Source Paper
Todd W. Vanderah, Luis R. Gardell, Shannon E. Burgess, Mohab Ibrahim, Ahmet Dogrul et al.
Journal of Neuroscience • 2000
The nonopioid actions of spinal dynorphin may promote aspects of abnormal pain after nerve injury. Mechanistic similarities have been suggested between opioid tolerance and neuropathic pain. Here, the hypothesis that spinal dynorphin might mediate effects of sustained spinal opioids was explored. Possible abnormal pain and spinal antinociceptive tolerance were evaluated after intrathecal administration of [D-Ala(2), N-Me-Phe(4), Gly-ol(5)]enkephalin (DAMGO), an opioid mu agonist. Rats infused with DAMGO, but not saline, demonstrated tactile allodynia and thermal hyperalgesia of the hindpaws (during the DAMGO infusion) and a decrease in antinociceptive potency and efficacy of spinal opioids (tolerance), signs also characteristic of nerve injury. Spinal DAMGO elicited an increase in lumbar dynorphin content and a decrease in the mu receptor immunoreactivity in the spinal dorsal horn, signs also seen in the postnerve-injury state. Intrathecal administration of dynorphin A(1-17) antiserum blocked tactile allodynia and reversed thermal hyperalgesia to above baseline levels (i.e., antinociception). Spinal dynorphin antiserum, but not control serum, also reestablished the antinociceptive potency and efficacy of spinal morphine. Neither dynorphin antiserum nor control serum administration altered baseline non-noxious or noxious thresholds or affected the intrathecal morphine antinociceptive response in saline-infused rats. These data suggest that spinal dynorphin promotes abnormal pain and acts to reduce the antinociceptive efficacy of spinal opioids (i.e., tolerance). The data also identify a possible mechanism for previously unexplained clinical observations and offer a novel approach for the development of strategies that could improve the long-term use of opioids for pain.
Objective: Evaluate tactile allodynia, thermal hyperalgesia, and opioid antinociceptive tolerance following intrathecal DAMGO infusion in rats, and assess the role of spinal dynorphin in mediating these effects
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Rats received intrathecal administration of DAMGO (opioid μ agonist) or saline as control
Note: DAMGO group served as experimental condition; saline group served as control
“Rats infused with DAMGO, but not saline, demonstrated tactile allodynia and thermal hyperalgesia”
Evaluate tactile allodynia in hindpaws of DAMGO-infused and saline-infused rats
Note: Tactile allodynia was observed in DAMGO-infused rats but not saline controls
“Rats infused with DAMGO, but not saline, demonstrated tactile allodynia and thermal hyperalgesia of the hindpaws (during the DAMGO infusion)”
Evaluate thermal hyperalgesia in hindpaws of DAMGO-infused and saline-infused rats
Note: Thermal hyperalgesia was observed in DAMGO-infused rats but not saline controls
“Rats infused with DAMGO, but not saline, demonstrated tactile allodynia and thermal hyperalgesia of the hindpaws (during the DAMGO infusion)”
Evaluate decrease in antinociceptive potency and efficacy of spinal opioids following DAMGO infusion
Note: Tolerance was demonstrated as a decrease in antinociceptive potency and efficacy of spinal opioids in DAMGO-infused rats
“a decrease in antinociceptive potency and efficacy of spinal opioids (tolerance), signs also characteristic of nerve injury”
Quantify dynorphin levels in lumbar spinal cord following DAMGO infusion
Note: DAMGO elicited an increase in lumbar dynorphin content
“Spinal DAMGO elicited an increase in lumbar dynorphin content”
Evaluate μ receptor immunoreactivity in spinal dorsal horn following DAMGO infusion
Note: DAMGO caused a decrease in μ receptor immunoreactivity in the spinal dorsal horn
“a decrease in the μ receptor immunoreactivity in the spinal dorsal horn, signs also seen in the postnerve-injury state”
Administer dynorphin A(1-17) antiserum intrathecally to block dynorphin effects
Note: Antiserum was used to test the role of dynorphin in mediating DAMGO-induced effects
“Intrathecal administration of dynorphin A(1-17) antiserum blocked tactile allodynia and reversed thermal hyperalgesia”
Evaluate tactile allodynia after dynorphin A(1-17) antiserum administration
Note: Dynorphin antiserum blocked tactile allodynia in DAMGO-infused rats
“Intrathecal administration of dynorphin A(1-17) antiserum blocked tactile allodynia”
Evaluate thermal hyperalgesia after dynorphin A(1-17) antiserum administration
Note: Dynorphin antiserum reversed thermal hyperalgesia to above baseline levels (antinociception)
“reversed thermal hyperalgesia to above baseline levels (i.e., antinociception)”
Evaluate whether dynorphin antiserum reestablishes antinociceptive potency and efficacy of spinal morphine
Note: Spinal dynorphin antiserum, but not control serum, reestablished morphine antinociceptive potency and efficacy
“Spinal dynorphin antiserum, but not control serum, also reestablished the antinociceptive potency and efficacy of spinal morphine”
Administer dynorphin antiserum or control serum to saline-infused rats to assess baseline effects
Note: Neither dynorphin antiserum nor control serum altered baseline thresholds or morphine response in saline-infused rats
“Neither dynorphin antiserum nor control serum administration altered baseline non-noxious or noxious thresholds or affected the intrathecal morphine antinociceptive response in saline-infused rats”
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