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Journal of Neuroscience, Vol 11, 1881-1888, Copyright © 1991 by Society for Neuroscience
Spinal 5-HT3 receptor-mediated antinociception: possible release of GABA
AA Alhaider, SZ Lei and GL Wilcox
Department of Pharmacology, University of Minnesota, Minneapolis 55455.
Although 5-HT is clearly involved in spinal analgesia, its mode of action
remains obscure, perhaps because it has multiple and often opposing effects
mediated by its multiple receptor subtypes. This investigation uses
selective agonists and antagonists directed at the most recently defined
class of 5-HT receptors (5-HT3 receptors) in behavioral and
electrophysiological studies of nociception in the spinal cord of rodents.
The results demonstrate uniformly inhibitory effects of a selective 5-HT3
agonist on responses to noxious stimuli. Intrathecally administered
2-methyl 5-HT produced dose-dependent antinociception in the tail-flick
test and inhibited behaviors elicited by intrathecally administered
agonists for excitatory amino acid and neurokinin receptors, namely NMDA
and substance P (SP). All 20 dorsal horn neurons we examined, which
projected to the brain and responded to both noxious stimuli and NMDA, were
inhibited in a current-related manner by this 5-HT3 agonist applied
iontophoretically. Both the behavioral and electrophysiological effects
were blocked not only by the 5-HT3 antagonists zacopride and ICS 205-930,
but also by antagonists to the inhibitory amino acid GABA. Therefore, 5-HT
via an action at 5-HT3 receptors may evoked release of GABA, which may in
turn inhibit nociceptive transmission at a site postsynaptic to terminals
of primary afferent fibers. If the descending serotonergic analgesic system
in humans operates similarly, understanding it may enable the development
of new nonopioid, nonaddictive analgesics.
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