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Vol. 287, Issue 1, 232-237, October 1998
Physical Therapy Graduate Program, Neuroscience Graduate Program,
University of Iowa, Iowa City, Iowa
High voltage calcium channels are implicated in nociceptive
transmission after nerve injury, capsaicin or formalin injection. The
purpose of this study was to investigate the role of calcium channels
in secondary heat hyperalgesia associated with acute joint
inflammation. After induction of acute inflammation (knee joint
injection of kaolin and carrageenan), decreased paw withdrawal latency
(PWL) to radiant heat
(i.e., secondary heat
hyperalgesia), increased guarding of the limb and increased joint
circumference occurs. Spinal administration (through a microdialysis
fiber placed in dorsal horn) of an N-type calcium channel blocker
(MVIIA, SNX 111, ziconotide, 0.001-0.1 mM), before induction of
inflammation, prevents the decrease in PWL. Treatment with SNX 111 4 hr
after inflammation reverses heat hyperalgesia. A small reduction in spontaneous pain-related behaviors (guarding of the limb) occurs after
pre- or post-treatment with SNX 111. Spinal blockade of P/Q-type
calcium channels (with
-agatoxin IVA) had no effect on the decrease
in PWL to radiant heat when administered after induction of
inflammation. However, pre-treatment with
-agatoxin IVA prevents
secondary heat hyperalgesia.
-Agatoxin IVA has no effect on
spontaneous pain-related behaviors whether administered before or after
induction of inflammation. In contrast, pre or post-treatment with
nifedipine (L-type calcium channel blocker, 0.01-1.0 mM), had no
effect on heat hyperalgesia or spontaneous pain-related behaviors
induced by acute inflammation. There were no differences in joint
circumference between groups with any treatment. Thus, N-type calcium
channels contribute to both the development and maintenance of
secondary heat hyperalgesia while P-type calcium channels are only
involved during development of hyperalgesia.
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