Brain-derived TNFalpha mediates neuropathic pain

Brain Res. 1999 Sep 11;841(1-2):70-7. doi: 10.1016/s0006-8993(99)01782-5.

Abstract

Neuropathic pain is a chronic pain state that develops a central component following acute nerve injury. However, the pathogenic mechanisms involved in the expression of this central component are not completely understood. We have investigated the role of brain-associated TNF in the evolution of hyperalgesia in the chronic constriction injury (CCI) model of neuropathic pain. Thermal nociceptive threshold has been assessed in rats (male, Sprague-Dawley) that have undergone loose, chromic gut ligature placement around the sciatic nerve. Total levels of TNF in regions of the brain, spinal cord and plasma have been assayed (WEHI-13VAR bioassay). Bioactive TNF levels are elevated in the hippocampus. During the period of injury, hippocampal noradrenergic neurotransmission demonstrates a decrease in stimulated norepinephrine (NE) release, concomitant with elevated hippocampal TNF levels. Continuous intracerebroventricular (i.c.v.) microinfusion of TNF-antibodies (Abs) starting at four days, but not six days, following ligature placement completely abolishes the hyperalgesic response characteristic of this model, as assessed by the 58 degrees C hot-plate test. Antibody infusion does not decrease spinal cord or plasma levels of TNF. Continuous i.c.v. microinfusion of rrTNF alpha exacerbates the hyperalgesic response by ligatured animals, and induces a hyperalgesic response in animals not receiving ligatures. Likewise, field-stimulated hippocampal adrenergic neurotransmission is decreased upon continuous i.c.v. microinfusion of TNF. These results indicate an important role of brain-derived TNF, both in the pathology of neuropathic pain, as well as in fundamental pain perception.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Biological Assay
  • Brain / physiology*
  • Brain / physiopathology
  • Cell Line
  • Cerebral Ventricles / drug effects
  • Cerebral Ventricles / physiology
  • Cerebral Ventricles / physiopathology
  • Electric Stimulation
  • Hippocampus / physiology*
  • Hot Temperature
  • In Vitro Techniques
  • Infusions, Parenteral
  • Male
  • Neuritis / physiopathology*
  • Norepinephrine / metabolism*
  • Pain Threshold
  • Rats
  • Rats, Sprague-Dawley
  • Sciatic Nerve / physiology*
  • Sciatic Nerve / physiopathology
  • Spinal Cord / physiology*
  • Spinal Cord / physiopathology
  • Tumor Necrosis Factor-alpha / biosynthesis
  • Tumor Necrosis Factor-alpha / pharmacology*
  • Tumor Necrosis Factor-alpha / physiology*

Substances

  • Tumor Necrosis Factor-alpha
  • Norepinephrine