6-Methoxyflavanone abates cisplatin-induced neuropathic pain apropos anti-inflammatory mechanisms: A behavioral and molecular simulation study

Eur J Pharmacol. 2020 Apr 5:872:172972. doi: 10.1016/j.ejphar.2020.172972. Epub 2020 Jan 30.

Abstract

Cisplatin is used as a first line therapy in treating cancers. However, its use is often accompanied with the development of peripheral neuropathy. 6-Methoxyflavanone (6-MeOF) is a positive allosteric modulator at GABAA receptors and is known for attenuating diabetes-induced neuropathic pain. Neuropathy was induced in male Sprague-Dawley rats (150-250 g), via intraperitoneal injection of cisplatin (3 mg/kg) once a week for four consecutive weeks. 6-MeOF (25, 50 and 75 mg/kg, i.p) and gabapentin (75 mg/kg, i.p) were administered 30 min before each cisplatin injection. Static and dynamic allodynia were assessed using von Frey filaments and cotton buds. The anti-inflammatory activity was analyzed with plethysmometer. Body weights were also measured each week. The binding affinity of 6-MeOF with chloride channel, Cyclooxygenase-1 (COX-1) and Cyclooxygenase-2 (COX-2) was studied using docking approach. The in vitro COX-1 and COX-2 inhibitory effect of 6-MeOF was conducted with COX colorimetric assay. Administration of cisplatin for four consecutive weeks induced static (decreased paw withdrawal threshold; PWT) and dynamic allodynia (decreased paw withdrawal latency; PWL). Co-administration of 6-MeOF for four weeks significantly attenuated the cisplatin-induced expression of nocifensive behaviors observed as significant increase in PWT and PWL. Moreover, it also prevented the body weight loss induced by cisplatin administration. In silico studies depicted a good interaction of 6-MeOF with chloride ion channels and COX-1 and COX-2 enzymes. The in vitro study confirmed the inhibitory activity of 6-MeOF for COX-1 and COX-2. 6-MeOF may be effective in attenuating cisplatin-induced allodynia, probably through interaction with GABAergic receptors and reducing inflammation.

Keywords: 6-Methoxyflavanone (PubChem CID: 97860); Allodynia; Cyclooxygenase enzymes (COX); Flavonoid; GABA(A) receptors; Inflammation.

MeSH terms

  • Allosteric Regulation / drug effects
  • Allosteric Regulation / immunology
  • Animals
  • Anti-Inflammatory Agents / chemistry
  • Anti-Inflammatory Agents / pharmacology*
  • Anti-Inflammatory Agents / therapeutic use
  • Behavior, Animal / drug effects
  • Cisplatin / adverse effects*
  • Cyclooxygenase 1 / chemistry
  • Cyclooxygenase 1 / metabolism
  • Cyclooxygenase 2 / chemistry
  • Cyclooxygenase 2 / metabolism
  • Disease Models, Animal
  • Flavanones / chemistry
  • Flavanones / pharmacology*
  • Flavanones / therapeutic use
  • Humans
  • Hyperalgesia / chemically induced
  • Hyperalgesia / diagnosis
  • Hyperalgesia / drug therapy*
  • Hyperalgesia / immunology
  • Ion Channel Gating / drug effects
  • Ion Channel Gating / immunology
  • Male
  • Membrane Proteins / chemistry
  • Membrane Proteins / metabolism
  • Molecular Docking Simulation
  • Molecular Structure
  • Neoplasms / drug therapy
  • Neuralgia / chemically induced
  • Neuralgia / diagnosis
  • Neuralgia / drug therapy*
  • Neuralgia / immunology
  • Rats
  • Receptors, GABA-A / chemistry
  • Receptors, GABA-A / metabolism*
  • Signal Transduction / drug effects
  • Signal Transduction / immunology

Substances

  • 6-methoxyflavanone
  • Anti-Inflammatory Agents
  • Flavanones
  • Membrane Proteins
  • Receptors, GABA-A
  • Cyclooxygenase 1
  • Cyclooxygenase 2
  • Ptgs1 protein, rat
  • Ptgs2 protein, rat
  • Cisplatin