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S110 Poster Sessions / European Journal of Pain 13 (2009) S55–S285
[2] Wittmann M., Peters I, Schaaf T, et al. The effects of morphine on human
5-HT3A receptors. Anesth Analg, 2006; 103: 747–52.
362
ROLE OF GABAA- AND GABAB-RECEPTORS FOR INCISION
INDUCED PAIN BEHAVIORS
S. Reichl *, P. Zahn, E.M. Pogatzki-Zahn. Department of
Anaesthesiology and Intensive Care, University Hospital Muenster,
Muenster, Germany
There is considerable evidence that the activation of spinal GABAA-
and GABAB-receptors are involved in the neurotransmission of
inflammatory and neuropathic pain. The study assessed the role
of GABAA- and GABAB-receptor activation for incision induced
mechanical and thermal hyperalgesia.
Methods: Rats with intrathecal catheter (IT; n = 68) underwent
plantar incision and mechanical withdrawal thresholds (WT,
calibrated von Frey filaments) or thermal withdrawal latencies
(PWL, Hargreaves Box) were assessed. The animals received an
IT administration of the GABAA-agonist muscimol (0.1mg, 0.3mg),GABAB-agonist baclofen (0.1mg, 0.3mg) or vehicle and pain behavior
was evaluated again. In separate experiments animals pretreated
with the GABAA-antagonist bicuculline (0.3mg) or GABAB-antagonist
CGP35348 (30mg) received the corresponding GABAA/B-agonist.
Finally, separate animals received IT injection of bicuculline or
CGP35348 after incision.
Results: IT administration of muscimol and baclofen increased
significantly the decreased median WT after incision from 67mN to
176mN and 145mN 60–90min after injection, respectively (p < 0.05
vs. vehicle). Similar, decreased PWL after incision were increased
60–120min after agonist injection (p < 0.05 vs. vehicle). GABA-
agonist induced antinociception was blocked with pretreatment
of the corresponding antagonist (p < 0.05). IT administration of
GABAA/B-antagonist did not modify pain behaviors after incision.
Conclusion: Spinal administration of GABAA- and GABAB-agonists
decreased mechanical and thermal hyperalgesia after incision
indicating that spinal GABAA- and GABAB-receptors are potential
targets for the treatment of incisional pain and hyperalgesia.
However, because GABA-antagonists did not cause pain behaviors
in incised animals we hypothesize that tonic gabaergic inhibition
may be important for nociception after other types of tissue injuries
but not after incision.
363
DISSOCIATION OF ANALGESIC, ANTI-AVERSIVE AND REWARDING
EFFECTS OF DIFFERENT CLASSES OF ANALGESICS IN THE RAT
T. Tzschentke*, E. van der Kam, K. Rutten, A. Robens, J. De Vry.
Grunenthal GmbH, Preclinical Drug Development, Department of
Pharmacology, Aachen, Germany
Background: Morphine more potently reduces the affective as
compared to the sensory component of pain, and this effect is
not due to morphine’s rewarding properties (van der Kam et al.,
Pain 137, 373, 2008). Here we investigated whether this finding can
be generalized to other classes of analgesics.
Methods: The Randall-Selitto paw-pressure test after intraplantar
carrageenan injection was combined with conditioned place
aversion (CPA) and preference (CPP) procedures.
Results: For oxycodone (ip), the minimal-effective-dose (MED)
for producing antinociceptive effects (MEDantinoci) was 3mg/kg,
whereas the MED for anti-aversive effects (MEDanti−CPA) was
0.1mg/kg, and the MED for producing CPP in carrageenan-
treated (MEDCPP−carra) and sham-treated rats (MEDCPP−sham) was
10mg/kg and 0.3mg/kg, respectively. For pregabalin (ip),
the values were: MEDantinoci = 3mg/kg; MEDanti−CPA = 1mg/kg;
MEDCPP−carra = 3mg/kg; MEDCPP−sham = 3mg/kg. For ibuprofen (ip),
the values were: MEDantinoci = 100mg/kg; MEDanti−CPA = 3mg/kg;
MEDCPP−carra/MEDCPP−sham: no CPP up to the highest dose tested
(100mg/kg).
