Recent evidence has suggested that cAMP plays a role as a second messenger in the decrease in nociceptive threshold (or
hyperalgesia) produced by agents acting on primary afferent terminals. In support of this hypothesis we report that
intradermal injection of a direct activator of
adenyl cyclase,
forskolin, produces a dose-dependent
hyperalgesia in the rat. The duration of this
hyperalgesia was prolonged by the
phosphodiesterase inhibitors, isobutylmethylxanthine and
rolipram.
Forskolin hyperalgesia was antagonized by the Rp isomer of cyclic adenosine-3'5'-monophosphothioate, an analog of cAMP that prevents the phosphorylation of the
cAMP protein kinase. The Rp isomer of cyclic adenosine-3'5'-monophosphothioate also inhibited the
hyperalgesia induced by a membrane-permeable analogue of cAMP, 8-bromocyclic
adenosine monophosphate, as well as the
hyperalgesia induced by agents that are presumed to act directly on primary afferent nociceptors:
prostaglandin E2,
prostaglandin I2, (8R,15S)-dihydroxyicosa(5E-9,11,13Z)tetraenoic
acid; and the
adenosine A2-agonist
2-phenylaminoadenosine. Although the cAMP second messenger system contributes to primary afferent
hyperalgesia, we found no evidence for a contribution of
protein kinase C. Thus,
hyperalgesia induced by
prostaglandin E2,
prostacyclin (
prostaglandin I2), (8R,15S)-dihydroxyicosa(5E-9,11,13Z)tetraenoic
acid, the
adenosine A2-agonist
2-phenylaminoadenosine, 8-bromocyclic
adenosine monophosphate and the direct activator of
adenyl cyclase,
forskolin, were not significantly attenuated by the selective inhibition of
protein kinase C by the 19-31 fragment of
protein kinase C. Two other inhibitors of
protein kinase C,
sphingosine and
staurosporine, also failed to attenuate
prostaglandin E2-induced
hyperalgesia.