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Sensory fibers resistant to the actions of tetrodotoxin mediate nocifensive responses to local administration of endothelin-1 in rats.

Abstract
Endothelin-1 (ET-1) applied to the sciatic nerve or injected into the plantar hindpaw of rats induces pain behavior (ipsilateral hindpaw flinching) and selective excitation of nociceptors by activation of endothelin-A (ET(A)) receptors. To determine the pharmacological profile of the sensory fibers that mediate this pain behavior, we administered lidocaine (LID, a non-selective conduction blocker) or tetrodotoxin (TTX) prior to ET-1. LID (1 or 2%, 0.1 ml) was injected percutaneously into the sciatic notch, or TTX (10 microM, 4 microl) was injected into the sciatic nerve prior to the more distal application of ET-1 (400 microM, 40 microl) onto the sciatic nerve or subcutaneously into the plantar hindpaw (400 microM, 10 microl). LID inhibited ET-1-induced flinching in a dose-dependent manner; the mean total number of flinches was reduced by 39% for 1% LID and by 87% for 2% LID. In contrast, TTX failed to inhibit flinching behavior induced by sciatic nerve application of ET-1 despite a similar magnitude of motor and sensory blockade as that observed with 2% LID. Partial blockade of flinching behavior by intraneural TTX (mean total flinches were reduced by 51%) was observed after subcutaneous injection of ET-1. Unexpectedly, ET-1 prolonged the actions of 1% LID and, even when applied alone, produced clear signs of motor and sensory conduction block. These results are evidence that ET-1-induced pain is transmitted to the central nervous system via sensory fibers using tetrodotoxin-resistant sodium channels, and that ET-1 has analgesic actions that exist despite the activation of local pain pathways.
AuthorsConstance S Houck, Alla Khodorova, Amy M Reale, Gary R Strichartz, Gudarz Davar
JournalPain (Pain) Vol. 110 Issue 3 Pg. 719-726 (Aug 2004) ISSN: 0304-3959 [Print] United States
PMID15288413 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Endothelin-1
  • Tetrodotoxin
Topics
  • Animals
  • Dose-Response Relationship, Drug
  • Endothelin-1 (toxicity)
  • Male
  • Neurons, Afferent (drug effects, physiology)
  • Pain (chemically induced, physiopathology)
  • Pain Measurement (drug effects, methods)
  • Rats
  • Rats, Sprague-Dawley
  • Sciatic Nerve (drug effects, physiology)
  • Tetrodotoxin (toxicity)

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