Conclusions: Consistent with our findings for morphine, oxycodone
showed a large dissociation of anti-aversive versus antinociceptive
effects, and of rewarding effects in animals under pain versus
controls. Ibuprofen also showed a dissociation of anti-aversive and
antinociceptive effects, but had no rewarding effects. However,
no or only a minor dissociation was found for pregabalin. This
suggests that the dissociation of rewarding effects in animals in
pain and in control animals may be limited to drugs with an opioid
mechanism of action, and that the dissociation of anti-aversive and
antinociceptive effects may not apply to all analgesic mechanisms
of action.
At the time of the study, all authors were employees of Grunenthal
GmbH.
364
THE EFFECT OF VISCERAL PAIN ON NOCICEPTIVE THRESHOLDS
OF LIMBS IN RATS
S. Vaculin*, M. Franek, R. Rokyta. Charles University, 3rd Faculty of
Medicine, Dpt. of Physiology, Prague 2, Czech Republic
Background and Aims: It is well known that acute pain
activates diffuse noxious inhibitory control (DNIC). Abnormalities
in endogenous pain inhibitory mechanisms, such as DNIC, may be
implicated in intestinal hypersensitivity in patients with irritable
bowel syndrome (IBS). Colorectal distension (CRD) in rat is used
as a model of IBS. The aim of the present study was to determine
whether CRD activates DNIC in rat.
Methods: Colorectal distension was evoked by insertion of
lubricated latex balloon into descending colon and rectum and
inflation to 80mm Hg for 10 minutes. Behavioral signs of visceral
pain were scored during the inflation together with measurements
of thermal nociceptive thresholds of limbs and tail. The thresholds
were evaluated using paw and tail withdrawal latency to thermal
stimulation using plantar test device and compared to those
obtained before the distension.
Results: Colorectal distension evoked pain behavior in all rats
(head-down position, hump-backed position, and rotation) and
increased nociceptive thresholds of forepaws, hind limbs and tail,
however, the increase of the threshold was significant only in both
hind limbs. The increase of nociceptive threshold correlated with
visceral pain score.
Conclusion: It was shown that acute visceral pain evoked
by colorectal distension in rat increases nociceptive thresholds
probably due to activation of DNIC.
Acknowledgements: The work was supported by GACR 305/07/0242
and RG 0021620816.
365
MECHANICAL HYPERALGESIA IN COX-1 And COX-2 DEFICIENT
MICE FOLLOWING CARRAGEENAN INJECTION
J. Kroin, E.Y. Chen, Y. Zhang*, A. Buvanendran, J. Kordower,
K. Tuman. Rush University Medical Center, Chicago, United States
Background: Studies in normal rodents suggest that cyclo-
oxygenase-2 (COX-2) is more important than cyclooxygenase-1
(COX-1) in the development and maintenance of inflammatory pain.
After plantar hindpaw injection of the inflammatory stimulator
carrageenan in normal rats, there is edema, hyperalgesia, and
upregulation of COX-2, but not COX-1 mRNA.
Aim: To examine if deletion of the COX-1 or COX-2 gene modifies
mechanical hyperalgesia following plantar hindpaw injection of
carrageenan.
Methods: Experiments were performed with female 129/C57Bl/6
mice (n =6/group): wild-type, COX-1 homozygous knockout (−/−),
COX-2 homozygous knockout (−/−), COX-1 deficient heterozygous
(+/−), and COX-2 deficient heterozygous (+/−). Twenty mL of 0.3%
carrageenan was injected in the left plantar hindpaw. Mechanical
hyperalgesia was assessed at 2, 4, 24, 48, and 72h post-
injection using calibrated von Frey filaments applied to the left