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Vol. 283, Issue 2, 511-519, 1997
Department of Anesthesia and Critical Care (B.A.G., D.L.H.), University of Chicago, and Department of Pharmacology (H.K.P.), University of Illinois at Chicago, Chicago, Illinois
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Abstract |
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In this study, we examined whether Sprague-Dawley rats obtained from two different vendors, Harlan and Sasco, differ with respect to the types of alpha-2 adrenoceptors in the spinal cord that mediate antinociception. This hypothesis was tested using two alpha-2 adrenoceptor agonists, dexmedetomidine and ST-91, which are relatively selective for alpha-2A and alpha-2B adrenoceptors, respectively, and two different measures of nociception, the tail-flick and the 55°C hot-plate test. Dexmedetomidine and ST-91 each increased tail-flick latency to a similar extent in both Harlan and Sasco rats, although dexmedetomidine was more efficacious than ST-91 in each substrain. However, the efficacy of these agonists was markedly different in Harlan and Sasco rats when the hot-plate test was used. For example, ST-91 was a full agonist in the hot-plate test in Harlan rats but a weak partial agonist in Sasco rats. Dexmedetomidine was a very weak partial agonist in Harlan rats and ineffective in the hot-plate test in Sasco rats. These findings suggest that (1) both spinal alpha-2A and alpha-2B receptors modulate nociceptive responses in the tail-flick test in both Harlan and Sasco rats; (2) hot-plate responses are mediated predominantly by alpha-2B adrenoceptors, with a minimal contribution by alpha-2A adrenoceptors in the Harlan rat and (3) hot-plate responses are not appreciably affected by either alpha-2A or alpha-2B adrenoceptors in the Sasco rat. These findings confirm previous reports that intrathecal administration of alpha-2 adrenoceptor agonists produces thermal antinociception in the rat. However, the magnitude of the antinociceptive effect is dependent on the receptor selectivity of the agonist used, cutaneous tissue stimulated to elicit nociceptive responses and substrain of rat.
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Introduction |
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It
is well established that i.t. administration of alpha-2
adrenoceptor agonists such as dexmedetomidine (Fisher et
al., 1991
; Idänpään-Heikkilä et
al., 1994
; Kalso et al., 1991
; Takano and Yaksh, 1992
),
clonidine (Ossipov et al., 1988
; Reddy et al., 1980
; Solomon et al., 1989
; Takano and Yaksh, 1992
) or ST-91
(Howe et al., 1983
; Monasky et al., 1990
; Saeki
and Yaksh, 1992
; Takano and Yaksh, 1992
) produces antinociception in
rats (Kalso et al., 1991
; Reddy et al., 1980
;
Takano and Yaksh, 1992
), monkeys (Yaksh and Reddy, 1981
) and humans
(Filos et al., 1994
; Gordh, 1988
; Gordh and Tamsen, 1983
;
Tamsen and Gordh, 1984
). Subsequent studies with idazoxan, yohimbine,
prazosin and imiloxan indicated that these alpha-2
adrenoceptor antagonists differ in their rank order of potency to
attenuate the antinociception produced by dexmedetomidine, clonidine
and ST-91 in the Harlan Sprague-Dawley rat (Takano et al.,
1992
; Takano and Yaksh, 1992
). Based on these differences, Yaksh and
colleagues proposed that dexmedetomidine and clonidine produce
antinociception by acting at alpha-2A adrenoceptors, whereas ST-91 acts at alpha-2B adrenoceptors (Takano et
al., 1992
; Takano and Yaksh, 1992
).
