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Effects of koumine, an alkaloid of Gelsemium elegans Benth., on inflammatory and neuropathic pain models and possible mechanism with allopregnanolone.

Abstract
Crude alkaloidal extraction from Gelsemium elegans Benth. produces analgesic property. However, its clinical utility has been obstructed by its narrow therapeutic index. Here, we investigated the potential of koumine, a monomer of Gelsemium alkaloids, to reduce both inflammatory and neuropathic pain. Interestingly, allopregnanolone, a neurosteroid, appeared to mediate the reduction of neuropathic pain. The potential anti-inflammatory pain effects of koumine were evaluated by acetic acid-, formalin- and complete Freund's adjuvant (CFA) -induced nociceptive behaviors in mice. Chronic constriction injury (CCI) and L5 spinal nerve ligation (L5 SNL), inducing thermal hyperalgesia and mechanical allodynia in rats, were used to test whether repeated treatment of koumine ameliorated neuropathic pain. Finally, we explored if koumine altered the level of neurosteroids in rat spinal cord of CCI neuropathy using liquid chromatography-tandem mass spectrometry. Koumine dose-dependently reduced the acetic acid-induced writhes and formalin-induced licking/biting time of Phase II in mice. Repeated administrations of koumine also dose-dependently reversed the CFA-, CCI- and L5 SNL-induced thermal hyperalgesia, as well as, CCI- and L5 SNL-induced mechanical allodynia in rats. The level of allopregnanolone, but not pregnenolone, in the L5-6 spinal cord was elevated by repeated treatment of koumine in CCI-induced neuropathic rats. These results demonstrate that koumine has a significant analgesic effect in rodent behavioral models of inflammatory and neuropathic pain, and that the reduction in neuropathic pain may be associated with the upregulation of allopregnanolone in the spinal cord.
AuthorsYing Xu, Hong-Qiang Qiu, Hao Liu, Ming Liu, Zhi-Yi Huang, Jian Yang, Yan-Ping Su, Chang-Xi Yu
JournalPharmacology, biochemistry, and behavior (Pharmacol Biochem Behav) Vol. 101 Issue 3 Pg. 504-14 (May 2012) ISSN: 1873-5177 [Electronic] United States
PMID22366214 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2012 Elsevier Inc. All rights reserved.
Chemical References
  • Analgesics
  • Indole Alkaloids
  • koumine
  • Pregnanolone
Topics
  • Analgesics (pharmacology)
  • Animals
  • Disease Models, Animal
  • Gelsemium
  • Hyperalgesia (drug therapy, etiology)
  • Indole Alkaloids (pharmacology, toxicity)
  • Inflammation (complications, drug therapy)
  • Male
  • Mice
  • Mice, Inbred ICR
  • Neuralgia (drug therapy)
  • Pain (drug therapy, etiology)
  • Pain Measurement
  • Pregnanolone (metabolism)
  • Rats
  • Rats, Sprague-Dawley
  • Spinal Cord (drug effects, metabolism)
  • Up-Regulation (drug effects)

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