The actions of capsaicin applied topically to the skin of the rat on C-fibre afferents, antidromic vasodilatation and substance P levels

Br J Pharmacol. 1992 Oct;107(2):400-6. doi: 10.1111/j.1476-5381.1992.tb12758.x.

Abstract

1. Single applications of solutions of capsaicin were made to the intact skin of anaesthetized rats and the effects on cutaneous blood flow and the firing of C-nociceptor afferents determined. Blood flow was measured by laser-Doppler flowmetry. C-fibre activity was recorded from filaments dissected from the saphenous nerve. 2. Following the application of a capsaicin solution (concentration > or = 1 mM) to rat saphenous skin, low frequency firing occurred in C-polymodal nociceptors that sometimes continued for > 10 min. At the some time, large increases in skin blood flow occurred exceeding 300% in some instances. 3. After the initial excitation, some C-polymodal nociceptors lost their sensitivity to pressure whilst their sensitivity to heat was lost or enhanced depending on the vehicle used. 4. Sensitivity of C-polymodal nociceptors to heat recovered in < 1 day following a single application of 33 mM capsaicin. Thresholds to mechanical pressure, however, were still significantly elevated by 123% on day 1, but had recovered on day 2. 5. Vasodilatation in response to saphenous nerve stimulation ('antidromic vasodilatation') was significantly reduced by 35%, 2 days after a single application of 33 mM capsaicin, but was normal at 4 days. 6. Following a single application of 33 mM capsaicin, skin substance P levels fell to only half the normal value at day 1 and remained at this level throughout the 4 day period examined. 7. It is suggested that the ability of relatively low concentrations of capsaicin to desensitize C-fibre nociceptors may underlie the analgesic action of topical capsaicin in man.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Topical
  • Animals
  • Capsaicin / administration & dosage
  • Capsaicin / pharmacology*
  • Laser-Doppler Flowmetry
  • Neurons, Afferent / drug effects
  • Neurons, Afferent / physiology
  • Nociceptors / drug effects*
  • Nociceptors / physiology
  • Radioimmunoassay
  • Rats
  • Rats, Wistar
  • Regional Blood Flow / drug effects
  • Skin / blood supply
  • Skin / drug effects*
  • Skin / innervation
  • Substance P / metabolism*
  • Vasodilation / drug effects*

Substances

  • Substance P
  • Capsaicin