The alpha-2 adrenoceptor agonists produce antinociception by
inhibiting synaptic transmission in the rat spinal cord dorsal horn
(Kalso et al., 1993
; Murata et al., 1989
;
Sullivan et al., 1987
, 1992
). Stimulation of noradrenergic
neurons in the rat brainstem also produces antinociception (Jones,
1992
; Proudfit, 1992
; Yeomans et al., 1992
; West et
al., 1993
) by inhibiting the responses of dorsal horn neurons to
noxious stimuli (Jones and Gebhart, 1986
, 1987
). Spinally projecting
neurons in the A5, A6 (locus ceruleus) and A7 noradrenergic cell groups
located in the pons are the predominant source of norepinephrine in the
spinal cord of the rat (Nygren and Olson, 1976
; Westlund et
al., 1982
, 1983
). However, recent studies using more sensitive
tract tracing and immunocytochemical methods have determined that the
origin of the catecholaminergic projection to the dorsal horn differs
significantly in Sprague-Dawley rats obtained from two different
vendors. In Sprague-Dawley rats obtained from Harlan, locus ceruleus
neurons project predominantly to the superficial laminae of the dorsal
horn (Clark and Proudfit, 1992
; Fritschy and Grzanna, 1990
; Grzanna and
Fritschy, 1991
), whereas the axons of A7 neurons terminate in the
ventral horn (Lyons et al., 1989
). In contrast, in
Sprague-Dawley rats obtained from Sasco, A7 neurons project mainly to
laminae I-IV in the ipsilateral dorsal horn (Clark and Proudfit,
1991b
), whereas locus ceruleus neurons project most heavily to the
ipsilateral medial aspect of laminae VII-IX, with only a minor
projection to the ventral part of the dorsal horn (Clark and Proudfit,
1991a
; Proudfit and Clark, 1991
). This substrain difference between
Harlan and Sasco Sprague-Dawley rats has been replicated by other
investigators (Sluka and Westlund, 1992
). Initial studies of the
ability of intrathecally administered alpha-2 adrenoceptor
antagonists to attenuate the antinociception produced by electrical
(West et al., 1993
; Yeomans et al., 1992
) or
chemical (Yeomans and Proudfit, 1992
) stimulation demonstrated
significant functional differences between the catecholamine cell
groups in these substrains. These results raised the possibility that
the alpha-2 adrenoceptor subtypes that mediate
antinociception in the spinal cord of these substrains may also be
different.
The present experiments were done as part of a systematic study of the
spinal cord alpha-2 adrenoceptors that modulate nociception in Sprague-Dawley rats obtained from Harlan and Sasco (Graham et
al., 1995a
, 1995b
, 1996
, 1997). In this aspect of the study, we
report the effects of the alpha-2 adrenoceptor agonists
dexmedetomidine and ST-91 on nociceptive responses determined using the
tail-flick and 55°C hot-plate tests in both Harlan and Sasco
Sprague-Dawley rats.
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Methods |
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Surgical preparation.
Male Sprague-Dawley rats (250-350 g)
obtained from Harlan (Indianapolis, IN) and Sasco (Madison, WI) were
anesthetized with halothane and implanted with i.t. catheters that
terminated at the L4 segment of the spinal cord (Hammond, 1988
; Yaksh
and Rudy, 1976
). The rats were allowed to recover for 10 days before
testing and those exhibiting neurological deficits such as hemiparesis of fore paws or hindpaws were killed. Rats were used only once in this
study, after which they were killed and the location and patency of
each catheter were determined by direct visualization after an
injection of India ink.
Behavioral testing.
Thermal nociceptive thresholds were
measured using the tail-flick (D'Amour and Smith, 1941
) and hot-plate
(Woolfe and MacDonald, 1944
) tests. In the tail-flick test, a
high-intensity light beam was focused on the dorsal surface of the
rat's blackened tail. The reflex removal of the tail from the light
beam was electronically measured to the nearest 0.1 sec, and the
average of two successive measurements was defined as the TFL. In the
hot-plate test, the rat was placed on an enclosed 55°C copper
surface, and the latency to a hindpaw lick or a jump off the surface
was measured. One determination of the hot-plate response latency,
measured to the nearest 0.1 sec, was made and defined as the HPL.
Drugs. The drugs tested were the relatively selective alpha-2 adrenoceptor agonists dexmedetomidine (molecular weight = 236.7; Orion Corp., Orion-Farmos, Turku, Finland) and ST-91 (molecular weight = 253.8; Boehringer Ingelheim, Ridgefield, CT). Dexmedetomidine was injected in doses ranging from 1.3 to 12.7 nmol, and ST-91 was injected in doses ranging from 3.9 to 39.4 nmol. All drugs were dissolved in normal saline; pH of each solution was adjusted to 7.0 and administered intrathecally in a volume of 10 µl, followed by 10 µl of normal saline to flush the catheter. The injection volume was monitored by following movement of an air bubble through a calibrated length of tubing.
Experimental design.
