Peripheral NMDA Receptor/NO System Blockage Inhibits Itch Responses Induced by Chloroquine in Mice

Acta Derm Venereol. 2017 May 8;97(5):571-577. doi: 10.2340/00015555-2617.

Abstract

Intradermal administration of chloroquine (CQ) provokes scratching behavior in mice. Chloroquine-induced itch is histamine-independent and we have reported that the nitric oxide (NO)/cyclic guanosine monophosphate (cGMP) pathway is involved in CQ-induced scratching behavior in mice. Previous studies have demonstrated that activation of N-methyl-d-aspartate receptors (NMDARs) induces NO production. Here we show that NMDAR antagonists significantly decrease CQ-induced scratching in mice while a non-effective dose of an NMDAR agonist potentiates the scratching behavior provoked by sub-effective doses of CQ. In contrast, combined pre-treatment with sub-effective doses of an NMDAR antagonist, MK-801, and the NO synthase inhibitor, L-N-nitro arginine methyl ester (L-NAME), decreases CQ-induced scrat-ching behavior. While intradermal administration of CQ significantly increases the concentration of intradermal nitrite, the end product of NO metabolism, effective doses of intraperitoneal and intradermal MK-801 significantly decrease intradermal nitrite levels. Likewise, administration of an effective dose of L-NAME significantly decreases CQ-induced nitrite production. We conclude that the NMDA/NO pathway in the skin modulates CQ-induced scratching behavior.

MeSH terms

  • Animals
  • Behavior, Animal / drug effects*
  • Chloroquine*
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Enzyme Inhibitors / pharmacology*
  • Excitatory Amino Acid Antagonists / pharmacology*
  • Histamine H1 Antagonists, Non-Sedating / pharmacology
  • Male
  • Mice
  • Nitric Oxide / metabolism*
  • Nitric Oxide Synthase / antagonists & inhibitors*
  • Nitric Oxide Synthase / metabolism
  • Nitrites / metabolism
  • Pruritus / chemically induced
  • Pruritus / metabolism
  • Pruritus / prevention & control*
  • Pruritus / psychology
  • Receptors, N-Methyl-D-Aspartate / antagonists & inhibitors*
  • Receptors, N-Methyl-D-Aspartate / metabolism
  • Signal Transduction / drug effects*
  • Skin / drug effects*
  • Skin / metabolism

Substances

  • Enzyme Inhibitors
  • Excitatory Amino Acid Antagonists
  • Histamine H1 Antagonists, Non-Sedating
  • Nitrites
  • Receptors, N-Methyl-D-Aspartate
  • Nitric Oxide
  • Chloroquine
  • Nitric Oxide Synthase