D-phenylalanine: a putative enkephalinase inhibitor studied in a primate acute pain model

Pain. 1986 Feb;24(2):223-237. doi: 10.1016/0304-3959(86)90045-X.

Abstract

D-Phenylalanine, along with morphine, acetylsalicylic acid and zomepirac sodium were evaluated for their antinociceptive actions in monkeys (M. fascicularis) trained to autoregulate nociceptive stimulation using a discrete-trials, aversive-threshold paradigm. Morphine sulfate produced dose-related increases in aversive threshold which were reversible after administration of naloxone (12.5 or 25 micrograms/kg i.m.). D-Phenylalanine (500 mg/kg p.o.) produced a small increase in aversive threshold which was not statistically significant and not naloxone reversible. Acetylsalicylic acid (200 mg/kg p.o.) but not zomepirac sodium (200 mg/kg p.o.) in combination with D-phenylalanine (500 mg/kg) produced a small statistically significant increase in aversive threshold. Our results argue against the hypothesis that D-phenylalanine is responsible for increasing aversive thresholds via opiate receptor mechanisms involving increased activity of enkephalins at synaptic loci. Previous studies by others in rats and mice showed that D-phenylalanine and acetylsalicylic acid produced increases in nociceptive thresholds which were naloxone reversible. Our failure to find opiate receptor mediated analgesia in a primate model with demonstrated opiate receptor selectivity and sensitivity is discussed in terms of previous basic and clinical research indicating an analgesic role for D-phenylalanine. Possible species difference in drug action is discussed in terms of inhibition by D-phenylalanine of carboxy-peptidase-like enkephalin processing enzymes as well as inhibition of carboxypeptidase-like enkephalin degrading enzymes.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Aspirin / pharmacology
  • Avoidance Learning / drug effects
  • Carboxypeptidases / antagonists & inhibitors
  • Drug Interactions
  • Isomerism
  • Macaca fascicularis
  • Male
  • Morphine / pharmacology
  • Naloxone / pharmacology
  • Neprilysin
  • Pain / physiopathology*
  • Phenylalanine / pharmacology*
  • Protease Inhibitors*
  • Sensory Thresholds / drug effects
  • Tolmetin / analogs & derivatives
  • Tolmetin / pharmacology

Substances

  • Protease Inhibitors
  • Naloxone
  • Phenylalanine
  • Morphine
  • zomepirac
  • Tolmetin
  • Carboxypeptidases
  • Neprilysin
  • Aspirin