Controlled release of GDNF reduces nerve root-mediated behavioral hypersensitivity

J Orthop Res. 2009 Jan;27(1):120-7. doi: 10.1002/jor.20710.

Abstract

Nerve root compression produces persistent behavioral sensitivity in models of painful neck injury. This study utilized degradable poly(ethylene glycol) hydrogels to deliver glial cell line-derived neurotrophic factor (GDNF) to an injured nerve root. Hydrogels delivered approximately 98% of encapsulated GDNF over 7 days in an in vitro release assay without the presence of neurons and produced enhanced outgrowth of processes in cortical neural cell primary cultures. The efficacy of a GDNF hydrogel placed on the root immediately after injury was assessed in a rat pain model of C7 dorsal root compression. Control groups included painful injury followed by: (1) vehicle hydrogel treatment (no GDNF), (2) a bolus injection of GDNF, or (3) no treatment. After injury, mechanical allodynia (n = 6/group) was significantly decreased with GDNF delivered by the hydrogel compared to the three injury control groups (p < 0.03). The bolus GDNF treatment did not reduce allodynia at any time point. The GDNF receptor (GFRalpha-1) decreased in small, nociceptive neurons of the affected dorsal root ganglion, suggesting a decrease in receptor expression following injury. GDNF receptor immunoreactivity was significantly greater in these neurons following GDNF hydrogel treatment relative to GDNF bolus treated and untreated rats (p < 0.05). These data suggest efficacy for degradable hydrogel delivery of GDNF and support this treatment approach for nerve root-mediated pain.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Behavior, Animal
  • Biological Assay
  • Cells, Cultured
  • Drug Delivery Systems
  • Glial Cell Line-Derived Neurotrophic Factor / administration & dosage*
  • Glial Cell Line-Derived Neurotrophic Factor / metabolism
  • Hydrogel, Polyethylene Glycol Dimethacrylate / chemistry
  • Hydrogels / chemistry
  • Male
  • Nerve Growth Factors / metabolism*
  • Neurons / metabolism
  • Peripheral Nerves / metabolism*
  • Rats
  • Stress, Mechanical
  • Time Factors

Substances

  • Glial Cell Line-Derived Neurotrophic Factor
  • Hydrogels
  • Nerve Growth Factors
  • Hydrogel, Polyethylene Glycol Dimethacrylate