Effect of the peripherally selective kappa-opioid agonist, asimadoline, on adjuvant arthritis

Br J Pharmacol. 1998 Jun;124(4):647-54. doi: 10.1038/sj.bjp.0701874.

Abstract

1. Opioids, though widely used as analgesics, have not been seriously considered as therapy for rheumatoid arthritis. The present study evaluated the dose-effect and time-dependence relationships of a new peripherally selective kappa agonist, asimadoline, in rats with adjuvant arthritis. 2. The arthritis was assessed by a pooled severity index combining the comprehensive criteria of oedema, radiography and histological changes, in the hind limbs. Asimadoline was extremely effective in attenuating joint damage (by up to 80%) when administered parenterally (0.5 to 10 mg kg(-1) day(-1), i.p.) throughout the disease or during its early phase; treatment was less successful if confined to the latter stages. Ten fold higher doses were effective orally. 3. Equimolar doses of a peripherally-selective antagonist, naloxone methiodide, and the kappa-selective antagonist, MR2266, fully reversed the peripheral anti-arthritic effects of asimadoline (5 mg kg(-1) day(-1)), indicating that asimadoline acts through peripheral kappa-opioid receptors. However, an equivalent dose of MR2266 did not fully reverse the anti-arthritic effects of the highest dose of asimadoline (40 mg kg(-1) day(-1)), suggesting a loss of kappa-selectivity at this dose. 4. Asimadoline also exhibited analgesic effects (mechanical nociceptive thresholds) in arthritic but not non-arthritic rats, indicating that inflammation is necessary for asimadoline-induced analgesia. 5. These data confirm our previous findings that kappa-opioids possess anti-arthritic properties and that these effects are mediated via peripheral kappa-receptors. The present results are new in showing that the peripherally acting kappa-opioid agonist, asimadoline, is a potent anti-arthritic agent. Such novel drugs, essentially lacking central side effects, herald new treatments for rheumatoid arthritis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetamides / administration & dosage
  • Acetamides / pharmacology*
  • Administration, Oral
  • Analgesics, Opioid / administration & dosage
  • Analgesics, Opioid / pharmacology*
  • Animals
  • Arthritis, Experimental / physiopathology*
  • Benzomorphans / pharmacology
  • Dose-Response Relationship, Drug
  • Male
  • Motor Activity / drug effects
  • Naloxone / analogs & derivatives
  • Naloxone / pharmacology
  • Narcotic Antagonists / pharmacology
  • Pain Measurement
  • Pyrrolidines / administration & dosage
  • Pyrrolidines / pharmacology*
  • Quaternary Ammonium Compounds
  • Rats
  • Rats, Inbred Lew
  • Receptors, Opioid, kappa / agonists*
  • Receptors, Opioid, kappa / antagonists & inhibitors
  • Time Factors

Substances

  • Acetamides
  • Analgesics, Opioid
  • Benzomorphans
  • Narcotic Antagonists
  • Pyrrolidines
  • Quaternary Ammonium Compounds
  • Receptors, Opioid, kappa
  • Naloxone
  • MR 2266
  • N-methylnaloxone
  • asimadoline