Sikandar S, Dickenson AH (2008) Lumbosacral-bulbo-spinal loop relayed by RVM on-cells regulates visceral nociception and modulates inhibitory effects of pregabalin and ondansetron. Neuroscience 2008 Abstracts 269.4/GG19. Society for Neuroscience, Washington, DC.
Summary: Descending controls from brainstem nuclei including the rostral ventromedial medulla (RVM) have been shown to play an important role in visceral pain, and compounds modulating serotonergic receptor activity and compounds targeting the α2δ subunit of voltage-gated calcium channels have demonstrated clinical efficacy in providing symptomatic relief in patients with visceral hyperalgesia. We investigated the role of RVM on-cells and a serotonergic lumbosacral-bulbo-spinal loop in visceral hyperalgesia and examined the antihyperalgesic effects of ondansetron and pregabalin in modifying visceral pain responses to colorectal distension (CRD) in rats. An in vivo model of visceral pain was established involving CRD and a reliable EMG recording protocol for measuring activity in the external oblique muscle following CRD for quantifying evoked visceromotor responses (VMR) in Sprague-Dawley rats. Changes in VMR evoked by CRD in a range of 10-80 mmHg were recorded following administration of ondansetron (50 μg/kg i.t.) and pregabalin (30 mg/kg s.c.) in naïve rats and rats pretreated with 0.25% intracolonic mustard oil (MO) to induce colonic hyperalgesia. Moreover, RVM on-cells were selectively ablated with injection of the neurotoxin saporin conjugated to the μ-receptor agonist dermorphin (DermSAP) using stereotaxic techniques. Twenty-eight days post-injection, the VMR were compared between naïve, SAP and Derm-SAP rats in control conditions and following intracolonic MO. CRD produced graded VMR responses that were facilitated by intracolonic MO. Both ondansetron and pregabalin were shown to effectively reduce evoked VMR to CRD in naïve rats and MO pretreated rats by antagonizing spinal 5-HT3 receptors and by binding to the α2δ subunit of voltage-gated calcium channels, respectively. Moreover, DermSAP pretreatment was shown to reduce overall evoked VMR, and the antihyperalgesic efficacies of ondansetron and pregabalin were also shown to be modified by the loss of on-cells in DermSAP rats. Furthermore, we verified immunohistochemically RVM on-cell ablation in DermSAP rats and quantified RVM 5-HT cell intensity between naïve, SAP and DermSAP rats. This study illustrates the role of 5-HT3-mediated descending facilitatory controls in visceral pain as well as providing evidence for the antihyperalgesic efficacy of the second generation α2δ ligand pregabalin in the CRD model. Moreover, evidence is provided for a facilitatory serotonergic lumbosacral-bulbo-spinal loop relayed by RVM on-cells that is evoked by CRD and modulates efficacies of pregabalin and ondansetron.
Related Products: Dermorphin-SAP / MOR-SAP (Cat. #IT-12)