiology</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tambeli, Claudia H.</creatorcontrib><creatorcontrib>Levine, Jon D.</creatorcontrib><creatorcontrib>Gear, Robert W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pain (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tambeli, Claudia H.</au><au>Levine, Jon D.</au><au>Gear, Robert W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Centralization of noxious stimulus-induced analgesia (NSIA) is related to activity at inhibitory synapses in the spinal cord</atitle><jtitle>Pain (Amsterdam)</jtitle><addtitle>Pain</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>143</volume><issue>3</issue><spage>228</spage><epage>232</epage><pages>228-232</pages><issn>0304-3959</issn><eissn>1872-6623</eissn><coden>PAINDB</coden><abstract>The duration of noxious stimulus-induced antinociception (NSIA) has been shown to outlast the pain stimulus that elicited it, however, the mechanism that determines the duration of analgesia is unknown. 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subjects Analgesics - antagonists & inhibitors
Animals
Antinociception
Baclofen - pharmacology
Biological and medical sciences
Capsaicin
Capsaicin - antagonists & inhibitors
Drug Interactions - physiology
Fundamental and applied biological sciences. Psychology
GABA Agonists - pharmacology
GABA Antagonists - pharmacology
GABA-B Receptor Agonists
GABA-B Receptor Antagonists
Injuries of the nervous system and the skull. Diseases due to physical agents
Male
Medical sciences
Narcotic Antagonists - pharmacology
Neural Inhibition - drug effects
Neural Inhibition - physiology
Nucleus accumbens
Pain - chemically induced
Pain - physiopathology
Pain Threshold - drug effects
Pain Threshold - physiology
Pain-induced analgesia
Peptides - pharmacology
Rat
Rats
Rats, Sprague-Dawley
Receptors, GABA-B - metabolism
Receptors, Opioid, mu - antagonists & inhibitors
Receptors, Opioid, mu - metabolism
Sensory System Agents - antagonists & inhibitors
Somesthesis and somesthetic pathways (proprioception, exteroception, nociception)
interoception
electrolocation. Sensory receptors
Spinal cord
Spinal Cord - drug effects
Spinal Cord - physiology
Synapses - drug effects
Synapses - physiology
Synaptic Transmission - drug effects
Synaptic Transmission - physiology
Traumas. Diseases due to physical agents
Vertebrates: nervous system and sense organs
title Centralization of noxious stimulus-induced analgesia (NSIA) is related to activity at inhibitory synapses in the spinal cord
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