On the day before testing, the rats
were brought to the testing environment from the animal care facility,
their tails were blackened and they were allowed to acclimate to the
testing room for several hours. The following day, they were returned
to the testing environment and allowed to acclimate for
1 hour. Rats with mean baseline TFL values of >5.2 sec or baseline HPL values of
>15 sec or those in which the inclined plane angle was <40° were
excluded from further testing. Dexmedetomidine, ST-91, a mixture of
dexmedetomidine and ST-91 or a saline control solution was then
injected i.t., and response latencies were redetermined 10, 20, 30, 45 and 60 min later. Motor function was reassessed using the inclined
plane and righting reflex tests at 30 min, which corresponds to the
time of peak antinociceptive effect. Animals that did not respond by 14 sec in the tail-flick test or 40 sec in the hot-plate test after drug
administration were assigned that cutoff latency. The tests were
conducted in tandem, with the tail-flick test conducted before the
hot-plate test. These experiments were conducted under a protocol
approved by the Institutional Animal Care and Use Committee of the
University of Chicago and in accordance with the "Guide for Care and
Use of Laboratory Animals" of the National Institutes of Health.
Statistical analysis.
The effect of each drug dose was
compared with that of saline using a two-way analysis of variance for
repeated measures in which one factor was drug treatment and the
repeated factor was time. Multiple post hoc comparisons
among individual mean values were made using the Newman-Keuls test
(Keppel, 1973
). ED50 values for each agonist were
determined from dose-response curves generated by least-squares linear
regression of response latency values at the time of peak effect from
individual animals. Fieller's theorem was used to determine 95% CLs
(Finney, 1964
). The ED50 was defined as the dose
that produced one half of the maximal possible increase in response
latency; this value was 9 sec for the tail-flick test and 25 sec for
the hot-plate test. Dose-response curves were compared for parallelism
and for differences in ED50 values by analysis of
covariance (Zar, 1974
). A value of P
.05 was considered to be
statistically significant.
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Results |
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Effects of intrathecally administered dexmedetomidine on TFL in
Sasco and Harlan Sprague-Dawley rats.
Intrathecal administration
of dexmedetomidine produced a dose-dependent increase in TFL in both
Sasco Sprague-Dawley (figs. 1A and
2A) and Harlan Sprague-Dawley rats (figs.
1B and 2A). This effect was apparent within 10 min, and the peak effect
was achieved by 20 min (fig. 1). The increase in TFL persisted for
60
min for all drug doses. The ED50 (95% CL) of
dexmedetomidine was 4.3 (2.9-6.0) nmol in Sasco Sprague-Dawley rats
and 3.4 (1.9-5.3) nmol in Harlan Sprague-Dawley rats. The difference
between these values was not statistically significant (fig. 2A; P > .05).
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Effects of intrathecally administered dexmedetomidine on HPL in
Sasco and Harlan Sprague-Dawley rats.
Unlike the tail-flick test,
i.t. administration of dexmedetomidine to Sasco Sprague-Dawley rats in
doses as high as 12.7 nmol did not significantly increase response
latencies in the hot-plate test compared with values in saline-treated
rats (fig. 3A). The administration of a
higher dose of 42.2 nmol produced profound sedation and prostration,
which interfered with the measurement of response latencies on the
hot-plate test. In contrast, i.t. administration of 8.4 or 12.7 nmol of
dexmedetomidine to Harlan Sprague-Dawley rats produced a modest
increase in HPL that occurred within 20 min and persisted for
60 min.
Although a dose of 4.2 nmol of dexmedetomidine also increased HPL, this
effect was not apparent until 45 min after drug administration (fig.
3B). No dose of dexmedetomidine increased HPL beyond the criterion
value of 25 sec in either Sasco or Harlan Sprague-Dawley rats, which precluded the calculation of an ED50 value for
dexmedetomidine in this test (fig. 2B).
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Effects of intrathecally administered ST-91 on TFL in Sasco and
Harlan Sprague-Dawley rats.
