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The Journal of Neuroscience, March 1, 2001, 21(5):1779-1786
Pronociceptive Actions of Dynorphin Maintain Chronic
Neuropathic Pain
Zaijie
Wang1,
Luis R.
Gardell1,
Michael H.
Ossipov1,
Todd W.
Vanderah1,
Miles B.
Brennan4,
Ute
Hochgeschwender5,
Victor J.
Hruby2,
T. Phil
Malan Jr1, 3,
Josephine
Lai1, and
Frank
Porreca1, 3
Departments of 1 Pharmacology, 2 Chemistry,
and 3 Anesthesiology, University of Arizona Health Sciences
Center, Tucson, Arizona 85724, 4 Eleanor Roosevelt
Institute, Denver, Colorado 80206, and 5 Developmental
Biology Program, Oklahoma Medical Research Foundation, Oklahoma City,
Oklahoma 73104
Whereas tissue injury increases spinal dynorphin expression, the
functional relevance of this upregulation to persistent pain is
unknown. Here, mice lacking the prodynorphin gene were studied for
sensitivity to non-noxious and noxious stimuli, before and after
induction of experimental neuropathic pain. Prodynorphin knock-out (KO)
mice had normal responses to acute non-noxious stimuli and a mild
increased sensitivity to some noxious stimuli. After spinal nerve
ligation (SNL), both wild-type (WT) and KO mice demonstrated decreased
thresholds to innocuous mechanical and to noxious thermal stimuli,
indicating that dynorphin is not required for initiation of neuropathic
pain. However, whereas neuropathic pain was sustained in WT mice, KO
mice showed a return to baselines by post-SNL day 10. In WT mice, SNL
upregulated lumbar dynorphin content on day 10, but not day 2, after
injury. Intrathecal dynorphin antiserum reversed neuropathic
pain in WT mice at post-SNL day 10 (when dynorphin was upregulated) but
not on post-SNL day 2; intrathecal MK-801 reversed SNL-pain at both
times. Opioid (µ, , and ) receptor density and G-protein
activation were not different between WT and KO mice and were unchanged
by SNL injury. The observations suggest (1) an early,
dynorphin-independent phase of neuropathic pain and a later
dynorphin-dependent stage, (2) that upregulated spinal dynorphin is
pronociceptive and required for the maintenance of persistent
neuropathic pain, and (3) that processes required for the initiation
and the maintenance of the neuropathic pain state are distinct.
Identification of mechanisms that maintain neuropathic pain appears
important for strategies to treat neuropathic pain.
Key words:
prodynorphin; dynorphin; neuropathic pain; opioid
receptors; spinal nerve injury; nociception; gene deletion; gene
knockout; transgenic; mouse
Copyright © 2001 Society for Neuroscience 0270-6474/01/2151779-08$05.00/0
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