Analgesic profile of the nicotinic acetylcholine receptor agonists, (+)-epibatidine and ABT-594 in models of persistent inflammatory and neuropathic pain

Pain. 2000 May;86(1-2):113-8. doi: 10.1016/s0304-3959(00)00233-5.

Abstract

The anti-nociceptive and locomotor effects of the nicotinic acetylcholine receptor (nAChR) agonists (+)-epibatidine and ABT-594 were compared in the rat. Acute thermal nociception was measured using the tail flick test. Mechanical hyperalgesia was measured as paw withdrawal threshold (PWT) in response to a mechanical stimulus in two animal models of persistent pain; (1) 24 h following subplantar injections of Freund's complete adjuvant (FCA) into the left hind paw or (2) 11-15 days following a partial ligation of the left sciatic nerve. Disruption of locomotor function was assessed using an accelerating rotarod device. In all tests, (+)-epibatidine was significantly more potent than ABT-594. Both (+)-epibatidine and ABT-594 dose-dependently increased tail flick latencies but only at doses that also disrupted performance in the rotarod test. On the other hand, (+)-epibatidine and ABT-594 dose-dependently reversed inflammatory and neuropathic hyperalgesia at significantly lower doses than that needed to disrupt performance in the rotarod test. In summary, ABT-594 is less potent than (+)-epibatidine in assays of acute and persistent pain and in the rotarod assay. However, ABT-594 displayed a clearer separation between its motor and anti-hyperalgesic effects. This shows that nicotinic agonists with improved selectivity between the nicotinic receptor subtypes could provide strong analgesic effects with a much improved therapeutic window.

MeSH terms

  • Analgesics, Non-Narcotic / pharmacology*
  • Animals
  • Arthritis, Experimental / complications
  • Azetidines / pharmacology*
  • Bridged Bicyclo Compounds, Heterocyclic / pharmacology*
  • Dose-Response Relationship, Drug
  • Freund's Adjuvant
  • Hyperalgesia / drug therapy
  • Hyperalgesia / psychology
  • Inflammation / complications*
  • Male
  • Nicotinic Agonists / pharmacology*
  • Pain / drug therapy*
  • Pain / etiology
  • Pain Measurement / drug effects
  • Postural Balance / drug effects
  • Pyridines / pharmacology*
  • Rats
  • Rats, Wistar
  • Receptors, Nicotinic / drug effects*
  • Sciatic Neuropathy / complications*

Substances

  • 5-(2-azetidinylmethoxy)-2-chloropyridine
  • Analgesics, Non-Narcotic
  • Azetidines
  • Bridged Bicyclo Compounds, Heterocyclic
  • Nicotinic Agonists
  • Pyridines
  • Receptors, Nicotinic
  • Freund's Adjuvant
  • epibatidine