Intrathecal administration of ST-91
produced a dose-dependent increase in TFL in both Sasco Sprague-Dawley
rats (fig. 4A) and Harlan Sprague-Dawley
rats (fig. 4B). Mean TFL values were significantly increased within 20 min, reached peak values by 30 min and remained elevated for at least
60 min (fig. 4, A and B). ST-91 appeared to be a partial agonist in the
tail-flick test in Sasco Sprague-Dawley rats (figs. 4A and
5A), as well as in Harlan Sprague-Dawley
rats (figs. 4B and 5A). Thus, mean TFL values increased to ~9 to 10 sec after i.t. administration of 11.8 nmol of ST-91, but no further
increase in TFL occurred after i.t. administration of 39.4 nmol, a
3-fold higher dose, in either substrain (figs. 4, A and B, and 5A). The
administration of ST-91 in a higher dose of 118.2 nmol produced
spontaneous serpentine tail movements in Sasco Sprague-Dawley rats that
prevented accurate measurements of TFL. Because ST-91 did not increase
TFL beyond the criterion value of 9 sec, it was not possible to
determine an ED50 value and 95% CL for this
agonist in either substrain (fig. 5A).
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Effects of intrathecally administered ST-91 on HPL in Sasco and
Harlan Sprague-Dawley rats.
The i.t. administration of 11.8 or
39.4 nmol of ST-91 to Sasco Sprague-Dawley rats increased mean HPL to
~20 sec within 30 min of drug injection (fig.
6A). The antinociceptive effect of a
higher dose of ST-91 could not be determined due to the presence of
spontaneous motor effects as noted above. No dose of ST-91 increased
HPL beyond the criterion value of 25 sec in Sasco Sprague-Dawley rats,
which precluded the calculation of an ED50 value
(fig. 5B).
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Effects of combined i.t. administration of ST-91 and
dexmedetomidine on TFL in Sasco and Harlan Sprague-Dawley rats.
In
both Harlan and Sasco rats, dexmedetomidine was a full agonist, whereas
ST-91 was a partial agonist in the tail-flick test. If these agonists
act at the same receptor, then coadministration of the low-efficacy
agonist ST-91 with the high-efficacy agonist dexmedetomidine should
produce an antinociceptive effect that is less than that produced by
dexmedetomidine alone. However, coadministration of ST-91 did not
attenuate the antinociceptive effects of dexmedetomidine but rather
produced a greater increase in TFL than dexmedetomidine alone at
several time points in both Sasco and Harlan rats (P < .05; fig.
7, A and B).
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Effects of combined i.t. administration of ST-91 and
dexmedetomidine on HPL in Sasco and Harlan Sprague-Dawley rats.
In
Sasco rats, dexmedetomidine was ineffective and ST-91 produced only a
modest increase in HPL (fig. 8A).
Coadministration of the low-efficacy agonist dexmedetomidine with the
high-efficacy agonist ST-91 increased HPL to nearly 40 sec in this
substrain (fig. 8A). In Harlan rats, dexmedetomidine produced a modest
increase in HPL, whereas ST-91 produced a much greater increase in HPL (fig. 8B). The coadministration of dexmedetomidine with ST-91 in this
substrain also produced a large increase in HPL that was significantly
greater than that of ST-91 alone (fig. 8B).
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Discussion |
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The antinociceptive effects of dexmedetomidine and ST-91 differ in
Harlan and Sasco Sprague-Dawley rats. The present study provides
evidence that Harlan Sprague-Dawley and Sasco Sprague-Dawley rats
differ with respect to the types of alpha-2 adrenoceptor in
the spinal cord that mediate thermal antinociception. If the spinal
alpha-2 adrenoceptors that mediate antinociception in each substrain are the same, then the antinociceptive effects of
dexmedetomidine should be the same in each substrain. Similarly, the
antinociceptive effects of ST-91 an alpha-2B adrenoceptor
agonist should be the same in each substrain. This was not the case in
the present study. The most marked difference between the substrains
was observed in the hot-plate test. Dexmedetomidine increased HPL to 18 to 20 sec in Harlan rats but was ineffective in Sasco rats (table 1 and fig. 2). ST-91 increased HPL to 30 sec in Harlan rats but was much less effective in Sasco rats (table 1
and fig. 5). These differences suggest that the neural circuitry that
subserves responses in the hot-plate test in Harlan rats differs from
Sasco rats in (1) the number or distribution of alpha-2
adrenoceptors in the dorsal horn, (2) the relative densities of the
different subtypes of alpha-2 adrenoceptor or (3) the
efficiency of the coupling of alpha-2 adrenoceptors to
subcellular effectors such as G proteins (Summers and McMartin, 1993
).
