PT - JOURNAL ARTICLE AU - Xinhui Li AU - James C. Eisenach TI - α2A-Adrenoceptor Stimulation Reduces Capsaicin-Induced Glutamate Release from Spinal Cord Synaptosomes DP - 2001 Dec 01 TA - Journal of Pharmacology and Experimental Therapeutics PG - 939--944 VI - 299 IP - 3 4099 - http://jpet.aspetjournals.org/content/299/3/939.short 4100 - http://jpet.aspetjournals.org/content/299/3/939.full SO - J Pharmacol Exp Ther2001 Dec 01; 299 AB - Glutamate (Glu) is involved in excitatory neurotransmission and nociception and plays an essential role in relaying noxious stimuli in the spinal cord. Intrathecal or epidural injection of α2-adrenergic agonists produces potent antinociceptive effects, alters spinal neurotransmitter release, and effectively treats acute nociceptive and chronic neuropathic pain. Although it is generally believed that α2-adrenergic receptor stimulation reduces excitatory neurotransmitter release from peripheral afferents, the subtype of receptor causing this effect and its specificity to nociceptive neurotransmission have been inadequately studied. We therefore examined the pharmacology of adrenergic agents to inhibit Glu release in spinal cord from stimulation with capsaicin, a specific agonist for receptors on nociceptive afferents. Capsaicin evoked Glu release in synaptosomes from normal rat dorsal spinal cord in a concentration-dependent manner. Glu release from 30 μM capsaicin was inhibited by adrenergic agonists with a relative potency of clonidine = dexmedetomidine > norepinephrine > ST91 ≫ phenylephrine = 0, consistent with an action on α2A/D subtype receptors. Also consistent with this interpretation was the observation that inhibition of capsaicin-induced Glu release by clonidine or dexmedetomidine was blocked by the α2A/D antagonist BRL44408 but not by the α2B/C-preferring antagonist ARC239. Similar results were obtained in perfused spinal cord slices. These data suggest that capsaicin-evoked Glu release, likely reflecting stimulation of C fiber terminals, can be inhibited by activation of the α2A/D subtype, and this action of adrenergic agonists may reflect in part their efficacy in the treatment of acute pain. The American Society for Pharmacology and Experimental Therapeutics