Treatment of a chronic allodynia-like response in spinally injured rats: effects of systemically administered nitric oxide synthase inhibitors

Pain. 1996 Aug;66(2-3):313-9. doi: 10.1016/0304-3959(96)03039-4.

Abstract

We have previously reported that we have observed chronic pain-like response to light mechanical stimuli (allodynia) in rats after severe spinal cord ischemia, which resembles some painful conditions in chronic spinally injured patients and is not relieved by a number of conventional analgesics used for treating chronic neuropathic pain. In the present study, we tested the effects of the non-selective nitric oxide synthase (NOS) inhibitor NG-nitro-L-arginine methyl ester (L-NAME) and the selective neuronal NOS inhibitor 7-nitro indazole (7-NI) and 6-nitro indazole (6-NI) on the chronic allodynia-like behavior. Systemic L-NAME dose-dependently relieved mechanical allodynia-like response in a stereo-specific and L-arginine-reversible manner without causing sedation or motor deficits. However, L-NAME significantly elevated systemic blood pressure. Systemic 7-NI relieved chronic allodynia in a L-arginine reversible manner, did not increase blood pressure or induce sedation, but caused motor deficits at a high dose, which was not reversed by L-arginine. Systemic 6-NI also relieved the chronic allodynia, which was however associated with severe sedation. In order to exclude the possibility that the effect of L-NAME on blood pressure was involved in the analgesic effect observed, the effect of systemically applied adrenaline was examined. Adrenaline increased the systemic blood pressure to a similar extent as L-NAME, but did not relieve allodynia. It is suggested that blockade of NOS by L-NAME relieved the chronic allodynia-like behavior in spinally injured rats. This effect was likely to be mediated by a blockade of neuronal isoforms of NOS, as 7-NI relieved the allodynia in a L-arginine-reversible manner. Consequently, generation of NO by neuronal NOS may be critically involved in the maintenance of this abnormal pain-related sensation. The possibility of using NOS inhibitors as potential novel analgesics is discussed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic Agonists / blood
  • Adrenergic Agonists / pharmacology
  • Analgesics / therapeutic use
  • Animals
  • Arousal / drug effects
  • Arousal / physiology
  • Blood Pressure / drug effects
  • Blood Pressure / physiology
  • Chronic Disease
  • Dose-Response Relationship, Drug
  • Enzyme Inhibitors / therapeutic use*
  • Epinephrine / blood
  • Epinephrine / pharmacology
  • Female
  • Indazoles / therapeutic use
  • NG-Nitroarginine Methyl Ester / therapeutic use
  • Nitric Oxide Synthase / antagonists & inhibitors*
  • Pain / drug therapy*
  • Pain / etiology
  • Pain / physiopathology
  • Physical Stimulation
  • Psychomotor Performance / drug effects
  • Psychomotor Performance / physiology
  • Rats
  • Rats, Sprague-Dawley
  • Spinal Cord Injuries / complications*
  • Spinal Cord Injuries / physiopathology

Substances

  • Adrenergic Agonists
  • Analgesics
  • Enzyme Inhibitors
  • Indazoles
  • 6-nitroindazole
  • Nitric Oxide Synthase
  • 7-nitroindazole
  • NG-Nitroarginine Methyl Ester
  • Epinephrine