In contrast to the hot-plate test, there were no significant
differences between the two substrains in the antinociceptive effects
of either alpha-2 adrenoceptor agonist in the tail-flick
test. Dexmedetomidine increased TFL with similar potency and to a
maximal value of 12 to 13 sec in both Harlan and Sasco rats (table 1
and fig. 2). ST-91 also increased TFL with similar potencies in both
Harlan and Sasco rats, although to maximal values of only 10 sec (table
1 and fig. 5). The similarity of the effects of dexmedetomidine and
ST-91 in both substrains in the tail-flick test suggests that the
distribution, density and types of alpha-2 adrenoceptors
that mediate antinociception in the tail-flick test are similar in both
Harlan and Sasco Sprague-Dawley rats.
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The antinociceptive effects of dexmedetomidine and ST-91 result from
actions at different alpha-2 adrenoceptors. Dexmedetomidine and ST-91 exhibited substantially different antinociceptive efficacies in the tail-flick and hot-plate tests in both substrains of rat. For
example, in the tail-flick test dexmedetomidine was more potent and
appeared to be a full agonist (fig. 2 and table
2), whereas ST-91 was less potent and
appeared to be a partial agonist in Harlan and Sasco rats (fig. 5 and
table 2). Even larger differences in the efficacy of these two
alpha-2 adrenoceptor agonists were observed in the hot-plate
test, although in this test ST-91 was more efficacious than
dexmedetomidine in each substrain. There are three possible
explanations for such differences in the apparent potency and efficacy
of dexmedetomidine and ST-91 in Sasco and Harlan rats. First,
dexmedetomidine and ST-91 could act at the same alpha-2
adrenoceptor in both substrains, one of which has fewer
alpha-2 adrenoceptors in the dorsal horn. Second, these two
alpha-2 adrenoceptor agonists could act at the same
alpha-2 adrenoceptor in both substrains, one of which has a
lower intrinsic activity due to less efficient receptor coupling to
subcellular effectors. Third, dexmedetomidine and ST-91 could act at
different alpha-2 adrenoceptor subtypes. The first two
possibilities merit consideration because shifts in the dose-response
curves for dexmedetomidine and ST-91 produced by the irreversible
antagonist N-ethoxycarbonyl-2-ethoxy-1,2-dihydroquinoline (Takano and
Yaksh, 1991
) or by variation in the intensity of noxious stimuli (Saeki
and Yaksh, 1992
) suggest that dexmedetomidine has lower fractional
receptor occupancy requirements and greater intrinsic activity than
ST-91. To resolve these possibilities, dexmedetomidine and ST-91 were
coadministered. The administration of a full agonist with a partial
agonist that acts at the same receptor will produce an effect that is
less than that produced by the full agonist alone because the partial
agonist, which exhibits a lower efficacy, competes with the full
agonist for available receptor binding sites (Kenakin, 1993
). However,
in both the tail-flick and hot-plate tests, coadministration of the two
alpha-2 adrenoceptor agonists consistently enhanced, rather
than attenuated, the antinociceptive effect of the full agonist. This
finding suggests that dexmedetomidine and ST-91 do not have different
intrinsic activities at the same alpha-2 adrenoceptor but
rather act at different subtypes of the alpha-2
adrenoceptor. This conclusion is consistent with the results of earlier
studies that concluded that dexmedetomidine acts predominantly at
alpha-2A receptors and ST-91 acts predominantly at
alpha-2B receptors (Takano et al., 1992
; Takano
and Yaksh, 1992
). It is also supported by our recent finding that
coadministration of dexmedetomidine and ST-91 in a 1:3 fixed dose ratio
increases TFL and HPL in Sasco and Harlan rats in a synergistic manner
(Graham et al., 1997), as would be expected of two agonists
that act at different receptors.
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The nociceptive responses of the feet and tail are modulated by different alpha-2 adrenoceptors. If the same alpha-2 adrenoceptors modulate responses in the tail-flick and hot-plate tests, then the rank order of potency of dexmedetomidine and ST-91 should be the same in both tests. This was not the case in the present study. For example, dexmedetomidine was a full agonist in the tail-flick test but a very weak partial agonist in Harlan rats and ineffective in Sasco rats in the hot-plate test. By comparison, ST-91 was a partial agonist in the tail-flick test, but in the hot-plate test it was a full agonist in Harlan rats and a weak partial agonist in Sasco rats. These differences in the relative efficacies of the alpha-2 adrenoceptor agonists on nociceptive responses of the feet, determined using the hot-plate test, compared with nociceptive responses of the tail suggest that different alpha-2 adrenoceptors modulate nociceptive responses of the feet and tail.
