Cancer-related bone pain is attenuated by a systemically available delta-opioid receptor agonist

Pain. 2006 May;122(1-2):174-81. doi: 10.1016/j.pain.2006.01.032. Epub 2006 Mar 20.

Abstract

Patients with bone cancer report severe pain and receive mu-opioids. We developed a family of peptidomimetic delta-agonists, one of which H2N-Tyr-dVal-Gly-Phe-Ala-OH ([dVal(L)2,Ala(L)5]E) binds with a 1700x affinity at the delta versus mu receptor. To examine the systemic analgesic efficacy of this delta-agonist versus morphine in osteosarcoma pain, osteosarcoma cells are injected into one femur of the anesthetized mouse. After 10-18 days, a decalcification of the injected femur occurs along with a pronounced tactile allodynia. IP morphine and [dVal(L)2,Ala(L)5]E produced a dose-dependent reversal of allodynia with the respective ED50 values being 5.3+/-1.9 mg/kg for morphine and 1.3+/-0.3 mg/kg for [dVal(L)2,Ala(L)5]E. Plotting peak effect versus area under the analgesic curve for doses of morphine and [dVal(L)2,Ala(L)5]E revealed overlapping curves suggesting that for a given effect, [dVal(L)2,Ala(L)5]E produced a similar duration of action as morphine. These effects were reversed by IP naloxone (3 mg/kg). IP naltrindole (1 mg/kg) preferentially reversed [dVal(L)2,Ala(L)5]E. The upper dose effects of morphine but not [dVal(L)2,Ala(L)5]E were limited by pronounced hyperactivity. No other effects were noted. These results show that IP [dVal(L)2,Ala(L)5]E through a delta receptor produces analgesia equal in efficacy to that of morphine but with a 4.5-fold greater potency. Over the doses examined, morphine actions were side effect limited. The delta side effects were not so limited, suggesting a favorable therapeutic ratio for delta-agonists in this pain model. These studies suggest that a systemically delivered delta-opioid agonist has pronounced analgesic properties on a preclinical cancer pain model.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Analgesics / administration & dosage*
  • Animals
  • Arthralgia / etiology
  • Arthralgia / physiopathology
  • Arthralgia / prevention & control
  • Bone Neoplasms / complications*
  • Bone Neoplasms / drug therapy
  • Bone Neoplasms / physiopathology
  • Dose-Response Relationship, Drug
  • Hyperalgesia / etiology
  • Hyperalgesia / physiopathology
  • Hyperalgesia / prevention & control*
  • Male
  • Mice
  • Mice, Inbred C3H
  • Morphine / administration & dosage
  • Osteosarcoma / complications
  • Osteosarcoma / drug therapy*
  • Osteosarcoma / physiopathology
  • Pain Threshold / drug effects*
  • Receptors, Opioid, delta / agonists*
  • Touch
  • Treatment Outcome

Substances

  • Analgesics
  • Receptors, Opioid, delta
  • Morphine