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

Pain. 2009 Jun;143(3):228-232. doi: 10.1016/j.pain.2009.03.005. Epub 2009 Apr 16.

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. We evaluated the role of spinal excitatory and inhibitory receptors (NMDA, mGluR(5), mu-opioid, GABA(A), and GABA(B)), 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 (GABA(B) and mu-opioid) but not by antagonists for either of the two excitatory receptors (NMDA and mGluR(5)), indicating that NSIA is maintained by ongoing activity at inhibitory synapses in the spinal cord. Furthermore, spinal administration of the GABA(B) agonist baclofen mimicked NSIA in that it could be blocked by prior injection of the mu-opioid receptor antagonist H-D-Phe-Cys-Tyr-D-Trp-Arg-Thr-Pen-Thr-NH(2) (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.

Publication types

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

MeSH terms

  • Analgesics / antagonists & inhibitors
  • Animals
  • Baclofen / pharmacology
  • Capsaicin / antagonists & inhibitors
  • Drug Interactions / physiology
  • GABA Agonists / pharmacology
  • GABA Antagonists / pharmacology
  • GABA-B Receptor Agonists
  • GABA-B Receptor Antagonists
  • Male
  • Narcotic Antagonists / pharmacology
  • Neural Inhibition / drug effects
  • Neural Inhibition / physiology*
  • Pain / chemically induced
  • Pain / physiopathology*
  • Pain Threshold / drug effects
  • Pain Threshold / physiology*
  • Peptides / pharmacology
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, GABA-B / metabolism
  • Receptors, Opioid, mu / antagonists & inhibitors
  • Receptors, Opioid, mu / metabolism
  • Sensory System Agents / antagonists & inhibitors
  • Spinal Cord / drug effects
  • Spinal Cord / physiology*
  • Synapses / drug effects
  • Synapses / physiology
  • Synaptic Transmission / drug effects
  • Synaptic Transmission / physiology*

Substances

  • Analgesics
  • GABA Agonists
  • GABA Antagonists
  • GABA-B Receptor Agonists
  • GABA-B Receptor Antagonists
  • Narcotic Antagonists
  • Peptides
  • Receptors, GABA-B
  • Receptors, Opioid, mu
  • Sensory System Agents
  • connective tissue-activating peptide
  • Baclofen
  • Capsaicin