The present results provide some insight into the relative importance
of alpha-2 adrenoceptors in modulating the nociceptive responses of the feet and the tail. For example, both dexmedetomidine and ST-91 were effective in the tail-flick test in both Harlan and
Sasco rats. Because dexmedetomidine and ST-91 act preferentially at
alpha-2A and alpha-2B adrenoceptors,
respectively, these findings suggest that both alpha-2A and
alpha-2B adrenoceptors modulate nociceptive responses in the
tail in both Sasco and Harlan rats. It cannot be stated at this time
which subtype of alpha-2 adrenoceptor is of greater
importance in modulating responses of the tail. Although ST-91 was not
as efficacious as dexmedetomidine in the tail-flick test, it also has a
higher fractional receptor occupancy and lower intrinsic activity than
dexmedetomidine at alpha-2 adrenoceptors (Saeki and Yaksh,
1992
; Takano and Yaksh, 1991
). Clarification of the relative importance
of alpha-2A and alpha-2B receptors in the
tail-flick test must therefore await the identification of
alpha-2B adrenoceptor agonists with higher intrinsic
activity than ST-91. Nevertheless, these observations suggest that the tail-flick test is a suitable measure for investigations of the potency
or efficacy of alpha-2A or alpha-2B adrenoceptor
ligands regardless of substrain.
In the hot-plate test, dexmedetomidine was a very weak partial agonist in Harlan rats and ineffective in Sasco rats, whereas ST-91 was a full agonist in Harlan rats and a weak partial agonist in Sasco rats. These findings suggest that in Harlan rats, responses in the hot-plate test are predominantly mediated by the alpha-2B adrenoceptor with a minimal contribution by alpha-2A receptors. In Sasco rats, the contribution of either alpha-2B or alpha-2A adrenoceptors appears to be minimal and much less than that in Harlan rats. These results suggest that the hot-plate test is not an appropriate measure for studies of the antinociceptive potency or efficacy of alpha-2A adrenoceptor ligands in either substrain. However, the hot-plate test is more suitable for studies of the antinociceptive effects of alpha-2B adrenoceptor agonists, particularly when determined using Harlan Sprague-Dawley rats.
These differences in the efficacy of alpha-2 adrenoceptor
agonists in reducing nociceptive responses of the foot in the two substrains, as well as differences between the tail and the feet in
each substrain, are relevant to the use of recently developed rodent
models of persistent inflammatory pain and neuropathic pain (Bennett
and Xie, 1988
; Hargreaves et al., 1988
; Kim and Chung,
1992
). That is, the choice of substrain is likely to be a critical
factor in establishing the therapeutic efficacy of different classes of
alpha-2 adrenoceptor agonists in these models in which the
hindpaw, rather than the tail, is the site of stimulation.
Direct comparisons between the tail-flick and hot-plate test should be
made cautiously because the tail-flick test involves a reflexive
response and the hot-plate test involves a behaviorally integrated
response. Moreover, the neural circuitry that subserves these responses
is different. The tail-flick reflex is produced by activation of
C-fiber afferents (Fleischer et al., 1983
; Handwerker et al., 1987
; Necker and Hellon, 1978
), which terminate in
the S3-Co1 segments of the spinal cord (Grossman et al.,
1982
). By comparison, the primary afferents that innervate the plantar
surface of the hindlimb travel predominantly in the tibial nerve to
terminate in the L2-5 segments of the spinal cord (Molander and Grant,
1985
, 1986
). Activation of A
- as well as C-fiber afferents mediates the foot withdrawal response (Fleischer et al., 1983
, Leem
et al., 1993
). Recent studies that used pseudorabies virus,
a transneuronal tracer, to map the tail-flick reflex pathway indicated
that there is one (and possibly more) interneuron in the tail-flick
reflex pathway and that many of these are bilaterally distributed
(Jasmin et al., 1997
). Much less is known about the
interneurons in the neural circuitry that subserves the hot-plate
response; however, this pathway is also likely to be polysynaptic with
a predominantly ipsilateral distribution of interneurons (Jasmin
et al., 1997
; Rotto-Percelay et al., 1992
). The
observed differences in the effects of dexmedetomidine and ST-91 in the
tail-flick and hot-plate tests could result from a differential
distribution of alpha-2A and alpha-2B
adrenoceptors in the neural circuitry that underlies nociceptive
responses in the tail-flick and hot-plate tests. Segmental differences
in the density and distribution of spinal alpha-2A and
