Lc. Stanfa et Ah. Dickenson, ELECTROPHYSIOLOGICAL STUDIES ON THE SPINAL ROLES OF ENDOGENOUS OPIOIDS IN CARRAGEENAN INFLAMMATION, Pain, 56(2), 1994, pp. 185-191
This electrophysiological study uses the mixed peptidase inhibitor kel
atorphan and the selective kappa-antagonist nor-binaltorphimine (nor-B
NI) to investigate whether there is altered modulation of spinal nocic
eptive transmission by endogenous opioids 3 h after injection of carra
geenan into the ipsilateral paw.Intrathecal kelatorphan (5-250 mu g) i
nhibited the C-fibre evoked response of dorsal horn neurones in both n
ormal and carrageenan animals, with no difference in this inhibitory e
ffect found between the 2 groups of animals. In both groups of animals
, this inhibition reached a plateau at 50%. Thus there was no change i
n the effects exerted by the spinal enkephalins at this point in the i
nflammatory state. Nor-BNI (10 and 100 mu g) produced a bidirectional
change in the C-fibre evoked response of dorsal horn neurones in both
normal and carrageenan animals, facilitating the evoked response of so
me neurones whilst inhibiting others. The magnitude of the change in t
he neuronal response induced by nor-BNI in carrageenan animals was sig
nificantly greater than that seen in normal animals, suggesting a grea
ter release of spinal dynorphin in the inflammatory state. Dorsal horn
neurones showed a bidirectional change in response as carrageenan-ind
uced inflammation developed, although the direction of this change did
not correlate with the subsequent direction of effect of nor-BNI. The
re was, however, a significant correlation between the magnitude of th
e change in the C-fibre evoked response after the injection of carrage
enan and the magnitude of change produced in the same cells by nor-BNI
. This suggests that there is a strong link between the dynorphin syst
em in the spinal cord and the system responsible for producing the cha
nges in neuronal response seen post-carrageenan, possibly the N-methyl
-D-aspartate (NMDA) receptor system.