Investigation into the role of P2X(3)/P2X(2/3) receptors in neuropathic pain following chronic constriction injury in the rat: an electrophysiological study

Br J Pharmacol. 2006 Jul;148(6):845-52. doi: 10.1038/sj.bjp.0706790. Epub 2006 Jun 12.

Abstract

1. Two P2X(3)/P2X(2/3) receptor antagonists with different potencies were profiled electrophysiologically in a rat model of nerve injury. 2. A-317491 has poor CNS penetrance (blood:brain, 1:<0.05), and was therefore administered intravenously in chronic constriction injury (CCI)- and sham-operated rats to study the involvement of P2X(3) subunit-containing receptors in the periphery in neuropathic pain. A-317491 and Compound A were administered topically to the spinal cord to investigate the central contribution. 3. There were no significant inhibitory effects of A-317491 intravenous (i.v.) seen in sham-operated animals compared to vehicle controls. In CCI-operated animals, there were significant inhibitory effects of 3 mg kg(-1) A-317491 i.v. on C fibre-evoked responses, and with 10 mg kg(-1) A-317491 i.v. on A delta and C fibre-evoked responses. No significant effects of A-317491 were observed after topical application to the spinal cord. In contrast, when Compound A was administered spinally in CCI animals, there was a decrease in A delta and C fibre-evoked responses, and wind up. 4. These changes indicate that A-317491 has a selective effect on neuronal responses in CCI animals compared to sham, demonstrating an increased involvement of P2X(3)/P2X(2/3) receptors in sensory signalling following nerve injury. In addition, the more potent antagonist Compound A was effective spinally, unmasking a potential central role of P2X(3)/P2X(2/3) receptors at this site post nerve injury. These data support a role for P2X(3)/P2X(2/3) antagonists in the modulation of neuropathic pain.

MeSH terms

  • Animals
  • Constriction, Pathologic
  • Evoked Potentials / drug effects
  • Male
  • Nerve Fibers, Unmyelinated / drug effects
  • Nerve Fibers, Unmyelinated / physiology
  • Neuralgia / drug therapy
  • Neuralgia / etiology*
  • Neuralgia / physiopathology
  • Phenols / pharmacokinetics
  • Phenols / pharmacology
  • Polycyclic Compounds / pharmacokinetics
  • Polycyclic Compounds / pharmacology
  • Rats
  • Receptors, Purinergic P2 / physiology*
  • Receptors, Purinergic P2X2
  • Receptors, Purinergic P2X3
  • Spinal Cord / drug effects
  • Spinal Cord / physiology

Substances

  • A-317491
  • P2rx2 protein, rat
  • P2rx3 protein, rat
  • Phenols
  • Polycyclic Compounds
  • Receptors, Purinergic P2
  • Receptors, Purinergic P2X2
  • Receptors, Purinergic P2X3