alpha-2B adrenoceptors could explain the different
efficacies of dexmedetomidine and ST-91 in the tail-flick test compared
with the hot-plate test in each substrain. However, the density of alpha-2 binding sites identified by
[3H]rauwolscine does not differ among the
cervical, thoracic, lumbar and sacral segments of the spinal cord
(Roudet et al., 1994
). Similarly, differences between Harlan
and Sasco rats in the efficacy of dexmedetomidine or ST-91 in the
hot-plate test could reflect differences between these two substrains
in the density and distribution of alpha-2A and
alpha-2B adrenoceptors in the lumbar spinal cord. Quantitative autoradiographic studies of the segmental distribution of
alpha-2A and alpha-2B adrenoceptors in each
substrain will be required to resolve these possibilities. Finally, the
sites at which the alpha-2 adrenoceptor agonists may act to
suppress nociceptive transmission are many and may include (1)
terminals of the A
or C fiber primary afferents, (2) first- through
last-order interneurons and (3) wide dynamic range or nocispecific
spinothalamic, spinoreticular or spinomesencephalic neurons that
comprise the afferent pain pathways of the tail and foot. Agonists for
receptors that are present on multiple components of the afferent pain
pathways could conceivably exhibit greater antinociceptive efficacy and potency than agonists for receptors that are preferentially expressed by only one component (e.g., only one class of primary
afferent). Definitive identification of the sites at which
dexmedetomidine and ST-91 act to suppress nociception will require
in situ hybridization studies or immunocytochemical studies
that localize alpha-2A and alpha-2B adrenoceptors
to immunocytochemically identified primary afferents, first- through
last-order interneurons and projection neurons at the light and
electron microscopic level.
Summary. The results of this study suggest that the Harlan and Sasco substrains of Sprague-Dawley rat differ with respect to the subtypes of alpha-2 adrenoceptors that mediate antinociception. This work complements previous investigations that identified differences between these two substrains in the origin of the noradrenergic innervation of the spinal cord dorsal horn. The results of this study suggest that both spinal alpha-2A and alpha-2B receptors modulate responses in the tail-flick test in both Harlan and Sasco rats and that this noradrenergic mechanism appears to be "conserved" between substrains. The tail-flick test is therefore a suitable model for examining the actions of alpha-2 adrenoceptor agonists and antagonists in spinal cord. These two substrains do differ importantly with respect to the spinal alpha-2 adrenoceptor subtypes that modulate responses in the hot-plate test. Specifically, responses in the hot-plate test in Harlan Sprague-Dawley rats are mediated predominantly by alpha-2B adrenoceptors with a minimal contribution by alpha-2A adrenoceptors. In contrast, responses in the hot-plate test in Sasco Sprague-Dawley rats do not appear to be mediated appreciably by either alpha-2A or alpha-2B adrenoceptors. These findings confirm previous reports that intrathecally administered alpha-2 adrenoceptor agonists produce antinociception in models of thermal nociception in the rat. However, the magnitude of the antinociceptive effect depends on the receptor selectivity of the agonist used, cutaneous tissue stimulated to elicit nociceptive responses and substrain of rat.
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Acknowledgments |
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The excellent technical assistance of Henry Z. Pitzele is appreciated.
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Footnotes |
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Accepted for publication July 15, 1997.
Received for publication November 11, 1996.
1 This work was supported in part by United States Public Health Service Grant DA03980 (H.K.P.) and a Research Starter Grant from the Foundation for Anesthesia Education and Research and Hoeschst Marion Roussel (B.A.G.).
Send reprint requests to: Brent A. Graham, M.D., Department of Anesthesia and Critical Care, University of Chicago, 5841 S. Maryland Avenue, M/C 4028, Chicago, IL 60637. E-mail: bagraham{at}midway.uchicago.edu
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Abbreviations |
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i.t., intrathecal; CL, confidence limit; HPL, hot-plate latency; ST-91, 2-(2,6-diethylphenylamino)-2-imidazoline; TFL, tail-flick latency.
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References |
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